"Doctor, I've been trying for months remove blemishes from the face And I no longer know what cream to try. I've spent over 300 euros." This is a conversation I have in consultation almost every week. The patient opens her toiletry bag and takes out three, four, sometimes six different products, all promising the same thing: to eliminate dark spots in 3 days, 7 days, 14 days. None have worked.
The problem isn't that there isn't a solution, but that Not all stains are the same.. A solar lentigo, hormonal melasma, post-inflammatory hyperpigmentation, or (in the worst-case scenario) a facial lentigo maligna are conditions with completely different mechanisms. And each one requires a different treatment. Therefore, before discussing "how to remove dark spots on the face," you need to understand what you're seeing in the mirror.
In this article, I explain, from my experience as a dermatologist specializing in pigmentation in the Hospital Clínic de Barcelona, what types of stains exist, how to prevent them, what really works (and what's marketing), and what you can really expect from each treatment.
Why do facial blemishes occur?
80%
Visible facial aging comes from the sun, not the passage of time
It's an idea that's hard to accept in consultations. Patients who have always taken care of themselves, who say they've never been in the sun "directly," look in the mirror at 35 and see spots that weren't there yesterday.
Ultraviolet radiation from the sun, or tanning beds, It is the main cause of blemishes on the face. Hyperpigmentation usually appears starting at age 30, precisely when the skin begins to show the consequences of accumulated sun exposure during adolescence. Sun damage doesn't show up the day you sunbathe; it shows up 15 or 20 years later. That's why dark spots always look worse at the end of summer, and that's why sunscreen from March to October is non-negotiable.
There is a second factor that weighs heavily on women: the Hormones. Estrogen and progesterone stimulate melanin production. This is why pregnancy, hormonal contraceptives, or certain replacement therapies can trigger diffuse brown spots, typically on the cheeks and forehead, which do not always disappear after childbirth.
Finally, there is a genetic component: people with fair skin or hair Those who have suffered sunburns in childhood start with an increased risk throughout their lives. That history doesn't disappear. What can be done is to protect yourself better from today on.
- Hyperpigmentation
- Localized increase in skin pigment (melanin). It is the general medical term that encompasses all types of brown facial spots.
- Melanogenesis
- Biological process by which skin melanocytes produce melanin. It is activated by UV radiation, high-energy visible light, and certain hormones.
- Skin types
- Skin classification according to its response to the sun (I to VI). Phototypes III-VI (darker skin) have a higher risk of hyperpigmentation from visible light.
- Phytophotodermatitis
- Skin reaction caused by contact with certain plants (lemon, celery, parsley) plus sun exposure. Leaves persistent brown spots that are very difficult to treat.
- Hydroquinone
- Topical depigmenting agent that inhibits tyrosinase, a key enzyme in melanin production. It is the gold standard for melasma and hyperpigmentations.
Quick Glossary
Brown spots on the face, or hyperpigmentation, occur when some areas of the skin produce more melanin than usual. Melanin gives the eyes, skin and hair their color.
What types of stains are there?
A few weeks ago, a 42-year-old female lawyer came to my office, convinced she had melasma. She had been months using a cream with hydroquinone without supervision. The spot she was worried about wasn't melasma; it was an incipient lentigo maligna. If she hadn't consulted, in five years it would have been a melanoma.
This story summarizes why the Pre-treatment diagnosis is not a detail; it's everything.. Most dark spots are benign, but some are not. And not all benign ones respond the same way. A treatment for solar lentigo can worsen melasma. A cream for melasma does nothing for a pigmented basal cell carcinoma. As a dermatologist specializing in melanoma skin cancer, I'll tell you in advance that the actual list of causes has hundreds of entries, but these are the ones I see almost every day in consultations.
- Melasma: Symmetrical and irregular hormonal-based spots, common during pregnancy and with contraceptives, and worsened by the sun. They are chronic and require specific treatment. I explain everything in my post dedicated to Step-by-step treatment of melasma.
- Post-inflammatory: after an inflammatory process, spots may appear on the skin. such as severe acne, irritation from waxing or a rash.
- Solar lentigo or sun spots: almost all of my patients blame age for these spots, but they are not actually produced by aging, but by the progressive accumulation of ultraviolet radiation from the sun and tanning beds. They respond excellently to IPL laser. I delve deeper into my post about How to remove sunspots on the face with laser and IPL.
- Ephelides: also known as freckles. They are absolutely normal and tend to appear early in life.
- Skin cancer: fortunately Melanoma is not as frequent but it is the most important and can also manifest itself as a brown spot on the face. Like specialist in the Melanoma Unit of the Hospital Clínic de Barcelona. I see many of these lesions and it can be very difficult to differentiate them from sun spots if you are not a specialist dermatologist.
The 4 types of facial spots
Quick guide to identifying your stain
Dr. Sebastian Podlipnik · Dermatologist · sebastianpodlipnik.com
⚠ Consult your dermatologist urgently if a spot meets any ABCDE criteria
- ASymmetry: one half of the stain is not equal to the other
- BIrregular edges: ragged, blurred, or poorly defined
- CHeterogeneous color: multiple colors in the same lesion (brown, black, red, white)
- Ddiameter of 6 mm, about the size of a pencil eraser
- EEvolution: changes in size, shape, or color, or bleeds over time
How to prevent spots from appearing on the face?
There is a phrase I repeat in every consultation: "The best treatment for a stain is to prevent it from appearing.". It seems obvious, but most patients come to my office after years of neglecting this step. And then they're surprised when the results of the most expensive laser last only a few months.
Prevention is not a supplement to dermatological treatment: it is the base on which any treatment makes sense. If you do laser, if you use hydroquinone, if you undergo a chemical peel, and then go out the next day without sun protection, you're throwing your money away. In the following lines, I'll explain what types of light cause spots (there's more than one), how to protect yourself from each, and what products I recommend to my patients in consultations.
This article contains affiliate links. If you purchase through them, I receive a small commission at no additional cost to you. I only recommend products that I use or that meet rigorous dermatological criteria.
If you are careful and limit your sun exposure, you will never have a brown spot to begin with.
Year-round sun protection
If you are careful to limit your exposure to the sun, you will probably never get a brown spot. Regular application of sunscreen and protecting your skin when the sunlight is most intense are the most effective things to do to avoid getting a brown spot.
But beware, the sun is not the only source of radiation or light that can cause facial blemishes. Now I will explain what types of staining light exist and what they are. check this link if you want to know more about sun protection.
The sun
The sun is the main culprit in the development, progression and maintenance of facial blemishes. When we expose ourselves to the sun we are exposed to Ultraviolet (UV) radiation that will cause damage to our DNA and the release of oxygen free radicals in our skin.
To defend ourselves, our skin activates a defense mechanism against this radiation, producing a tan. So, even if you like your summer tan, you should be aware that lhe skin has memory and it will gradually accumulate all this radiation that we are providing it with. All this cellular damage will surface years later in the form of brown spots on your face.
Many of my patients claim that they tan in order to produce vitamin D, However, more sunshine is not synonymous with more vitamin D.
Tanning booths (UVA rays)
Both ultraviolet A (UVA) and ultraviolet B (UVB) radiation cause cellular damage that can cause facial blemishes but also skin cancer.. When you lie in a tanning bed, you are mainly exposed to UVA rays, which are more harmful and penetrate deep into the surface of the skin, damaging the cells underneath and prematurely aging your skin.
Tanning booths use high-pressure sun lamps that can deliver up to 12 times the annual dose of UVA rays compared to the dose you receive from sun exposure. We would therefore be accelerating the production of spots and increasing the risk of skin cancer by up to 75%.Quote Although Spain has no legislation to deal with them, other countries, such as France have banned the use of UVA booths for several years.
Blue light
High-energy visible light, also called blue light (HEVL), does activate melanogenesis and can worsen hyperpigmentation, especially in phototypes III-VI. But here we need to set things straight because there's a lot of misinformation surrounding this topic.
Let's start with the most compelling data point. A systematic review published in Photochemical & Photobiological Sciences, directed by the group of Dr. Henry W. Lim (one of the world's leading authorities in photomedicine), applied the OHAT framework (the standard for assessing health risks) to all available studies on blue light from electronic devices. The conclusion was clear: Exposure to blue light from screens was NOT identified as a danger to skin pigmentation, melasma, or photoaging. (Ceresnie et al., 2022).
A second job from Photobiology Dermatology Laboratory of the University of Malaga quantified the effective blue light irradiance on the skin according to its source: blue light represents 25% of solar radiation, while electronic devices emit around 30% of their radiation in this band. The key difference lies in the intensity: A few minutes outdoors at midday far surpass hours of continuous screen time. (de Gálvez et al., 2022).
Does the sun or screens stain your skin?
What the scientific evidence says
THE SUN
Dominant Source
25% of solar radiation
It's high-energy blue light
Activates melanogenesis and worsens pigmentation, especially in phototypes III-VI
SCREENS
Minimal impact
OHAT Systematic Review
the risk assessment standard
Not identified as a danger to pigmentation, melasma, or photoaging
Sources: Ceresnie et al. 2022 (Photochemical & Photobiological Sciences, Henry Ford Health) · de Gálvez et al. 2022 (Univ. Málaga)
Dr. Sebastian Podlipnik · Dermatologist · sebastianpodlipnik.com
Most “blue light” cosmetic products capitalize on an outsized fear of their real impact. The correct message is simple: concentrate your efforts on proper daily sun protection, not on sunscreen. This includes frequency (at least twice a day) and adequate amount: 2-3 ml on the face and 1.5 ml on the neck and décolletage.
Recommendations to protect yourself from different types of light
A daily preventive routine should include the application of a broad-spectrum sunscreen with SPF 50 every morning. It should also have a mineral base that includes protection against UVA, UVB, blue visible light (HEVL) and infrared (IR-A).
- Use sunscreen: apply sunscreen daily at the end of your care routine in the morning.
- Repeat: reapply every two hours on sun-exposed areas.
- Covering the skin: wear wide-brimmed hats, sunglasses and protective clothing against ultraviolet rays.
- Avoid: avoid sun exposure during the hours of highest UV index (between 11 am and 4 pm).
2. Depigmenting creams with antioxidants
La vitamin C can be used as a topical antioxidant that helps prevent free radicals from causing oxidative damage to the skin (which can lead to wrinkles and dull skin and blemishes, among other things). It also inhibits the enzymatic processes that produce melanin in the skin, so it can help prevent and reduce hyperpigmentation.
How to use it: Apply a few drops daily to cleansed skin, preferably before applying sunscreen in the morning.
My favorites:
3. Retinoids or vitamin A derivatives
Retinoids can work wonders to prevent and improve brown spots on the face by stimulating collagen production and accelerating cell turnover. Retinol can irritate the skin at first, so start using these products gradually.
How to use it: Apply every night before going to sleep. Start a few times a week and then increase the frequency progressively until every night.
My favorites:
4. Other pharmacy creams
Chemical exfoliants typically use various types of mild acids to remove dead skin cells in the top layer of skin. Removing this layer can help reveal healthier, more even-toned skin and disguise blemishes. Although many of these are less potent than retinol, they can also cause skin irritation.
Depigmenting creams that use chemical exfoliants may contain the following ingredients:
- alpha hydroxy acids (AHA)
- beta hydroxy acids (BHA)
- azelaic acid
- glycolic acid
- lactic acid
- mandelic acid
- salicylic acid
These products can be purchased over-the-counter or in more potent forms from a dermatologist. It is important to use chemical peels sparingly, as the skin needs time to rebuild and repair itself. Using a product more often than intended may cause irritation or inflammation. If you experience any side effects, stop using that product.
I have followed all the above steps but I still have spots!
Don't worry: there are many treatment options left. Most of my patients with stubborn blemishes improve by following the protocol detailed in my book, even before needing an in-person consultation. There you'll find the step-by-step diagnosis, morning and night routines according to your skin type, and what to truly expect from each treatment.
If the book doesn't solve your case, or if you live nearby and prefer an in-person consultation, you can also book a dermatology visit.
How to remove spots on the face with an expert dermatologist?
Now, if you've made it this far, it's time to reinforce the treatment and search for more potent and effective procedures to remove blemishes on the face more rebellious. Depending on the initial diagnosis that we will make in our office, we will start an individualized treatment plan and once you have improved, we will propose a maintenance treatment.
1. Magistral formulations with hydroquinone
Hydroquinone is one of the most most commonly used treatments to treat hyperpigmentation on the face for the last 50 years. This depigmenting cream is widely used in master formulas by dermatologists, often in combination with kojic acid, tranexamic acid and retinoic acid. At the biological level, hydroquinone acts by inhibiting an enzyme called tyrosinase, which contributes to the production of melanin. Naturally, the less tyrosinase is produced, the less melanin is produced.
La triple combination of hydroquinone 4%, tretinoin 0.05% and fluocinolone 0.01% (the classic Triluma) is the only FDA-approved treatment for melasma and continues to be the gold standard for its proven efficacy across all phototypes. (Mahajan et al., 2022).
In some cases, the effects of hydroquinone can be seen in as little as two weeks. However, the Most patients should wait at least 8 to 12 weeks of use to see a visible difference. The speed of response will depend on some factors such as the extent of the hyperpigmentation, the depth of the spots and how long you have had the spots.
Alternatives for those who can't tolerate hydroquinone They exist. A controlled trial showed that thiamidol 0.2% redujo la severidad del melasma un 43% en 90 días, superando al 33% de la hidroquinona 4%, con mejor tolerancia (Lima et al., 2021). And a meta-analysis of 673 patients found that the azelaic acid it can be even superior to hydroquinone in reducing MASI (Albzea et al., 2023). Topical tranexamic acid, niacinamide, and kojic acid are also clinically supported alternatives (Suliman et al., 2025).
This depigmenting cream is especially indicated for facial spots after pregnancy and other diffuse hyperpigmentations. Due to its potential for irritation, it is necessary to be supervised by a dermatologist to avoid complications. Here is the case of a patient who had multiple spots on her face secondary to chronic sun exposure and aggravated by her hormonal profile.
Dermatology tip: This master formula for skin lightening is typically used for 2 to 3 months, always under the supervision of a dermatologist. Once discontinued, it will be necessary for you to continue caring for your skin with photoprotection and a specific cream.
2. Lasers
A more aggressive option for improving and removing brown spots on the face is laser treatment, which uses concentrated light energy. Some laser treatments are directed against the pigment itself, while others work by removing the skin layer by layer.
Lasers are the best treatment to improve brown spots on the face caused by chronic sun damage (sun spots or age spots). Lasers use a beam of light that has a specific target or chromophore (pigment) that ends up destroying it and then the particles are eliminated through the skin. If you are interested in learning more how lasers work and what other indications they haveYou can see my page dedicated to this subject.
For melasma specifically, a controlled trial demonstrated that Nd:YAG picosecond laser (1064 nm) was superior to picosecond alexandrite laser and 2% topical hydroquinone%, with a good safety profile in phototypes III-IV (Liang et al., 2023).
Dermatology tip: Keep in mind that 1 to 3 laser treatments (possibly even more) will be required, with four to six weeks between sessions, and should only be performed by qualified laser professionals.
3. Microneedeling or microneedling
It is an excellent option for patients who have darker skin or who for other medical reasons cannot undergo the previously described procedures. It is a minimally invasive treatment that uses very fine titanium needles. which creates a series of micro lesions that increase the skin's collagen production and improve elasticity.
To obtain the best results in case of facial blemishes, the microneedling is often combined with topical treatments. Once the small channels through the skin have been created, it is possible to infuse ingredients with depigmentation activity, such as tranexamic acid or vitamin C.
Dermatology tip: A minimum of 3 treatments separated by at least 6 weeks should be performed.
4. Chemical peels and masks for medical use.
Depigmenting exfoliating treatments and professional-use masks remove the top layers of skin. Over time, these treatments can stimulate collagen production, improve cell turnover and reduce the appearance of dark spots on the skin. However, always beware of an overly potent chemical peel, which can burn the skin.
The most common active ingredients in professional peels are glycolic, mandelic, salicylic and lactic acid and trichloroacetic acid. Although at-home peels are available, they are gentler and will only remove superficial dead skin and will not go deep enough to treat brown spots on the skin.
Of course, be aware that chemical peels can be irritating, especially on sensitive skin, so if you have a history of rosacea or sensitive skin be sure to talk to your dermatologist to assess if this is the best treatment for you.
Dermatology Tip: Several sessions are usually performed (between 3 to 6) spaced one month apart. If more potent peels are performed, fewer sessions will be necessary, but there is a higher risk of complications.
5. Oral treatments
That's right, there are also oral treatments to treat spots on the face, especially those secondary to melasma or pregnancy spots. The tranexamic acid is an oral medication that inhibits melanin synthesis and the transfer of pigment to the top layer of the skin. Since melasma occurs when skin cells produce too much melanin, this makes tranexamic acid an ideal way to counteract brown spots on the skin.
A recent meta-analysis that brought together 22 clinical trials with 1,280 patients confirmed that oral tranexamic acid is the most effective route for reducing melasma severity, superior to topical or intradermal use (Calacattawi et al., 2024). Previous studies had already shown this significant improvement (Wang). In a retrospective review in Singapore, 91.7% of 561 patients who took oral tranexamic acid showed significant improvement (Zhang).
What is the appropriate dosage? A network meta-analysis established that the The optimal dose is 250 mg three times a day for 12 weeks., with 250 mg twice daily as an acceptable alternative in patients with low adherence (Wang et al., 2022). It should always be prescribed by a dermatologist after ruling out contraindications such as a history of thrombosis or the use of high-risk hormonal contraceptives.
As an adjuvant, the Polypodium leucotomos, an oral plant extract with photoprotective and immunomodulatory properties, can complement melasma treatment and daily photoprotection, according to a recent systematic review (Zundell et al., 2025). I delve into oral tranexamic acid in my post about melasma treatment.
Quick summary: what treatment do we apply depending on the type of stain
| Spot type | First-line treatment | Time to visible results |
|---|---|---|
| Solar lentigo | IPL Laser or Picosecond Nd:YAG | 1-3 sessions (4-12 weeks) |
| Melasma | Triple topical combination + oral tranexamic acid + photoprotection | 8-12 weeks (chronic, requires maintenance) |
| Post-inflammatory | Azelaic acid, niacinamide, or thiamidol | 8-12 weeks |
| Freckles | Prevention with daily sun protection | They fade in winter, they are not eliminated |
| Lentigo maligna / melanoma | Urgent dermatological evaluation and biopsy | It depends on the oncology treatment |
Dermatology tip: we normally use tranexamic acid as a second-line treatment in patients with melasma. It can also be used during the summer months when strong depigmenting creams should be discontinued.
I want to remove spots on my face but I don't know where to start.
If you've come this far looking for a clear answer, the next step is to understand your specific case. Not all stains respond the same way, not all treatments work for all types, and many patients lose months and money trying the wrong products. The facial spot book condenses the same protocol I apply in my practice.step-by-step diagnosis, morning and night routines by spot type, what to realistically expect from each treatment, and the most common mistakes that prevent seeing results.
Facial blemishes book
For all those who are far away or do not have the possibility to go to a dermatologist, I have written this book on facial blemishes.
In it I explain in depth the different causes of facial blemishes and leave you with specific guidelines for creams to start at home.
And, can home remedies remove spots on the face?
Now a final word about "natural" treatments or homemade products to remove blemishes on the face. Many of the home treatments recommended by different blogs or internet sites may not have any proof of efficacy or, more seriously, may not have any proof of efficacy, have side effects. Examples include lemon, baking soda and the apple cider vinegar. Actually, there are no scientific studies to back up claims that these treatments work.
In some cases, these depigmenting treatments may even can aggravate skin blemishes. In some patients these components can be irritants and produce a contact dermatitis (phytophotodermatosis) like lemon juice or some natural exfoliants. Consequently, they could generate a reaction called post-inflammatory hyperpigmentation that will worsen the spots and is then very difficult to improve.
Other products may also contain ingredients that can damage the skin or overall health, such as mercury or corticosteroids. The application of these can cause iatrogenic acne, facial rashes and produce irreversibly fragile skin over time.
Myths vs. Reality
Regarding facial blemishes
By Dr. Sebastian Podlipnik
"Lemon lightens dark spots."
It is phototoxic: it can worsen them after sun exposure (phytophotodermatitis).
"They pass alone with time"
Without treatment, lentigines tend to grow and melasma becomes chronic.
"Screens cause blemishes"
OHAT Systematic Review: Not a Hazard to Skin Pigmentation
"Sunscreen only in summer"
The UVA rays are present year-round, even on cloudy days, and can penetrate windows.
"A pharmacy cream is enough"
Effective treatments require 8-12 weeks with a dermatological regimen.
"The laser eliminates forever"
Without daily sun protection, the dark spots will reappear. Lifelong prevention.
sebastianpodlipnik.com · @drsebastian_derma
The 6 most common beliefs about facial spots that I hear in consultations, debunked. Save and share this infographic with anyone who needs it.
Frequently Asked Questions About Facial Stains
Can facial blemishes be removed permanently?
Yes, but it depends on the type of stain and commitment to prevention. Solar lentigines respond excellently to IPL lasers and are usually eliminated in a few sessions. Melasma is chronic and requires maintenance treatment. Without strict daily sun protection, recurrence is almost certain, even after successful dermatological treatments.
How long does it take for facial blemishes to disappear?
It depends on the treatment. With topical hydroquinone 4%, improvement is observed in 8-12 weeks. IPL laser shows visible results from the first session for solar lentigines. Melasma requires 3-6 months with a combined approach. No stain disappears in 3 days as the marketing promises.
Why do spots appear on the face?
The main cause is accumulated exposure to ultraviolet radiation from the sun. Other factors include hormones (pregnancy, contraceptives), genetics, skin inflammation (acne, dermatitis), and blue visible light from the sun, which also stimulates melanin production. Screens, on the other hand, have a much lower impact than the sun.
Does lemon remove spots on the face?
No. Lemon juice is phototoxic and can cause phytophotodermatitis: even more intense and persistent brown spots after sun exposure. No controlled study demonstrates its depigmenting efficacy. Safe cosmetic acids include glycolic, mandelic, and azelaic, always with photoprotection.
Are facial spots dangerous?
Most are benign (lentigines, melasma, ephelides). But some pigmented lesions are skin cancer: facial lentigo maligna, superficial spreading melanoma, or pigmented basal cell carcinoma. Any asymmetrical, rapidly growing, multicolored, or bleeding spot requires urgent dermatological evaluation.
What is the best dermatological treatment for dark spots?
There isn't a single best treatment; it depends on the diagnosis. For solar lentigines, IPL laser is the first choice. For melasma, the triple topical combination (hydroquinone + tretinoin + fluocinolone) + oral tranexamic acid + strict photoprotection. For post-inflammatory hyperpigmentation, azelaic acid or niacinamide.
Final recommendations for the removal of facial blemishes
If you had to take just one rule home from this entire list, let it be this one: Use a broad-spectrum sunscreen every day of the year.. Not on the beach, not on sunny Saturdays. Every day. Even cloudy ones. Even in winter. Sunscreen is the only "anti-aging treatment" with solid scientific evidence, and coincidentally, it's the cheapest of them all.
If you've gone years without protection and already have visible spots, it's not the end of the world. Modern dermatology offers increasingly precise tools: picosecond lasers that pulverize pigment in microseconds, compounded formulas adjusted to your phototype, oral medications with meta-analysis evidence. The next step is to get a correct diagnosis with a Dermatologist specializing in hyperpigmentation that can guide you on what treatment makes sense for your case.
With the right decisions, facial blemishes are no longer a recurring problem.. Most of my patients, after the first few months of treatment, forget about the issue and only maintain two habits: daily sun protection and an annual check-up. This is the life I'm inviting you to: not an obsession with dark spots, but a simple routine that allows you to look in the mirror without worrying about them.
Related articles for the spot cluster
- Treatment of melasma: if your spot is hormonal (pregnancy, birth control) or diffuse and bilateral.
- How to remove sun spots on the face: if they are solar lentigines or sunspots, and you are interested in laser or IPL treatment.
- The best sunscreensfundamental for prevention and maintenance after any treatment.
207 Responses
Hello Doctor, I have spots on my cheekbones, mainly. I have only been taking care of myself for 4 months, using creams and sunscreens, and I don't go out in the sun much. I blame it on the birth control pills I've been taking for 4 years, could you give me some advice on what to do? I don't know if this is melasma.
Hello, thank you for your message. From what you describe, it could be melasma, but to be sure I recommend a personalized consultation. In the meantime, I suggest you read my book on facial blemishes, where I explain in detail the possible causes and treatments. I am sure you will find useful information that will help you manage your situation.
You can find it at Facial blemishes book by Dr. Sebastian Podlipnik
I loved the post thank you
Doc. I have a dark spot all over my mustache and jowls and I don't know what to do because my skin gets irritated, cracked and flaky, what do you recommend for that?
Dear Carlos,
First of all, the most important thing is to make a good diagnosis of what is happening to you, since it can be anything from melasma to post-inflammatory hyperpigmentation due to dermatitis or even perioral dermatitis. A dermatologist will know the diagnosis and will also give you a recommendation for improvement.
Hello doctor.
I have a question about how appropriate it would be to have a Cosmelan process to treat Melasma all over the face.
Hello Irma,
Mesoestetic's Cosmelan® and Dermamelan® are very good options for the treatment of melasma. And I would add that before starting it, it is best to have an expert dermatological assessment to see if you are a good candidate for this treatment. Best regards
A very interesting post. If you want to remove the spots on your face, it is best to go to a professional. Remember that it is too sensitive an area to act on it yourself.
Hi doctor I suffer from dermatitis on my skin and it has already cleared up thanks to Prednisone and dermovate ointment but I am noticing that I have all my skin a darker shade than before and honestly I like my pale color I don't like the dark spots what can I do.
Dear CLaudia, these spots are most likely post-inflammatory hyperpigmentation due to atopic dermatitis. The most important thing in your case is to prevent new outbreaks of atopy. In any case, it is advisable to visit your dermatologist so that he/she can give you the appropriate care guidelines in your case.
Best regards
Hello doctor, I have a very dark spot on my mustache, I don't know what to use to lighten it, it has lowered my self-esteem a lot.
Dear Paulina,
I hope you are doing well. I recommend you to read my facial blemish book in which I explain in depth what these spots are about and I also give care and treatment guidelines so that you can improve. Best regards
Doc I had a peeling with trichloroacetic acid that caused burns; after 20 days, the spots became hyperpigmented. Now I don't know which treatment will be the most appropriate to treat the hyperpigmentation; is it possible to use vitamin C and I was recommended to apply azelac RU? Can I use these products?
Hello Viviana. The best recommendation I can make when a cosmetic treatment has adverse effects is that you can go to a dermatologist and get a proper assessment from the first moment. In the end a good assessment and a personalized treatment will make all the difference.
Hi doctor, I'm Fernanda, I'm 19 years old and I have melasma and freckles, what can I use to remove them?
Hi Fernanda, thank you for contacting me. Melasma and freckles can be difficult to remove. I recommend you use a sunscreen with a high SPF to prevent them from getting worse and also. you can read my book on facial blemishes where you can learn more about the problem and initiate treatment before consulting a specialist.
hello for people with black skin with darker spots, are cream depigmenters useful or is it impossible to treat this type of skin?
Hi Katherine,
Yes, there are depigmentation treatments for people with darker skin. It is important that you visit a professional who can inform you of the different treatment options.
Best regards
wow Doctor your article is so educational and easy to understand. almost 2 years ago after my pregnancy I decided to treat the spots that had appeared, I must admit that I didn't have a daily care routine, I only removed my makeup when necessary. I started to use them as a daily routine morning and night and it was there where I realized the importance of not focusing on spots but on prevention, I knew that my skin was dehydrated and with signs of aging for not taking care of everything, not just the sun. It took me 3 months to fade my spots and 1 year to reveal a new skin at 42 years old. From that and from reading, researching and following other doctors, I take care of my skin every day, every day I use the blessed sunscreen. afotunately in my case I did not need a consultation, just discipline and good products at my fingertips. I keep reading a lot on the subject because I like to share with other women how they can take care of their skin with information like yours. the truth is my skin is more beautiful now than in my 30s... I will keep reading your articles and share your information. thank you very much.
Hi Rocio, thank you very much for your comment. I am very glad that you liked the article and as I have commented in my book on facial blemishesOne of the most important things to achieve a successful result is to thoroughly understand what is going on. I also congratulate you for your perseverance and results.
What is your opinion of the pico-second laser?
It is a very good option for some types of facial blemishes such as sun spots, but not for melasma.
I am studying Cosmiatry, your blog has cleared up many doubts, thank you very much doctor.
For most women it is difficult to see how the signs of age and aging show on their face and body. These wrinkles and spots make them feel unattractive and affect their self-esteem and can even cause an adjustment disorder. In addition to the care they mention, it is important that they feel good about themselves at every stage of their lives. While they are in the process of removing blemishes, it is good that they also work on their self-esteem and that they do not get discouraged when they see themselves in the mirror. We must love ourselves as we are and accept our qualities and defects, although the latter can be worked on to improve them.
Totally agree.
Good evening I am Yeny from Colombia, I love the information very complete, I have facial blemishes about 5 years ago and used several products but they do not work for me, I noticed that my spots have become a darker color and new spots have come out, I would like to know that I could apply or take. Thank you very much.
Hello Yeny,
I recommend you start by reading my facial blemish book at the following link.
Hello Dr!!! What a great article, thank you very much for your time and information, I have very strong melasma, I was in a treatment with a dermatologist with hydroquinone to 8% dexametazona Kojic acid, niacinamide, it helps me while I use them as soon as I stop they turn black again and I preduce depression see those spots in all my cheeks, now they sent me tranexamic acid pills, the machas is a very complicated issue.
How many grams of tranexamic acid do you take and over how long a period of time?
Remember that tranexamic acid can be an effective treatment option for melasma, but it should always be prescribed by a dermatologist as it is only useful for some types of facial blemishes and is not free of side effects in some people. That is why it is so important to evaluate each case in the consultation.
Excellent information.
I am undergoing treatment with my dermatologist and am doing quite well, but this is the first time I have come across this article and I loved the way you explained the subject so well.
Thank you very much and all the best to you, Doctor. 🙏
Hi Lala, Thank you very much for your comment and it motivates me a lot to keep writing quality articles. A big hug
Good day Dr I took tranexamic acid 500 MG, for three months in 2020. Treatment by a dermatologist in Colombia. Very good result, but now I applied a cream with hydroquinone and I hyperpigmented spots.
Can I go back to taking tranexamic acid 500 MG for three months? Is there no side effects?
Thank you
Hi Paola. Tranexamic acid is a medication used in a variety of medical conditions, including the treatment of skin pigmentation and clotting disorders. However, it is important to note that its use should be supervised by a physician, as it can have side effects and require individualized evaluation. There is also the possibility of interactions with other medications you may currently be taking. This is why it is essential to have proper supervision and guidance from a healthcare professional.
I am from Iguala Guerrero, Mexico. I have had brown spots on my face for a long time, what can I do?
Hi Patricia, I recommend that you start by reading my book about facial blemishes that you can find at this link. Here you will find different depigmentation guidelines to improve your facial blemishes.
Hi, I live in the USA, but I don't know why the doctors here don't inspire confidence in me since it's all about money. Seeing your before and after photos, I have spots and I would like to go to your office and have a laser treatment done once and for all. Do you have any associated doctor or acquaintance here in Florida USA that you can recommend me? or maybe I will go to Spain sometime and visit you directly, greetings.
Hi JT, first of all thank you very much for the confidence and for your comments. Unfortunately, treating facial blemishes is not as easy as going to the doctor, doing a laser and never having the problem again. Most of the facial blemishes are due to melasma and more than a specific problem it is a skin type that we will carry all our lives. It is important to understand that the success of a treatment for facial blemishes should not only focus on a specific treatment but on all the daily care that we have to do in our day to day. I would love to be able to assess your facial blemishes, see what they are, and then I would be happy to propose a treatment. To my patients who are far away or want to learn more about it I have written a book on facial blemishes (click here!) so that they can thoroughly understand the problem and take more proactive behavior to take care of themselves. I'll leave the book with you for now and let me know what you think.
Hello doctor, I have brown spots that appeared 4 years after my pregnancy. One of my fears is that it could be skin cancer. I used 0.05% retinol, but it made them darker. 😔 I don't know if I should continue using the retinol or stop it? My skin is also peeling, what should I do? I'm hardly ever in the sun.
Hello Ale,
From what you tell me, it is possible that your spots are melasma or better known as chloasma when it happens during pregnancy. Just a couple of days ago I wrote an blog about melasma that you can find at the following link. I recommend that you read it first.
Good night,
I have very white spots on my face, but I think it is not vitiligo. I also got brown spots on my cheeks, nose, and upper lip. What can you recommend, I think my body does not produce enough melanin and the patch is due to excess melanin on my cheeks, nose and upper lip.
Hello Rubi,
From what you tell me, your case is probably a melasma. However, I cannot say without evaluating you in person. In any case, I recommend that you read the article I have just written about melasma in the following link.
Best regards
It is well explained, thank you very much.
Thank you very much 😃
Doctor good afternoon. I have brown spots on my cheeks ... medicate that it is melasma ... I am 50 years old ... a consultation doctor ... What I consume in my diet caused me to get spots?
Hello Jaqueline,
I hope you are doing very well. There is no scientific evidence to show that diet has an influence on melasma-type facial spots. If you want to know more about facial blemishes, the causes why they occur and how to prevent them, I recommend you read my book on facial blemishes at this link.
Hello good morning, I would like to know what you recommend to remove the spots on my skin that began to appear during my pregnancy. Now my baby is one year old and I've lost a lot of weight and the spots are more noticeable.
Hello Nancy,
First of all I recommend that you make a dermatological visit so that they can evaluate your case and give you personalized recommendations. In case you cannot go to a dermatologist I recommend you read my book on facial blemishes so that you can thoroughly understand why these spots occur, their prevention and I also put specific treatment guidelines.
Best regards
Hello doctor,
My face is very blotchy, I am 30 years old and I had my daughter two years ago. I have horrible spots on my face that I can't get rid of and it's very ugly to be able to get out. I am very embarrassed that my face is not the clean face it used to be, I would like to see how I could help me.
Hi Leslie,
Glad to be able to answer you. Melasma is a chronic condition and difficult to treat. For me, one of the most important things is to explain to my patients in depth what it is and then make a treatment decision. It is always advisable to see a dermatologist for an in-person evaluation. However, for patients who are far away from my practice I have written an book in the following linkThe first thing to do is to provide all the explanations of what is going on and some care guidelines so that you can start doing it.
Hi, excuse me, how are you doing with the spots? Like you, it makes me very depressed and embarrassed to see my face like that, they make fun of me and I feel sad.
Thank you in advance for your reply ???? and I hope with all my heart that you will no longer have any spots.
Greetings
How can I get a consultation?
Hello Claudia, it's very easy, just go to the section of contact me through my website or click on the following link and you will have all the contact information for an in-person or online visit.
Hello, my name is Jose Angel. I have had a spot under my lips for three years and now I have a spot in the area between my eyes and on my neck. What is the cause?
Hello Angel,
Sorry but the description you give me is not enough to make a correct diagnosis. For this it is better to consult an expert who can guide you in your problem. Best regards
For as long as I can remember I have had moles on various parts of my body, but more on my face. I worked for a while in a place where it was very hot and more moles appeared, so many that I'm embarrassed to be seen, it's as if they tell me about them every time they see me. What can I use?
Hi Vianey, I hope you are very well. I would like to see these moles so I can tell you something more specific. Each person's skin is different and each person's susceptibility to the sun is different. That is why before the same conditions of sun exposure during life there are people who practically do not notice them, while others have their skin full of spots, sun spots, sun lentigines and other skin manifestations. Surely from what you tell me, your moles could be solar lentigines. My recommendation is that you protect yourself from the sun and avoid tanning. Best regards
Hi, how are you doing, could you give me some guidance? I have horrible brown spots in the whisker area. I went to the dermatologist and he recommended Esfumel cream but I don't see any results. I had the same thing happen to me years ago and I also went to the dermatologist and he recommended an excellent cream, I don't remember the name.
Dear Ana,
I would be happy to review your case but before recommending treatments I always do a consultation with my patients first. You can see all contact details in the following link.
Hello, I am 24 years old and I have a brown spot on my right mustache area. I was told that it was a post-inflammatory spot and that with time this spot would go away. It appeared in the month of August and they did not recommend any cream. Then I went to another dermatologist and told him about my situation, who evaluated me and told me that it had worsened due to a chronic infection I had, and therefore I got the brown post-inflammatory stain.
He recommended the laser but he told me that this could come up later and the spot would come back again, so I did not do the treatment because I was a little scared and I bought the neoretin discrom control pigment cream plus the sesderma vitamin C serum about 17 days ago. I do not know if I have done well, Dr. could you help me and what alternative you could give me.
Dear Maricela, post-inflammatory spots on the face are undoubtedly difficult to treat and usually require a lot of time. In order to make a specific treatment recommendation it is necessary to evaluate your case thoroughly. At this time I have my practice in Barcelona, Spain or online.
Hi, I'm Adriana and I'm 44 years old.
2 years ago, out of nowhere I got a spot on each cheekbone, it has been getting bigger and bigger, I have used glycolic acid, hyaluronic acid, hydroquinone, but nothing helps me and I am already looking ugly with that pair of spots. Do you think you can answer me something?
Thank you for your time and whatever you can tell me.
Dear Adriana, your spots are probably due to melasma and you have done several treatments with creams that are well indicated but without results. First of all, I think it is important to make a proper diagnosis of your facial blemishes and for that you need to go to a dermatologist specialist. In addition, if you are interested I have also written an book on facial blemishes with several tips that I do daily with my patients.
Hello, I am 46 years old and I have a brown spot on the tip of my nose, I think it is due to a pimple I had some time ago, but it seems to me that it is growing, it worries me.
Dear Heidy, without a doubt, if you have a pigmented lesion that continues to grow, it is ideal that you consult a dermatologist so that he/she can evaluate it.
Best regards
Hello Dr. my name is Emilia I have some spots under my eyelids I don't know what else to do to remove them I don't know why they came out I just know I don't want them on my face.
Hello Emilia,
I would love to help you but a visit is necessary. You can see in the contact us section the different options to be able to to make an online or in-person consultation.
Hello Dr, my name is Guadalupe and I would like you to help me. I started to get spots on my face like a cloth and I feel that they became more acute with the use of the mask. Before I only had a small one on my right cheek, I went to the dermatologist and he prescribed me triluma cream and sun block, and it didn't go away. Over time I began to get more and I went to another dermatologist, he told me I had melasma and prescribed me a preparation that they sell with hydrogen peroxide, and the blocker simibloc and glicoisdin 15, but I kept on getting them. At the next consultation he prescribed me eldoquin to 2% but they do not go away and I continue to get them. Could you advise me and I've been more than 6 months and I still continue to get them and they do not reduce?
Hello Guadalupe,
I hope you are very well. From what you say it is probably a facial melasma. It seems to me that many of the treatments that my colleagues have given you are not badly done, however, from what you say I see that they have not explained much of what this disease is about and the prospects for improvement that you have. As there are many of my patients and people who write to me daily about this problem, I wrote an specific book on facial blemishes which you can find here and that I recommend you to read first of all.
Greetings, I am Ayalidi and I wanted to ask you if Retiderm removes acne spots on the face. A dermatologist prescribed it for me along with benzoyl peroxide, can you tell me about a product for blemishes?
Hello Ayalidi.
I hope you are very well. Indeed retinol like Retiderm® is a molecule that we use a lot for the treatment of acne and pigmented marks that may remain. In acne, the first and most important thing is to treat it effectively so that inflammatory lesions stop appearing and secondly to look for the most effective way to improve facial blemishes. It is important to know that it is a process that may take a few months. To recommend you something more specific it is necessary to make an assessment.
Hi, I am 33 years old and I have some spots on my face. Apparently they are from melasma and I got them during my pregnancy, what would you recommend? How much does your online consultation cost?
Hello Julia,
I hope you are doing very well. This is exactly the age when melasma starts to appear and pregnancy can play an important role in its development. I recommend that you first read my patient-oriented book on facial blemishes that you can find at this link. This way you will be able to understand in depth what is happening with your skin. Later if you want we can have an online visit and evaluate your case for a more personalized treatment.
Greetings. I am 38 years old and I have a lot of spots on my face, what do you recommend?
Hi Crismeidy. I recommend you do one of the following 2 options depending on your preference.
1- I have recently written a book on facial blemishes with specific care guidelines which you can find in the following link.
2- See a dermatologist for evaluation and a specific treatment for you.
Best regards
How can I remove a spot I have on my face under my eye? Some people have told me that it looks like a mole and I tell them that when I was 11 years old I went to the beach with my sister and I got a blister due to too much sun without protection. Over the years it has changed and now it looks like a bruise, what do you recommend me please?
Hello Olga,
With the description you give me it is very difficult to make a diagnosis, let alone a treatment. Undoubtedly the best thing to do is to see a dermatologist.
Hello doctor, I am currently 18 years old and I have a problem with the issue of flat moles as I have many on my face, neck and arms, these are brown, brown, etc.. Do you think they can be removed with a laser treatment or what do you recommend?
Hello Lenin,
In your particular case we first need to know the diagnosis of these spots. If they are indeed melanocytic nevi, laser treatment to remove them would be contraindicated. Normally, lesions derived from melanocytes such as moles can only be removed by surgery because they need to be analyzed under the microscope and cannot be burned. Therefore, the most important thing is to see a dermatologist so that he/she can inform you of the different options.
Best regards
Hello doctor, a while ago I went to the dermatologist for some pregnancy spots that appeared on my face. The dermatologist told me that he would remove them with a procedure, but I never thought it would be so invasive. Then he explained to me that it was through electrosurgery, I've been doing it for over a month and I feel that it left me worse than I was.
I have had to buy a lot of creams, and I feel very sad, now I went to another dermatologist, he recommended me almost the same, he only added a sun block and a hat, I don't see results, I want my face back.
Hello Natalia,
I am so sorry for what you are going through. I would like to have more information about what has happened to you and the treatment you have been given so that I can help you. To do this we need to be able to make a visit and thoroughly assess your problem. Fortunately I have online consultation and we can see your problem from a distance.
Hello doctor. I had plasma Pen and my face was free of spots but I started to put hydroquinone and where I removed the spot I got another one in the same place but reddish.
Hello Rosmery,
In order to know what is happening with your skin I would have liked to know what type of lesions have burned with Plasma Pen. Most likely what is happening now is a post-inflammatory hyperpigmentation and it is very important that you protect yourself from the sun during this time. If you have any further questions, you should ask the dermatologist who performed the procedure.
Best regards
Hello, I would like to know how I can remove these spots that give me a complex that I have had for about 8 years. They have appeared on my cheekbones and under the circles under my eyes. I have tried using hydrogen peroxide, baking soda, but I think they got worse. I have also used commercial creams to lighten the spots, but they have not improved. What can I do to make them disappear? I am 50 years old and have two children aged 14 and 18. I was told that it may also be liver spots, but I really don't know. Thank you.
Hello Ivone,
I hope you are doing very well. I like your post because there are several things to comment on:
1- Home treatments for facial blemishes. This is something I never recommend as many of them produce intense inflammation of the skin and can end up worsening facial blemishes. Never use baking soda, lemon or hydrogen peroxide, among other things.
2- Treatment of facial blemishes. In general, I always recommend going to a specialist to evaluate your spots and a personalized treatment. But I know that it is always difficult to go to a specialist. That is why I wrote this ebook on facial blemishes that can help you understand what is happening to you and take general measures to eliminate the stains.
3- Your liver is perfectly fine. Facial blemishes are not caused by any problems in your liver!
Best regards
Hello greetings. I was diagnosed with erythema dyschromicum perstanum or ashen dermatosis, I have brown spots on my face and neck. I would like to know how to remove them.
Hello Juan José,
Erythema dyschromicum perstans is a rare disease with bluish hyperpigmentation that occurs most frequently in people with skin type IV-V. It is most common in Central and South America and Asia. It is most common in Central and South American and Asian countries. To this day its cause is unknown.
With respect to treatment, multiple therapeutic modalities have been tried but with disparate results in different patients. Undoubtedly, the best decision you can make is to have a follow-up and treatment by a specialist dermatologist,
Apparently, the spots can begin to appear at any age.
My daughter was born with a slight mole-like spot on her face, but now it covers her face on the right side. It is just a strange mole it is said, but it has changed my daughter's life, as she is a teenager now. We only use recommended natural blends, and those seen on websites. Thanks for the article
Dear Sir or Madam,
I hope you are feeling well. From what you describe in your comment it is probably not a facial blemish like the ones I talk about in this article. I imagine that your daughter may have some type of congenital (birth) lesion such as a nevus of Ota, a café-au-lait spot or a congenital nevus. I would definitely recommend that you see a dermatologist for further evaluation. This type of spots will never improve with creams and what you need is a correct diagnosis and treatment.
Best regards
Hello doctor I have some spots on my face that look like moles and are from the sun and are all together that I started to leave at age 12 and now I am 15 years old. I want you to give me some recommendation to laminate them.
Hello Yafreisy,
From your age and the description you give me, they are probably solar lentigines. They usually do not respond well to topical or laser treatments. The most important thing is to prevent it with adequate sunscreen ("do not tan your face"). But to be sure that this is the case, it is important to be evaluated by a professional dermatologist.
Best regards
Hello, Doctor, I have had 2 pregnancies and in both I have suffered from terrible spots, like chickenpox, so dark and the funny thing is that I get acne and immediately forms a spot in the place where I get the pimple; and I get more than one side.
of my face. Since then I have not been able to recover my skin, 1 year and a half ago was my last pregnancy and my skin seems to get worse, I have done everything... without any positive response, on the contrary. I am desperate and I don't know what to do anymore.
Dear Monica,
I completely understand what you must be going through. Like many other patients you are probably suffering from something called post-inflammatory hyperpigmentation. The spots in your case are caused by the inflammation left by the acne pimples that end up pigmenting the skin. In any case, I recommend you to see a dermatologist for a thorough evaluation. Recently also I wrote a book on facial blemishes where I include a whole chapter on post-inflammatory hyperpigmentation that I recommend you read.
Best regards
Hi, I have spots on my face, it started on my nose and mustache area. At first I used a cream to lighten them and it worked, but then they reappeared. I kept using the cream and I think it burned my face because they appeared on my nose and cheeks, and they keep growing. it's horrible I would like help!
Hi Irma, I understand how you feel and it is essential that you see a dermatologist to help you. At this moment I have consultation in Barcelona, Spain or also a Online visit with video. I will be happy to help you.
Hello Dr., One day I burned only one side of my face during a trip. Since then I have been getting spots and a lot of pimples and I don't know what to do. It lowers my self-esteem to have these brown spots.
Hi Pola, without a doubt I imagine you must be very bothered by this problem. I would love to help you but from the things you tell me I think it is important that you visit a dermatologist in person.
Good morning! I need your help, I had spots on my cheeks and mustache area, I had a Co2 laser treatment and now I feel that I have more spots, now I have on my eyelids and the spots are more visible, should I have a second session? Since I was told that there were two sessions, but I am afraid that it will be worse.
Hi Mar,
Good morning. Without knowing your case personally it is very difficult for me to give an opinion and draw valid conclusions. However, I have to say that although the CO2 laser is a procedure that has been used in melasma and other types of facial blemishes, we use it very little because of the risk of producing post-inflammatory hyperpigmentation. I am sure you should talk to your dermatologist about this problem and have him or her evaluate the spots that have appeared after the procedure.
Best regards
Hi, A few years ago I used Mary Kay sunscreen. Because I was told it was good. And all it did was burn my face. It left me pigmented with black spots. Doctor, can you help me?
Hello Nepthaly. Surely some component of the cream could have produced a contact dermatitis and with the inflammation + the sun has ended up making some post-inflammatory hyperpigmentation spots. At least that's what occurs to me from what you tell me. To be able to help you and evaluate your case in depth we can perform a visit online at the following link.
Hello, I loved your entire explanation about this topic. About a year ago, my cheeks started to get pigmented. I don't know exactly why I got these spots, I almost always protect myself from the sun. I wish I could find a treatment to remove them and I hope there's still a solution 😉 I'm from Mexico.
Dear Liliana,
I hope you are very well. Undoubtedly the issue of spots on the face is very difficult and has many causes. Generally speaking the combination of the sun that has been with us all our lives and hormones are the most important factors in developing many of the different types of spots on the face. Recently I have written a book in which I describe all this better. and give practical advice on how patients can take care of themselves.
Hello, I have had spots on my face for many years and I have tried several treatments with creams. As long as I use them they get better, but as soon as I stop using them they come out again.
Hello Monica,
It would be great to be able to evaluate your spots to make a good diagnosis and offer a care guideline to keep your face free of spots. If you wish we can schedule an appointment online. Best regards
Hi, I've developed dark spots on my nose and cheeks from using birth control. How can I get rid of them? I've already tried creams, but they're still there.
Hello Belkis,
Spots on the face can have multiple causes, and the treatment needs to be individualized for each person. I recommend visiting a dermatologist, or if you want to take a online tour with me to review your problem and find an effective treatment. Best regards
Hi, I underwent a stretch mark removal treatment called Nano Energy. Initially, I had red stretch marks, then they lightened, but I only have one area on my inner thighs where they didn't disappear and I'm left with brown spots. I'm not sure if that's hyperpigmentation caused by the treatment. It was supposed to completely remove the marks within 20 days to a month after the treatment, but they only completely disappeared in some areas, not the ones on my inner thighs. The specialist told me he would do a depigmentation session if they don't lighten this month. What do you recommend I do: follow his advice or use an effective cream recommended by a dermatologist?
Estimada Alejandra,
Honestly, I haven't heard of Nano Energy. When I search on Google, I only find limited information about something called Fraxpen Nano Energy, which I imagine is what you were treated with. The skin specialists are always dermatologists, so if you have experienced any complications or post-treatment hyperpigmentation, I will always recommend that you see a dermatologist.
Best regards
Good evening, I have dark spots on my skin. I've tried creams and laser treatments, but none of them have worked. The last time I underwent a new laser treatment, it caused even more dark spots to appear on my skin. I don't know what to do; I feel desperate.
Dear Sheyla, I understand that facial blemishes can be a matter of great importance and can significantly affect quality of life. I recommend the following:
Read my book on facial blemishes where I explain the problem in depth and also the treatments. You can find it at the following link
2- Find a dermatologist who can help you with the problem.
Hello, good evening.
My problem is that I got a wax burn mark on my upper lip area. I'd like to know if there's a solution for it to go away? 🤭
Dear Sandra,
Believe it or not, this is a fairly common reason for people to come in for a consultation. It would be helpful to evaluate your spot using photos so I can recommend an appropriate treatment. Fortunately, I now have the online inquiry system, which you can view at the following link.
Best regards
Hi, I've been reading your article, and the most important thing is a proper diagnosis. Could you recommend a dermatologist in Palma de Mallorca?
Sure, Vanesa,
If you want Message me on Instagram And I'll give you an excellent recommendation.
Hello, good morning. What would you recommend to remove Kaposi's sarcoma lesions after successful chemotherapy and discharge from the hospital?
Hi Fabricio,
Without a doubt, it's a very specific case, and it's necessary to assess the lesions in person before anything else. There aren't many studies on residual hyperpigmentation in Kaposi's sarcoma, and we have to discuss each case individually. I recommend you see a dermatologist so they can assess you in person.
Best regards
Good evening, I've had these spots for about a year and a half, and they've been appearing more and more.
I'm currently using Barmicil Compound. Before Barmicil, I used the hydroquinone ointment, but after I stopped using it, my skin started breaking out more—I don't know why 😭. It's helping me, but I'm not sure how recommended it is.
Thank you
Hi Rosario,
Treating facial blemishes can sometimes be very complicated, and we often start treatments without knowing whether they’re actually effective or not. Barmicil is a combination of a potent corticosteroid (betamethasone) and an antifungal (clotrimazole). Generally speaking, dermatologists advise against using corticosteroids on the face because, over the long term, they damage and impair the skin (poikiloderma). On the other hand, clotrimazole is an antifungal agent that has no place in the treatment of skin discolorations. It’s best to always evaluate each case individually, choose the most appropriate depigmentation treatment, and then prescribe an appropriate maintenance regimen. If you’re interested, we can perform a Schedule an online appointment via chat or video by clicking this link.
Best regards
Excellent report—congratulations!
Thank you very much, Luciola.
Hi, I have a question: I'd like to know how to get rid of a dark spot I got from a garlic burn😖😑😖
Hello Ana,
When searching online for ways to remove a mole, we come across many blogs that recommend garlic, baking soda, or lemon as remedies. The problem is that these methods aren’t effective, and secondly, persistent post-inflammatory hyperpigmentation can develop due to the intense inflammation these substances cause on the skin. In order to recommend a specific treatment, I would important to make an in-person or virtual visit. For now, you need to protect yourself from the sun and avoid getting a tan.
Right now, all I know is that I'm desperate. I've used a Cicatricure cream and it's not working for me. I really don't see any improvement or anything. One question: how do I schedule a virtual appointment?.
And I'm not exposing myself to the sun, I'm being very careful about that, I don't want to make it worse.
Hello Ana,
Yeah, sure, it's really easy. You have to go to the the following link and sign up for the Docline app. Once you've signed up, you can schedule a virtual appointment with me.
Best regards
GOOD AFTERNOON. I LOVED ALL YOUR INFORMATION ABOUT FACE SPOTS. I'LL TRY YOUR RECOMMENDATIONS. CONGRATULATIONS!
😃
Excellent 👌 tips and recommendations
🤗😃
Good afternoon, I would like to continue with this type of information.
Hi Rafael,
Good news since I've written a book with more information on the topic. I finished it a few days ago and in it I give more detailed information on how patients can take care of themselves before going to the dermatologist.
Best regards
I have been trying to treat melasma for over three years with no success with several dermatologists. Various creams, chemical peels, and even light pulses. I feel extremely tired of looking for improvement options.
Dear Celina,
I'm sorry to hear that your melasma has progressed this way. We always have mild, moderate, and severe cases, and each patient requires proper evaluation, treatment, and follow-up. I always explain to my patients that the most difficult cases of melasma will require a lot of patience, long treatments, and adequate monitoring to achieve improvement.
Kind regards and I would be Pleased to visit you if you live in Barcelona.
I went to treat a small spot and they used a type of CO2 laser on me, and shortly after, more spots appeared 😭😭😭😭 What should I do????
Please help me! My face feels very sensitive.
Hi Lis,
It's possibly post-inflammatory hyperpigmentation after CO2 laser, a consequence/complication that can occur with this procedure. Ideally, to have a visit to be able to assess your face and find the best way to care for it.
Best regards
Hello, I've had dark spots on my face for many years and have tried various types of creams without improvement. The only thing that lightened them a little was clobetasol ointment. I don't know what other cream to try.
Hello Yusimey,
Once you've tried many different creams without success, it's time to see a professional dermatologist who can help you. One very important thing you mentioned is Clobetasol. This cream is a group 1 corticosteroid (Ultra-potent corticosteroidsand its use on the face is strongly discouraged. This type of corticosteroid, used chronically, can thin the skin, cause superficial veins to appear, and also cause dark spots in a phenomenon called poikiloderma. While it's true that they can initially lighten the skin, in the long term they will cause irreversible damage to your skin. Therefore, as a general rule, Corticosteroids are prohibited on the face without supervision by a dermatologist..
Good morning, Dr. Sebastián Podlipnik. I was able to read your article in its entirety, and I really liked your excellent explanation of the topic. Congratulations, you did a great job. Now, I want to mention that in the section on melasma or chloasma, you always refer to women during pregnancy. What about men who also get these brown spots? In my case, I am one of them. I am 35 years old, and I have spotted areas on my face, on my upper lip, on my cheekbones, on my cheeks near my ears, and a few other places. I want to start treatment with Hydroquinone to see how it works for me. What do you suggest as a specialist in this matter? I would greatly appreciate your response. Have a good day, you and your family.
Dear Yuenri,
Thank you very much for your comment and congratulations. You're right, I usually refer to women in this article because melasma most frequently occurs in them. However, it is also possible for men to have it.
I recommend that if you want to start a powerful depigmenting treatment like hydroquinone (HQ), you should first visit a dermatologist. Normally, HQ treatments require specific monitoring, and we often formulate HQ in custom prescriptions to include many other adjuvant ingredients in the same cream. Furthermore, creams like HQ are not without complications, so it's always important to assess the response during periodic consultations.
On the other hand, it's important to know if we're actually dealing with melasma. Many other types of facial blemishes can mimic melasma, which is why I recommend an evaluation by a specialist in the first place.
Best regards
Can tranexamic acid be taken orally while taking Euthyrox? Excellent content, thank you very much.
Greetings
Hello Jhohana,
Oral tranexamic acid has no contraindication for use with Euthyrox. However, all treatments that include oral medication must be supervised by a dermatologist. The guidelines should be used for specific periods of time and always in combination with other treatments. Otherwise, they will not be effective.
Good afternoon. I suffer from brown spots on my cheeks and upper lip area. I have two babies and was taking birth control pills for a long time; I don't know if all of this triggered the brown patches I have now. Some time ago, I was undergoing treatment with a dermatologist, and they applied peels, but I didn't see any improvement. My question is as follows: can I take Tranexamic acid?.
Hello Kariany,
You may be suffering from melasma. Many factors influence its development, including genetics, environmental factors (sun exposure), pregnancies, and some medications like birth control pills. Melasma is not a specific disease, but rather a skin condition that requires daily care throughout your life. One of the most important aspects is sun protection, which must be applied daily. Regarding treatments, including oral tranexamic acid, we always recommend that they be supervised by a dermatologist so that you can achieve the best results and that they can later offer you maintenance care routines. Otherwise, the spots will reappear.
In the summer, can I get a treatment to remove sunspots? I can't avoid the sun much because I have two young children and I'm in the water all day, but I do wear sunscreen. However, I'd like to get rid of them as some have appeared. Is it possible to undergo treatments in the summer if you're exposed to the sun?
Hello Irma, in your case, it would be good to have a visit now to start a gentle depigmenting treatment and after summer, supplement it with more potent treatments to remove the dark spots on your face.
Best regards
Doctor, thank you very much for sharing your knowledge with us... I have a question I would like you to answer, and that is whether I can take tranexamic acid if I want to get pregnant, meaning if it has no side effects on babies.
Hello Jemima,
It is preferable NOT to use oral medications during pregnancy for the treatment of melasma. In this case, it is better to use a specific cream that is compatible with pregnancy.
Best regards
Good afternoon, doctor. I've had these spots for several years and have tried everything. Nothing has cleared them up. What do you recommend? Thank you.
Hello Lorena, I recommend you start by read the book on facial blemishes that I wrote. In it.
Best regards
I have the entire area around my mouth stained from waxing, and I don't know what else to try. The last thing I have left is hydroquinone.
Hello Vanessa,
Your type of stain is likely post-inflammatory hyperpigmentation, and the treatment is somewhat different. In these cases, it's important to see the extent of the stain in person, and the treatment will focus on waiting and using a broad-spectrum sunscreen, avoiding sun exposure to the area at all costs. Hydroquinone can be a good option as long as the skin is not inflamed.
Hello, is it true that the topical cream Tri-Luma cannot be used in the summer?
Hello Adriana,
Tri-Luma cream contains a combination of hydroquinone, tretinoin, and corticosteroids. It is a cream that requires dermatological supervision and is not recommended for overuse due to its ingredients. During the summer, it is advisable to discontinue its use if the patient does not adhere to strict sun protection. If you tan while using Tri-Luma, the dark spots may even worsen.
Best regards
Perfect explanation! I'm pregnant and I got those spots on my face. 😔😔😔
Hello Ennys,
During pregnancy, we have few potent treatment options, as many creams are contraindicated during pregnancy. Without a doubt, protect yourself a lot from the sun and use a dermatological prescription cream that contains azelaic acid. You will surely need to see a dermatologist so they can prescribe it for you.
Best regards
Hello! I had my first session of fractional microplasma for acne scars. It's been 15 days and I have 2 semi-dark spots where I had nothing before. Will they go away or should I be worried? What can I do? 🙁
These residual spots certainly correspond to post-inflammatory hyperpigmentation. It is important that the specialist who performed the treatment evaluates them and confirms the diagnosis. For the moment, you must protect yourself very well from the sun.
Greetings
Very good article, thank you very much. I congratulate you on the information because most people only inform or answer if you pay for a consultation for the question you ask. What a shame you're so far away. I have a spot on my face, and after years of seeing 3 different dermatologists, none of them helped me, and it keeps growing.
Hello Gloria,
I'm so glad you liked the article and I hope it's helpful. I would love to help you, but I recommend an in-person visit for patients with these treatment-resistant spots. Where do you live? Maybe I can give you a recommendation.
Thank you so much for replying to my comment, I live in California
Hello! I have acne scars, but they are mild. I would like a treatment that is not too aggressive for the skin.
Hi Lidia,
There are many options you can explore, as I explain in this article. The most important thing is to be evaluated by a dermatologist who can explain the different, less aggressive options (peels, microneedling, etc.).
Best regards
In my case, I have freckles. Some time ago, I was diagnosed with melasma. I had a dark spot above my upper lip and was on hydroquinone treatment, but it irritated and reddened the area where I applied the cream a lot. Defeated, without finding a cure or at least for the spot to improve, I forgot about it. Then, I was gifted a cream, and along with wearing a mask (due to the pandemic), using sunscreen, hats, and an umbrella to avoid the sun, I FINALLY managed to eliminate that dark spot. I'm still using the little cream and avoid the sun at all costs.
Hello Sol,
I am very glad that you are much better with your melasma now. I always explain to my patients that in the treatment of facial blemishes, the patient plays a fundamental role, and if we don't have good sun protection, it's very difficult to improve the blemishes.
Good morning, the article is very interesting, thank you for sharing so much information.
I would like to ask for your advice regarding a scar on my face from a kitchen burn. I treated it with Silvederma and Linitul for about a week, and the skin that appeared is pink. I'm applying rosehip oil.
I don't think it's doing anything and I'd like to know if I can add something more effective.
Thank you very much for your attention
Hello Esther,
It seems to me that you've done everything very well. The most important things to do while the scar is pink are to protect it from the sun, avoiding direct sun exposure, and also to use broad-spectrum sunscreen. Among the scar gels, oils, and creams, I recommend one called Dermatix silicone gel which allows for the creation of an optimal healing environment. Use it every 12 hours for at least 3-6 months.
Best regards
Hello, I had a chemical peel 10 years ago and the spots are back now, what should I do, what do you recommend, thank you
Hi Karla,
I absolutely recommend going to the dermatologist to get re-evaluated and see what type of spots you have right now. In the meantime, use plenty of sunscreen and avoid tanning your face.
Best regards
I am from Venezuela, Maracaibo, and I can no longer stand these spots. I don't get
Hello Mayito. I can understand how difficult it is to live with these facial blemishes. Without a doubt, if you have the opportunity to visit a dermatologist, it's ideal for effectively treating the blemishes. I know Dr. Elizabeth Guadagnini in Maracaibo, and she is very good. For now, what you can do is protect yourself a lot from the sun by using sunscreen every day until you have a visit with the specialist.
Best regards
All this information is very helpful. I've had melasma on my cheeks for over 10 years. The dark spots are very dark and quite large. Of all the creams you mention here, which ones can you recommend to me?
Estimada Fabiola,
From what you're telling me, you must have long-standing and quite extensive facial hyperpigmentation. As for creams, we always recommend using sunscreen every morning, even in winter and on cloudy days. However, in your case, the most recommended course of action will be to see a dermatologist so they can assess your dark spots and offer you a potent depigmenting treatment.
Best regards
I've got some very ugly, dark spots near my cheeks that cover a large area. What's the best thing to do?
Hi Karina,
For now, the important thing is that you protect yourself a lot from the sun and that you make an appointment with your dermatologist.
Best regards
Very interesting article, and I have a question. Can LED masks currently on the market worsen facial blemishes?
Hello Maria Jose,
The truth is, it's a very interesting question. LED lights (Light Emitting Diode) are becoming trendy for many conditions (Acne, Melasma, Alopecia, etc.), however their effectiveness is somewhat controversial.
First of all, it's important to know that not all LED lights are the same, and depending on the type of light they emit, they can even worsen melasma. I don't want to get too into this topic, but to understand the concept, it's necessary to know what electromagnetic spectrum of visible light. Visible light wavelengths range from 380 nanometers (nm) at the blue end of the spectrum to about 700 nm at the red end. Therefore, LED lights emitting blue light can worsen melasma, as I explained in the article.
Nowadays there are Very few studies show efficacy in the treatment of melasma with LED, therefore I do not consider it a first-line treatment for facial blemishes.
Many greetings and I hope I have answered your question
Good evening Doctor, I appreciate your help. For a few months now, I've been getting brown and white spots that started between my back and forearm, reaching the right side of my breast and now extending over my shoulders and neck. Some of these spots protrude, itch with redness, and then turn white. The ones on the side of my breast are a map-like brown.
Dear Keila,
In your case, it's important that you go to a specialist so they can make a proper diagnosis. There are many different causes of brown and white spots on the skin, and each one has a different treatment.
Best regards
Hello, I have dark spots on my face due to medication (sertraline photosensitivity). I had a chemical peel, and I didn't have any unusual reactions, but I didn't notice any improvement. I have a follow-up appointment this Monday, but I'm already desperate. What can I use to reduce them? They cause me a lot of insecurity, and I feel very self-conscious about these spots. :'(
Hi Maria,
I perfectly understand what you must be going through. I would love to be able to help you, but without evaluating you in person, it's difficult for me to see your case properly. However, I can tell you a few things that might help you.
Drug-induced hyperpigmentation, specifically by selective serotonin reuptake inhibitors (SSRIs) such as sertraline, is a very rare phenomenon and occurs in very few patients treated with these drugs. Some scientific articles describe that this can happen due to an increase in melanin production with or without an increase in the number of active melanocytes. Normally, this pigment is deposited in the dermis (the second layer of the skin), and this is important when choosing a treatment.
If this diagnosis is indeed confirmed by a dermatologist, it is necessary to do the following:
1- Discontinue sertraline or the medication causing it and see your doctor so they can replace it with another.
2. Begin intensively protecting yourself from the sun with broad-spectrum sunscreens and accessories like hats, sunglasses, etc. This way, we can prevent the pigmentation from progressing further.
3 - Have patience and wait a few months to see if the pigmentation resolves. Sometimes it's better not to do anything in the initial stages due to the risk of worsening the pigmentation from the inflammation that many of these treatments cause.
If after a few months we see that the pigmentation does not improve, good results have been described with laser treatment (e.g., alexandrite laser or Q-switched ruby laser). To date, there is not much evidence that chemical peels improve drug-induced pigmentation.
Without a doubt, I would like to help you more, but without a proper visit, it is impossible to make a treatment recommendation and confirm the diagnosis.
Warmest regards, Maria, and I wish you all the best.
Hello! After a peeling treatment, my face was left with a blotch. The problem is that looking at images, my blotch looks like skin cancer and I have others in different places 😕. At the same time, on the same day, I had laser hair removal all over my body and upper lip. Could the blotch be hyperpigmentation, or should I see a specialist? Will the blotches go away?
Hello Evelyng,
It is important to know that there are hundreds of different causes of blemishes, which is why we spend a lot of time in consultations making correct diagnoses before providing generic treatments to remove them. Each type of blemish has a specific treatment, and that is why we need to see it in person first. My recommendation is that you always consult a specialist before undertaking any treatment.
Best regards
Hello!
I have dark spots all over my face. I went to a dermatologist and they prescribed me hydroquinone. I used it for two years and the superficial spots disappeared, but I stopped using it and the spots returned. I went to another specialist, and when I told them I was using hydroquinone, they told me to stop because it's bad. They proposed laser treatment. I had 5 laser sessions, and the spots are still there. I don't know what to do to reduce the spots anymore.
Dear Janeth.
Without knowing your case in person, I imagine you suffer from melasma. Melasma is less a disease that has a cure and more a condition that we will have to manage and maintain through some treatment throughout our lives, always protecting ourselves very well from the sun.
Hydroquinone treatments are widely used by dermatologists and, when used correctly, are safe and effective. The problem arises with indefinite use, without breaks, which can even worsen the condition in some patients.
Laser treatment will depend heavily on each patient and their skin type. It's not really the first choice for treating melasma, but it can work well for many patients.
Without a doubt, it's a difficult condition, but the most important thing is always to have patience and perseverance, and to seek out a good professional who can guide you and create a long-term treatment plan.
Hello!
I would like to know, I had laser treatment on my face to remove sun spots!
And instead of getting rid of them, I stained my face more, and now I have bigger, dark brown spots.
Hello Diana!
I hope you’re doing very well. Without a doubt, the issue of facial spots and their treatment is very complicated, and complications can arise from the treatments. Without examining you in person, it’s difficult to know what type of spots you have (solar lentigines, melasma, chloasma, etc.). Solar lentigines typically respond very well to various lasers, whereas melasma or chloasma can actually worsen. Without a doubt, the most important thing when removing facial spots is to have a dermatologist evaluate you, clearly explain your diagnosis, and thoroughly discuss the benefits and risks of each technique to prevent hyperpigmentation as a result of the treatment. If you currently have large, dark spots on your face, it’s very important to have them evaluated by a dermatologist as soon as possible so you can begin effective depigmentation treatment.
Best regards
Good afternoon, about six years ago a spot appeared on the side of my nose, but I feel like it has grown a bit. I've also developed more spots on my face and also on my neck that look like warts. I feel horrible!
I'd like a recommendation for a treatment, whether it's a cream or anything else. Thank you very much.
Isabel,
I hope you are doing very well. The best recommendation here is clear. You have to go to a dermatologist to evaluate your spots and do a treatment for them. Without evaluating your spots, we won't be able to recommend a good treatment and remove these «warts» in the consultation. Look at the following article I wrote about why It is not recommended to remove or burn warts and moles. at home without a prior diagnosis.
Hi, in my case, the spots were caused by microneedling—I don’t know why. I went to the doctor to improve my skin, not because of the spots, and the doctor suggested this treatment. The first session went well, but the second one triggered the terrible dark spots I now have on my face. I mentioned the dark spots during my follow-up appointment, and it seems the doctor wasn’t sure how to reverse the damage done to my skin. Now I’m worried. Is there a treatment that can reverse this damage? Has anyone else gone through something similar, even though every skin type is unique?
Thank you
Dear Janina,
I'm sorry to hear you had this kind of reaction with microneedling. There are many reasons why your face might hyperpigment after a procedure, such as post-inflammatory hyperpigmentation, sun exposure hyperpigmentation, or an allergic reaction. To be able to start a treatment and improve your skin, it's very important that you see a dermatologist so they can establish the precise diagnosis of what is happening to you. This way, they can give you a treatment.
Best regards
I've had the same thing happen to me. I went for some minor acne scars that weren't very deep, and it left me with a brown spot on one side of my face. I took all the recommended precautions after the microneedling. I don't know what to do. The doctor is telling me I'm stressed and that's why the treatment isn't working well, and that she's going to refer me to another dermatologist to see if I have better luck. But I don't want to go to someone else; she's the one who has to fix the problem, the one who performed the procedure and now left me with this little spot.
Hello Miguelina. One of the complications that can occur after any cosmetic procedure (laser, microneedling, peels, etc.) is post-inflammatory hyperpigmentation. If this has happened, it is very important to assess the problem in person to be able to manage it in the best possible way. Without a doubt, a very important thing is to protect yourself well from the sun and avoid tanning. Also, depending on what your dermatologist sees, they may also prescribe lightening creams or oral treatment for the same thing. Above all, you need to be patient because these spots can take several months to resolve. Finally, stress does not play an important role in the generation of facial blemishes. .
Best regards
Thank you very much for the response. She first did two microdermabrasions on me. After the second one, a small brown spot appeared on my cheek. I asked her why it happened and to remove it. Then, when I went for microneedling, she applied a lightening cream, as she told me, and the spot was removed. However, over the following days, another spot appeared, a little larger, a little lower than where the first one was. If she knew that could happen, she should have told me before doing the procedure. I would rather have a few small holes on my face than spots. It's stressful, and even though it's a brown spot that I can cover up, I still feel bad and don't want to have it.
Without a doubt, when we perform dermatological/aesthetic procedures, we always try to improve the problem. Unfortunately, there are situations where complications such as post-inflammatory hyperpigmentation can occur. Without seeing your case in person, it's difficult for me to give you specific recommendations. In general, these spots tend to disappear over time with significant sun protection. To make more specific recommendations for creams or other treatments, it would be necessary for you to visit.
Best regards
I have that problem too, and the spot settled into the hypodermis. Hydroquinone made it deeper, and neither kojic acid nor diacetyl boldine has done anything. I've seen two dermatologists, and there have been no changes. I don't know what to do.
Hello Janina,
Without seeing your case in person, I can't offer much of an opinion. There are many different types of skin spots, each with a different treatment. It's true that hydroquinone is a very good treatment, but in some cases, it can also worsen the spots. At this moment, I don't know your current condition to give you specific recommendations. I hope to have a virtual visit system soon that will help me be closer to my patients and allow us to resolve these types of doubts remotely.
Hi! Right now, the spot is starting to fade from the dermis. I keep my skin moisturized and always use sunscreen and a sun umbrella. A month ago, I started using a 10% glycolic acid solution with phytic acid at night. I live in the Dominican Republic.
I don't want to use hydroquinone. But I need to use a stronger depigmenting agent, at least to prevent the dark spot from getting darker. Or what peel do you recommend that I can get from a doctor or aesthetician to apply for me. Thank you!!🤗
Excellent content about skin blemishes. Thank you for sharing, regards.
Thank you so much for your comment, I'm glad it's helpful.
Greetings
Where is your clinic located?
Hello María del Pilar,
Thank you very much for your interest. The clinic where I work is located in Barcelona, Spain. You can see it on the contact page.
After finishing treatment with Hydroquinone, what type of cream should I use? Thank you
Hi Margery,
This will largely depend on each individual case and your skin type. Without a doubt, you must maintain strict photoprotection year-round and avoid tanning your face. As maintenance creams, we really like those with retinoids at night and also some with vitamin C in the morning. Check out my recommendations in this article.
Hello Doctor, how are you? I have acne scars on my face and I would like you to help me. I don't know what else to do. I am 36 years old. Thank you, good night, and blessings.
Hi Estela,
I would be delighted to help you and I'm giving you several options. Just 1 week ago I finished my Free printable face blotter download at the following link. In it, I largely explain why blemishes occur and treatments to eliminate them. I also have consultation in Barcelona, Spain Or I also have one Online consultation so you can connect from anywhere in the world.
Hello, good evening. What do you recommend for the white spots on my face? I started with a small spot and it's already getting bigger. I've been recommended a variety of creams and none have improved it. I await your advice 😔😔😔
I recommend you see a dermatologist, as there are many different causes of white spots on the face. Depending on the diagnosis, they will determine the best treatment for your case.