black dark spots on face - #13824
I am really worried about these black dark spots on my face. They just kinda appeared out of nowhere a few months ago, and now they seem to be multiplying, which is freaking me out! At first, they looked like little freckles, but there’s no way they’re just that anymore. I was at the beach a lot this summer, so I thought maybe it was sun damage or something. I have tried a few home remedies, like lemon juice and honey, but they haven't really helped. My skin has also become more sensitive, I feel like whatever these black dark spots on my face are, it’s like my skin is screaming for help! I went to see a dermatologist who mentioned it could be some sort of pigmentation issue, but she didn’t really go into detail. She prescribed a cream that might help lighten them, but honestly, I'm not seeing much difference. What are these black dark spots on my face? Should I be really concerned about them? Do they recommend any specific treatments or skincare routines that could actually work? I know some say they can be harmless, but they just make me feel super self-conscious, you know? Help!
100% Anonymously
No sign-up needed.

Doctors’ responses
Black dark spots on the face can be attributed to several factors, and your concern is valid given how these changes can affect both appearance and self-confidence. They might be a result of sun damage—a common contributor to hyperpigmentation, often appearing as sun spots or lentigines. Overexposure to the sun’s ultraviolet rays could have triggered an overproduction of melanin, surfacing as darker patches. Beyond sun exposure, hormonal changes could also play a role, particularly conditions like melasma, which is known for causing blotchy, dark patches, often exacerbated by sun exposure. Given that home remedies like lemon juice can sometimes cause irritation, particularly in sensitive skin, it’s essential to approach treatment cautiously. The cream your dermatologist prescribed likely contains ingredients like hydroquinone, retinoids, or vitamin C, which can help lighten pigmentation over time, but these often require consistent use over several months to see substantial changes. SPF is crucial here—wearing sunscreen daily can prevent further darkening of the spots and shield your skin from further sun damage. For more immediate intervention, treatments like chemical peels, laser therapy, or microdermabrasion might be options your dermatologist can discuss based on the specific diagnosis of those spots. It’s advisable to follow-up with your dermatologist, discussing any concerns about the efficacy of the current treatment and exploring additional therapies tailored to your skin’s needs. Avoid picking at or mechanically exfoliating the spots, as it could worsen the pigmentation or cause scarring. While they might seem harmless to others, addressing them for your peace of mind and comfort is completely valid, so seeking additional options with your healthcare provider can be worthwhile.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.