Treatment for facial brown spots?

Over the last 1-2 years, I have developed two brown patches under my eyes, one large patch on my forehead and one on the top of my nose. After being told this may be caused by starting oral contraceptives 2 years ago, I stopped taking them about 6 months ago but not have seen the brown patches fade.

I'm 29 and don't get much sun except an annual cruise and I always wear a hat and sunscreen on those trips. I wear an SPF15 sunscreen moisturizer every day. What are these, and is there anything I can do to get rid of them?

5 answers to “Treatment for facial brown spots?”

A: Sun spots, melasma, hyperpigmentation and skin darkening

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

Melasma, hyperpigmentation, and sun spots are difficult to treat as there are many factors that contribute to the condition. Melasma can be caused by hormones, genetics, inflammation, and sun damage. Treatment includes topical creams, IPL, avoidance of the sun, and discontinuation of exogenous estrogen.

A: Brown spots

By Steven Wallach, MD - Manhattan Plastic Surgeon

Can be brown spots but may be melasma related to the BCP's. Check it out with your doctor. Brown spots can easily be treated with IPL just as long as it is away from your eyes. You can also use hydroquinone products to remove them more slowly.

A: Help is available for facial brown spots

By Scott E. Kasden, MD - Dallas Plastic Surgeon

This is likely due to the increase in estrogen along with the sun exposure. This is melasma and is difficult to treat, but not impossible. The least invasive way to treat brown spots is with skin bleachers like hydroquinone. A relatively new modality is Trilumina, which contains additional agents... more

A: You likely have melasma...

By Bryan K. Chen, MD - San Diego Dermatologist

...but since there are numerous conditions that can mimick melasma, I suggest you be evaluated by your local dermatologist. Melasma, a genetic and hormone-related condition is worsened by sun exposure. I would advise a daily moisturizer with SPF 30 or greater. Another great alternative...

A: likely benign hyperpigmentation areas or benign growths

By David J. Levens, MD - Ft. Lauderdale Plastic Surgeon

Have a dermatologist or plastic surgeon take a look. First be sure that the areas are not abnormal growths that require biopsy and treatment to prevent spread or turning into something worse. Likely there is no medical concern. If not, the hyperpigmentation spots can be from inflammation... more