What should you know about little dots on skin?

Flat brown dots may follow sun exposure or previous inflammation. [Sun Spots](/conditions/sun-spots/) tend to occur on exposed areas, while [Post-Inflammatory Hyperpigmentation](/conditions/post-inflammatory-hyperpigmentation/) can remain after acne, irritation or injury. [Melasma](/conditions/melasma/) often creates broader, uneven patches rather than isolated pinpoints. Light or dark spots with fine scale can occur with [Tinea Versicolor](/conditions/tinea-versicolor/).

Colour alone is not enough to identify the cause. Notice whether the dots are flat or raised, scaly or smooth, itchy or asymptomatic, and whether they are changing. A clinician can compare the areas with nearby skin and decide whether testing or treatment is useful.

Use gentle cleansing, avoid picking or scrubbing, and protect exposed skin from sunlight with clothing and suitable sunscreen. Record when the dots appeared and photograph changes in consistent lighting. Treatment depends on the cause; options may include [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/), a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/) or [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/), but pigment can worsen after irritation in some skin types.

Book a review for a new unexplained cluster, spreading change, persistent scale or ongoing itch. Seek prompt assessment if one spot changes noticeably in colour, border or surface, bleeds without clear injury, forms a sore that does not heal, or becomes painful. These features need direct examination rather than cosmetic treatment.

Ask what pattern the dots follow, whether they are pigment or scale, and which treatments suit your skin tone. Ask how to protect the area during treatment and what change should prompt an earlier review.