skin black spots on face - #20532
I am really concerned about these skin black spots on face that started appearing a few months ago. At first, I thought it was just a result of some bad sun exposure while on vacation, you know? I didn’t wear sunscreen because I was so caught up in the moment! But these skin black spots on face have only gotten darker and more noticeable. They kinda look like freckles but much larger and they are really bothering me. I did some research and read about melasma, but I’m not sure if that’s what it is. I've tried over-the-counter creams and stuff but nothing seems to work, if anything they get worse after using them. Should I be concerned about these skin black spots on face? Like, is it something serious I should get checked out? Or could it be something like age spots, even though I'm only in my mid-30s? I also have a family history of skin issues, which makes me even more anxious about these skin black spots on face. Any advice or suggestions based on what you’ve seen or experienced would be super helpful! Thanks in advance!
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Doctors' responses
Black spots or hyperpigmentation on the face can arise from several causes. Considering sun exposure, what you’re experiencing might be post-inflammatory hyperpigmentation (PIH) or melasma. Both conditions involve an increase in melanin, often triggered by sun exposure, hormonal changes, or family history. Melasma, typically appearing as patches, is quite common among women in their reproductive years. PIH, however, often follows injury, like acne, though sun exposure can also contribute. Age spots, or solar lentigines, can happen even in your 30s especially after significant sun exposure without protection. Given your description, dermatological assessment is beneficial, particularly since OTC products haven’t worked—some might be irritating, worsening pigmentation. For diagnosis, a dermatologist might use a Wood’s lamp exam or a biopsy if necessary. Treatment might include prescription creams like hydroquinone, azelaic acid, or retinoids. Sun protection is crucial; always apply a broad-spectrum sunscreen daily. Consider physical barriers like hats or umbrellas, as well. Procedures like chemical peels or laser therapy might also be recommended by a dermatologist. Although these spots often aren’t clinically concerning, it’s worth verifying they aren’t indicative of something more serious especially with a family history of skin issues. If you notice changes in size, shape, or color, see a healthcare provider promptly.
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