What should you know about fading facial dark spots?

A mark may remain after acne, a picked spot, irritation, or an injury. Symmetrical patches on the cheeks, forehead, nose, or upper lip may fit [Melasma](/conditions/melasma/). Other possibilities include [Post-Inflammatory Hyperpigmentation](/conditions/post-inflammatory-hyperpigmentation/), [Sun Spots](/conditions/sun-spots/), or [Tinea Versicolor](/conditions/tinea-versicolor/). Texture, scale, itch, timing, distribution, and recent products can help a clinician separate these causes.

Wash with a mild cleanser, moisturise, avoid picking, and protect the face from daylight with shade, hats, and sunscreen. Do not layer several strong acids or use unlabelled bleaching creams. Depending on the diagnosis, a clinician may discuss [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/), or [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/). Facial skin can become more inflamed after overly aggressive treatment, which may leave additional pigment, so the plan should be adjusted if stinging or peeling develops.

Arrange an assessment for a new spot that changes, has an irregular outline, contains different colours, bleeds, crusts, itches persistently, or does not heal. Seek advice if a patch spreads, becomes scaly, or appears after a new medicine. A sudden rash with facial swelling or breathing difficulty needs urgent medical care.

Ask what pattern the spots follow, whether an underlying rash needs treatment, which ingredients to pause, and how to protect the face while pigment gradually settles.