What should you know about old dark spots on face?

A flat brown or grey mark can remain after acne, eczema, a bite, or another injury; this is called [Post-Inflammatory Hyperpigmentation](/conditions/post-inflammatory-hyperpigmentation/). Symmetrical patches on the cheeks, forehead, upper lip, or jaw may fit [Melasma](/conditions/melasma/). Individual sun-exposed marks may be [Sun Spots](/conditions/sun-spots/). Fine scale or lighter and darker areas can suggest [Tinea Versicolor](/conditions/tinea-versicolor/). A spot that is raised, changing, bleeding, or unlike the others should not be assumed to be simple pigmentation.

Use broad-spectrum sun protection, shade, and a hat, because ultraviolet and visible light can deepen some facial pigmentation. Avoid picking blemishes and stop products that sting or inflame the skin. A clinician can distinguish pigment disorders from a lesion needing another type of assessment. Depending on the cause and skin tone, options may include a [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/). These treatments can irritate skin or worsen pigmentation if poorly selected, so diagnosis and aftercare matter.

Arrange a skin check for a new or changing spot, irregular border, several colours, bleeding, crusting, persistent itching, or a mark that stands out from the rest. Seek earlier advice if pigmentation appeared after a new medicine or if a rash is active. Take a clear photograph in consistent lighting so changes can be compared over time.

Ask what pattern the spots follow, whether inflammation or light is maintaining them, which sunscreen and products suit your skin, and whether a peel or laser could increase pigment in your case.