Black spots on African American skin

The colour may remain after the original bump, rash or injury has disappeared. Treating active inflammation and preventing further irritation matter because fading the mark alone does not stop new ones from forming.

Inflammation can signal pigment-producing cells to release more melanin. In richly pigmented skin, the resulting post-inflammatory hyperpigmentation may be more noticeable and can outlast acne or folliculitis. Raised, painful or itchy areas suggest that the underlying process is still active.

Shaving, picking, tight hairstyles near affected skin, fragranced products and harsh lightening preparations can add inflammation. A uniform flat mark at the site of a healed bump differs from a mole or patch that is independently enlarging or changing.

Start with a mild cleanser, moisturiser and broad-spectrum sunscreen suitable for your skin. Sun protection helps prevent existing marks from becoming more pronounced. Avoid picking bumps and stop any product that causes persistent stinging, peeling or a rash.

If acne or ingrown hairs continue, focus treatment on those active lesions as well as the leftover colour. A dermatologist can choose topical or procedural options while considering irritation and the possibility of uneven pigment change.

Book an examination for a spot that grows, changes shape or colour, bleeds, repeatedly crusts or fails to heal. Prompt review is appropriate when darkening accompanies blistering, skin peeling, facial swelling, breathing difficulty, fever or a painful spreading rash.

See a clinician non-urgently when new marks keep appearing, bumps are scarring, or a lightening product has caused thinning, marked redness or patchy colour loss.

Bring the names of products used on the area and ask what is driving the inflammation, whether the colour lies mainly near the surface or deeper in the skin, and how to reduce irritation during treatment. Point out any raised scars or areas where colour has become lighter.