Treatment for Facial Brown Spots?

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, hormones, sun exposure, age or heredity. Treatment methods include various chemical peels, liquid nitrogen, bleaching creams and various intense pulsed light/laser systems from miminally invasive to ablative.
Most important is that with any treatment, prevention of recurrence is essential, through the use of sunblock (SPF 30+ is better) and various bleaching creams on an ongoing basis to prevent post-inflammatory (after any treatment that involves controlled "wounding" of the skin) hyperpigmentation.

Thank you for your question.  CO2 laser skin resurfacing treatment is very beneficial for making acne scars diminish, removing age spots, increases collagen and elasticity production.  This is done by removing deeper layers of damaged skin and stimulating the regeneration of healthy skin underneath. This treatment is also beneficial for uneven pigmentation, photodamage, fine lines and wrinkles, precancerous spots, and a host of other skin imperfections and benign lesions. If you believe you may be a candidate for CO2 laser skin resurfacing treatment, a qualified cosmetic surgeon or dermatologist can carefully analyze your skin and determine if the procedure is right for you

Overexposure to UV rays result in age spots so the best solution is to wear and reapply sunscreen every day! At my practice, I offer my patients laser resurfacing, Clear & Brilliant, Intense Pulsed Light, q-switched alexandrite, and fractionated Fraxal Dual laser. These laser treatments have all been tested and proven effective at reducing dark age spots and giving a bright and youthful appearance! I recommend consulting with a board-certified dermatologist who is an expert in laser treatments to ensure you are getting the best results!

In my opinion, you may be experiencing Melasma. Melasma is a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy medications.CLEAR & BRILLIANT and the PERMEA is a revolutionary, gentle laser skin care treatment, clinically proven to fight the effects of aging skin. The laser is a safe, non-surgical option with little-to-no downtime after treatments. Skin tone and texture is noticeably improved after each treatment and best of all, it is safe for all skin types and the treatment of melasma.#brownspots #agespots #melasma             

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.

 

I would recommend the Melarase AM and Melarase PM creams as a starter.

Thank you for your question and excellent description of your condition.  Without seeing you, I would say that what you have described is a condition commonly known as Melasma.  
It is most often seen on the face, especially the forehead, cheeks, nose and chin, but it can also appear on the neck and forearms.
Melasma, which is also sometimes called Chloasma, is a common skin condition whereby light to dark brown or greyish patches of pigmentation develop on the skin.  It is often a reminder for many women of their pregnancy, though according to the British Association of Dermatologists about 10% of all people who will develop Melasma are men.
Melasma is a complex condition to understand but it is known there are certain definite triggers, pregnancy being one.  Medicine intended to regulate hormone levels, such as the contraceptive pill, or conditions resulting from a hormone imbalance, can also increase the likelihood of Melasma occurring. 
It is not possible to eliminate the visible effects of Melasma entirely, but it is possible to significantly reduce its size or colour.  While some people will prefer to use camouflage make-up to even out their skin tone, others may prefer a more interventionist approach.  
In my clinic I prefer to use a combined approach of chemical skin peels as well as non-ablative lasers.  The laser that I use to treat Melasma is SRAplus, which uses a combination of intense pulsed light (IPL) and bi-polar radio frequency (RF).  All skin types can be treated and improvement will be noticeable within a few weeks.  There is no downtime associated with the treatment, except avoiding the sun immediately afterwards, and which will also be necessary on an ongoing basis.  For anyone considering treatment with a laser, it is always important to check the professional qualifications and experience of the person who will be doing the treatment.  Always ensure that your treatment is taking place in a professional medical environment.  
Once you have the visible signs of Melasma, it is important to stay away from the sun (including when sitting next to windows), as exposure to visible light (which includes computer screen time) can make the appearance of Melasma worse.  Whenever possible avoid sun exposure during the hours of 11am to 3pm when the sun’s rays are at their strongest, wear high strength SPF UVA and UVB products (at least SPF 30 but preferably 50), and wear a wide brimmed hat.  I hope that this has been helpful and wish you the best of luck with managing your condition.  With my best wishes, Dr Haus.

Based on your description is sounds like you may have melasma. Melasma is very common especially in women and is usually triggered by hormonal contraception or pregnancy.  However, once it develops it probably won't remit even if you stop your contraception.  We don't understand a lot about it in terms of why it happens and how it happens.  It's a condition that will improve with treatment but does flare with sun exposure and maybe even heat.  Topical lightening agents, tretinoin and chemical peels are the typical ways we treat it.  Laser can be helpful but should be used with caution since it can flare melasma.  

There are a number of treatments that you can use. The first step is to choose an experienced and expert board certified physician who can guide you. 1) A good sunscreen is a must - we prefer a broad spectrum at least 50 SPF for South Florida2) Core Obagi which includes clear, blender, and Retin A3) You may also benefit from a combination laser resurfacing treatment/intense pulse light (such as Halo Laser and BBL/ipl). Consult with 3 experienced and expert board certified physicians to understand your options.

I find that chemical peels in combination with bleaching creams like Triluma work well for your condition (melasma), however the recurrence rate is high. I recommend SPF 30 every day on the face.  Lasers also help, however I find peels and bleaching creams to be as effective (in most cases) and much more cost effective. 

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.