What can be done to remove black spots from cheeks? (photos)

Question

Since I was 23, these small black dots have been appearing near my cheek and every year that passes they get bigger. I would like to know what it is and how to treat it. I have already used ointment and other skin care routines but nothing has worked.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for your question and for providing photos of the affected area. The black spots on your cheeks could be caused by a variety of factors, including hyperpigmentation, melasma, or post-inflammatory hyperpigmentation. It's important to have an accurate diagnosis to determine the most effective treatment.

Here are a few potential treatment options that might help:

Topical Treatments: Prescription-strength topical treatments containing ingredients such as hydroquinone, retinoids, or vitamin C can help lighten hyperpigmented areas.

Chemical Peels: Chemical peels can exfoliate the top layers of skin, promoting the growth of new, evenly pigmented skin.

Laser Therapy: Lasers can target and break down pigment in the skin, helping to reduce the appearance of dark spots.

Microneedling: This procedure can stimulate collagen production and improve skin texture and tone.

Sun Protection: Regardless of the treatment, using a broad-spectrum sunscreen daily is crucial to prevent further darkening of the spots and protect your skin from UV damage.

I recommend scheduling a consultation with a board-certified dermatologist to get a personalized treatment plan. They can evaluate your specific condition and recommend the most suitable options for you.

Health Now Medical Spa - Centennial · Answer

The best and most comprehensive facial is a hydrofacial and extractions done with it. This will help to resurface your skin, remove blemishes and replenish your skin with hydration from serums that include vitamins, exfoliants, hyaluronic acid among many others! Amazing and should be a maintenance treatment once a month or once every other!

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