Black pimple spots on face

It sounds like you’re dealing with what might be post-inflammatory hyperpigmentation (PIH) or possibly a certain kind of acne lesion that can darken due to melanin production and exposure to sunlight. It’s understandable to be concerned about the potential for lasting marks, but let’s break down some steps which might help. First, any new skin regimen should include a sunscreen with at least SPF 30, even if you’re primarily indoors, as UV exposure can worsen pigmentation. In terms of topical treatments, consider products containing ingredients like azelaic acid, niacinamide, or even retinoids, which can help reduce pigmentation and encourage skin renewal but may take a few weeks to show results. You could also explore chemical exfoliants such as AHAs (Alpha Hydroxy Acids) or BHAs (Beta Hydroxy Acids), but be cautious and introduce them slowly to see how your skin reacts. As for the blackhead differentiation, blackheads are technically open comedones, where the surface plugs of sebum and dead cells turn dark upon exposure to air. They might not be the classic blackhead, so a gentle salicylic acid treatment might still be worth considering. Avoid picking or squeezing them, as this could lead to further irritation or infections. If topical treatments don’t seem effective, consult a dermatologist again; sometimes treatments like professional peels, micro-needling, or laser therapy might be appropriate, but these should only be pursued after professional advice, given potential risks and suitability. Always patch test a new product on a small skin area to ensure there’s no adverse reaction. Keep monitoring your skin’s response, and if any redness, irritation, or unusual symptoms arise, it would be crucial to reach out to your healthcare provider promptly. While it can be frustrating and slow-going, patience with a consistent skincare routine is often key to seeing improvement.