Skin care for dark spots on the face

Facial darkening can reflect [Melasma](/conditions/melasma/), [Post-Inflammatory Hyperpigmentation](/conditions/post-inflammatory-hyperpigmentation/), [Sun Spots](/conditions/sun-spots/) or, less commonly, a surface infection such as [Tinea Versicolor](/conditions/tinea-versicolor/). The location, symmetry, texture, onset and relationship to acne or irritation help separate these possibilities.

A spot is a visible symptom, not a diagnosis. The overview of [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) can help you describe what you see before an appointment.

Wash with a mild cleanser, moisturise while the skin is slightly damp, and use broad-spectrum sunscreen every morning. Hats and shade add useful protection. Do not pick blemishes or use abrasive scrubs; inflammation can leave more colour behind. If home care is insufficient, 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/). Treatment should be chosen carefully because irritation may worsen facial pigmentation.

Book an assessment for a rapidly changing mark, bleeding or crusting, persistent itch, pain, scaling, or a patch that looks unlike your other spots. Seek help sooner if colour change involves the eyelids or follows a medicine or cosmetic product.

What is the most likely cause and does it need testing? Which routine is least irritating for my skin tone? What treatment should come first, and how will recurrence be reduced?