How can I remove past 4 years dark black spots on my face?

Doctor Answers 8

Vi peel

The vi peel, medium depth peel us safe for any color of skin. It will leave redness for about a week and will also lighten under eye area.

Long Island Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Dark spots on the face and Melarase creams

Dark spots on the face can be improved with Melarase creams and light chemical peels. Begin with Melarase AM and Melarase PM.

Dr. Karamanoukian 
Los Angeles 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews


Several factors contribute to dark areas and spots on the skin, known as hyperpigmentation. The sun, acne, melasma, prescription medication and hormonal imbalances are all causes of hyperpigmentation. These dark spots occur when your skin produces more melanin, which gives our skin its color. There are a wide range of treatments for hyperpigmentation. The success depends on the cause of the hyperpigmentation. Strict sun protection and use of sunscreen are required in order to prevent worsening and recurrence of hyperpigmentation before, during and after treatment. We recommend seeing a dermatologist to assess the extent of your hyperpigmentation so he or she can customize an appropriate treatment plan which may include some of the following:
Topical medications such as hydroquinone and Retin-A are commonly prescribed for hyperpigmentation. These bleaching and retinol creams do not work for all types of hyperpigmentation and they can take up to six months to visibly lighten, results may not always be noticeable.
Hyperpigmentationis often treated with the Fraxel laser is very effective. This treatment targets the pigment in the skin that causes skin to appear darker. Two to three treatments may be required to achieve the desired result. There is usually minimal downtime that lasts about three to five days with this treatment.
Chemical peels can be a good option for those with hyperpigmentation. Peels like the LUMA peel which uses vitamin A and arbutin or a TCA peel (trichloracetic acid) are available for all skin types and are highly effective in reducing pigmentation. There may be some downtime of a few days to a week. A glycolic acid peel will not erase wrinkles and is helpful for extremely mild cases of hyperpigmentation.

Ariel Ostad, MD
New York Dermatologic Surgeon
4.3 out of 5 stars 17 reviews

Dark Spots

Without seeing photos it is hard to say what the best treatment plan would be.  We have found great success in our office with laser facials used in conjunction with skin lighteners such as Lytera.  Whether or not you would be an ideal cadidate for laser depends on your skin type but Lytera is safe to use on all skin types. 

Kevin Rose, MD
Provo Plastic Surgeon
4.6 out of 5 stars 11 reviews

Decreasing Facial Dark Marks

There are many options to decrease sun damaged facial skin.  Some of the options include, prescription and non-prescription topicals, microdermabrasion, chemical peels and a variety of laser devices.

Craig Mezrow, MS, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews

How to remove brown spots.

With exact treatment plans it is always helpful to see skin type when assessing which treatment route to take. With that being said there are a few options as far as treatments of pigmented lesions. First it is most important to make sure the spot is safe to treat cosmetically and that it is not of medical concern. Chemical Peels are ideal for someone that is not a candidate for laser (may take multiple treatments). IPL is a gentle yet effective way to gradually reduce the pigmentation with little to no down-time. The Alexandrite would be our most aggressive way to treat the pigmented lesions. 

Dennis Gross, MD
New York Dermatologist
4.4 out of 5 stars 5 reviews

Age Spots Treatment

Hi! Thank you for your question.

I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS). I am also certified with the American Board of Plastic Surgery.

A few ways to treat dark spots and age spots is by doing Fotofacial treatments and chemical peels. The best advice I can give you is to schedule a consultation with a board certified plastic surgeon to go over the best options for your skin.

Below are some links for additional information and before and after pictures.

If you have any further questions, please feel free to call us at 847.696.9900.

Best of luck and have a great day!


Dr. Speron

Sam Speron, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 1 review

Options about treatments.

Depending on your skin type you can remove the dark spots with fraxel 1927, clear and brilliant or chemical peels.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.