Dark spots and uneven patches can be annoying. They don’t mean your skin is damaged beyond repair, but they do need a consistent, careful approach. This guide explains what causes hyperpigmentation, realistic treatments that work, and simple daily rules to stop spots from getting worse.
What causes dark spots?
Three common types show up on most people: sunspots (from UV exposure), melasma (often triggered by hormones or pregnancy), and post-inflammatory hyperpigmentation (PIH) which follows acne, cuts, or burns. All happen when melanocytes make extra pigment in a local area. That extra pigment sits in the skin and slowly fades if you treat it right.
If you’re unsure which type you have, a quick check with a dermatologist helps. Melasma often appears on the cheeks, forehead, and upper lip in symmetrical patches. PIH usually follows an injury or pimple and sits where the damage was.
Practical treatments you can start today
Sunscreen: non-negotiable. Use a broad-spectrum sunscreen SPF 30 or higher daily, even on cloudy days. Reapply every two hours when outdoors. Sunscreen prevents new spots and stops existing ones from darkening.
Topical options with good evidence: hydroquinone (short-term use under guidance), azelaic acid (gentle and effective for many skin types), retinoids (speed cell turnover and help fade pigment), vitamin C (antioxidant that brightens), and niacinamide (reduces pigment transfer). You can layer vitamin C in the morning with sunscreen and use a retinoid at night. Azelaic acid pairs well with both.
Chemical peels and microdermabrasion can speed results but pick a licensed practitioner and avoid aggressive treatments if you have darker skin—those can cause more PIH. Light chemical peels (glycolic or lactic) and superficial TCA peels are safer options when done correctly.
Laser and intense pulsed light (IPL) work for some spot types, especially sunspots. Melasma can worsen with the wrong laser, so treat melasma with caution and seek an experienced dermatologist.
How long until you see change? Expect at least 8–12 weeks with consistent use of topical treatments. Some spots fade faster; deeper pigment takes months and sometimes needs combination therapy.
Quick safety tips: always patch-test new products, introduce one active at a time, and avoid mixing strong actives without advice. Don’t use harsh scrubs or pick at spots; that makes PIH worse.
When to see a doctor: if spots change quickly, bleed, itch, or have irregular borders, get checked. Also see a dermatologist if over-the-counter steps don’t help after a few months—professional tools and prescriptions can get better results.
Small daily choices matter: sunscreen every day, gentle cleansing, and patience. With the right routine, most hyperpigmentation improves and becomes much less noticeable.
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