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General Health
Question #19873
103 days ago
221

black small dots on face - #19873

Drishti

I am really worried about these weird black small dots on my face. They just started appearing a few weeks ago, mostly on my cheeks and forehead. At first, I thought they were just pimples or something, but they’re not going away. I tried scrubbing and even used some over-the-counter cream, but no luck. It feels like a game of whack-a-mole, seriously! Got a friend who has similar issues, and she mentioned she got rid of her black small dots on face with a special treatment. I went to a dermatologist, but they didn’t give me a clear answer. They said it could be like hyperpigmentation or sun spots, but that didn't help me feel any better. Are these black small dots on face something serious I should be worried about? Or is it just a cosmetic thing that’ll fade away? I read online about treatments and home remedies, but I'm wary of trying stuff on my own... Does anyone have experience with these black small dots on face? I mean, could it be related to something else like stress or diet changes? I’m kinda at a loss here, just don’t want this to become a bigger issue. Any advice or insight would help!

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Doctors' responses

Based on your description, those black small dots on your face could be a few different things, commonly either comedones (blackheads) or some form of hyperpigmentation. To start, it’s important to rule out whether they’re open comedones, which are essentially clogged pores with oxidized oil, giving them a black appearance. They’re common and can be managed with gentle skin care, including regular cleansing with a mild face wash and using non-comedogenic products. Over-the-counter products containing salicylic acid or benzoyl peroxide might help unclog pores and reduce their appearance over time. However, don’t scrub too hard; it can irritate the skin and make things worse. Another possibility is that they are indeed hyperpigmented spots, perhaps due to sun exposure or post-inflammatory hyperpigmentation following an acne breakout. Consistent use of sunscreen is key here to prevent further darkening, and products with ingredients like vitamin C, niacinamide, or azelaic acid can help eventually fade these spots. Chemical peels or laser treatments are other options but best explored with a dermatology professional. Stress and diet can play a role in skin changes, particularly if your diet is suddenly lacking in essential vitamins or if stress leads to hormonal changes that affect the skin. For deeper or more persistent cases, consulting a dermatologist can help ascertain if a prescription treatment is necessary. Since you’re wary of trying things on your own, starting with well-tolerated skin care routines and discussing potential dermatological treatments with your provider is a safer route. Avoid DIY remedies from unverified sources as they can aggravate your skin further. Remember, patience is crucial as these treatments can take a few weeks to show noticeable results. Always prioritize treatments that your skin can handle without adverse effects, and if skepticism persists about your dermatologist’s diagnosis, seeking a second opinion could offer more precise clarity.

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