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Some surgical skin removal procedures may be covered if they are medically necessary (for example, if excess skin causes rashes or infections), but cosmetic procedures are typically out-of-pocket expenses

The oral lesions are usually irregularly shaped melanotic macules, papules, plaques, or a combination of these forms, and their pigmentation is non-uniform, with mottled shades of grey, dark blue, dark brown, or black (Figure 6ac) [15, 44]