Big black acne spot. Its been 6 months and it is not fading, advice? (photo)

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Doctor Answers 4

​Big acne black spot on the face that won't go away after six months.

Big acne black spot on the face that won't go away after six months. I would always suggest conservative treatment to start with and then more aggressive treatment. For your dark spot I would first suggest skin care including lightening products including Retin-A kojic acid and chemical peels. If it doesn't go away after weeks and months of that treatment you can then consider more aggressive treatments including intense pulsed light and CO2 resurfacing. Intense pulsed light is tricky in dark-skinned people which you appear to be . So I would suggest likely CO2 resurfacing or using a CO2 laser to remove this.


Bellevue Facial Plastic Surgeon
3.9 out of 5 stars 64 reviews

Pigmentation on nose

This can usually be treated with topical Retin A and hydroquinone. If not improved, lasers can be used. Chemical peels are an alternative as well.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Black Spots and Scars and Best Treatment

A combination of fillers, hydroquinones, chemical peels, and eMatrix will help improve your acne scars.  Please consult a board certified dermatologist for the best cosmetic treatment.  Best, Dr. Green

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This will need a combination approach to improve including: lasers, peels, microneedling/prp.I suggest a formal in person consultation with a cosmetic dermatologist who specializes in acne scarring, lasers, peels and skin care. Best, Dr. Emer.

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