Skin Health Skin Care & Cleansing Products An Overview of Dark Spots Hyperpigmentation is rarely a sign of something serious By Heather L. Brannon, MD Heather L. Brannon, MD Heather L. Brannon, MD, is a family practice physician in Mauldin, South Carolina. She has been in practice for over 20 years. Learn about our editorial process Updated on December 03, 2021 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Leah Ansell, MD Medically reviewed by Leah Ansell, MD LinkedIn Leah Ansell, MD, is board-certified in cosmetic and medical dermatology. She is an assistant professor at Columbia University and works in private practice in New York City. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Symptoms Causes Diagnosis Treatment Prevention Frequently Asked Questions Dark spots on the skin can happen at any time but most commonly appear in middle age. They are most often a result of cumulative exposure to sunlight or artificial ultraviolet (UV) light used in tanning beds. The spots are also associated with certain skin conditions and can be a side effect of some medications. This article explains the symptoms, diagnosis, and treatment of dark spots on the face and body. Other Names for Dark Spots Age spotsHyperpigmentationLiver spotsSolar lentigines Verywell / Zoe Hansen Dark Spot Symptoms Dark spots are generally harmless, but there are times when they could be cancerous. If they bother you, they can be lightened or removed. These spots can range from light to dark brown or black in color. They are flat and generally oval-shaped. Dark spots can develop anywhere. But they are most likely to appear on parts of the body that receive the most sun exposure. These include: FaceBacks of the handsShouldersArmsBack While individual spots are usually small, several can group and form larger areas of darkened skin. Causes Dark spots are the result of the overproduction or collection of melanin, a skin pigment that makes skin darker. They can also result from free radical damage. Exposure to UV Light The sun and tanning beds are the most significant cause of dark spots. Hyperpigmentation often appears during middle age. That's when the skin starts to show the consequences of sun exposure. This is especially true if you didn't use sunscreen and other sun-protective measures consistently earlier in life. People with light hair or skin and who have had many sunburns, or severe ones, are at particular risk. However, other things may lead to dark spots. These other causes may act alone or in combination with UV exposure. Skin Conditions There are several different skin conditions and diseases that can cause dark spots. However, these are not the same as age-related dark spots. They include: Post-inflammatory hyperpigmentation: Skin discoloration following a scrape, rash, or acne Melasma: Also known as pregnancy mask or chloasma Linea nigra: A dark, vertical line that appears lengthwise down the middle of the abdomen during pregnancy Riehl's melanosis: A form of contact dermatitis that's believed to be caused by sun exposure Poikiloderma of Civatte: A benign (non-cancerous) condition that turns parts of the neck a reddish-brown color Erythromelanosis follicularis: A reddish-brown pigmentation of the face and neck Medications Certain medications can cause dark spots because they make the skin more sensitive to sun exposure (also known as photosensitivity). They include: Estrogens, such as Vagifem, Climara, and Estrace Tetracyclines, broad-spectrum antibiotics such as Adoxa (doxycycline), Declomycin (demeclocycline), and Minocin (minocycline) Amiodarone used to treat irregular heartbeat (brand names include Cordarone and Pacerone) Phenytoin, an anticonvulsant (brand names include Dilantin and Phenytek) Phenothiazines used to treat mental and emotional disorders (brand names include Compro and Thorazine) Sulfonamides used to treat infections (brand names include Bactrim and Septra) Other Causes Dark spots may also be seen in these conditions: Pregnancy Liver disease Addison's disease Hemochromatosis (excessive iron) Pituitary tumors Recap Dark spots usually occur in middle age. They are often the result of sun exposure, but they can be caused by other things, too.Skin conditions, pregnancy and certain medications or medical conditions may cause dark spots.People who have fair skin, light hair, and who have had serious or multiple sunburns are most at risk of developing dark spots. Diagnosis Your primary healthcare provider or a dermatologist can usually diagnose dark spots with a physical examination. Unless a spot looks suspicious, a biopsy or further testing is not necessary. Treatment Dark spots don't hurt, and they have the same texture as the rest of your skin. Most of the time, they don't pose any health risks. So you don't have to get rid of them, although many people choose to for cosmetic reasons. Dark spots can be faded or removed completely with prescription drugs, medical procedures, and at-home treatments. Topical Treatments Prescription bleaching creams gradually diminish the appearance of dark spots. This usually takes several months. Hydroquinone is the active ingredient in prescription skin lightening creams. It works by reducing melanin production. However, long-term use has some risks, so you should only use it on a short-term basis. Some research has indicated that hydroquinone may cause cancer at higher concentrations. For this reason, the Food and Drug Administration has limited the concentration of hydroquinone to 3% to 4% in prescription products and 2% in over-the-counter (OTC) products. Several other OTC products treat dark spots. They might lessen the appearance of spots but may not eliminate them. Look for creams that contain retinoids, alpha hydroxy acid, glycolic acid, deoxyarbutin, or kojic acid. Side effects, including redness, swelling, and skin irritation can occur with any topical medication. Skin lightening products contain abrasive ingredients that also make the skin extremely sensitive to UV exposure. So it's essential to wear sunscreen with SPF consistently throughout treatment. Cosmetic Procedures Healthcare providers and estheticians can use medical procedures to treat dark spots on any part of the body. They are often used along with topical treatments. However, some may not be appropriate for people with sensitive skin. Options include: Laser treatment: This uses focused light energy to remove skin layer-by-layer, which burns off dark spots. Risks include bruising, swelling, redness, tightness, scarring, infection, and changes in skin texture. Chemical peels: These contain salicylic acid and/or glycolic acid, which remove the top layer of skin. This may result in healthier and more evenly toned skin beneath. However, skin irritation is a possible risk. Microdermabrasion: There are two types of microdermabrasion. Both physically remove cells on the surface of the skin. With crystal microdermabrasion, a machine sprays fine crystals through a wand that rubs against the skin and scrapes away cells. For diamond-tipped microdermabrasion, the abrasive end of a wand is used for this purpose instead. The skin may be pink for a while afterward, but these techniques are considered low-risk. Cryosurgery: Cryosurgery fades age spots by freezing them with a liquid nitrogen solution. This causes the darkened skin to peel away from the body. Risks include permanent whitening of treated areas. Recap Dark spots are usually not serious. Most often, they do not require treatment. However, some people choose to have them removed for cosmetic reasons.Skin lightening creams, laser treatment, chemical peels, microdermabrasion, and cryosurgery are all options for removing dark spots. What to Expect During Your First Microdermabrasion Treatment Prevention As you age, dark spots may be inevitable. However, there are some ways to help avoid getting dark spots or prevent faded ones from returning. These include: Use SPF: Be diligent about wearing and reapplying sunscreen every two hours. Reapply more frequently if you've been swimming or sweating a lot.Cover up: When outdoors, wear a hat, long sleeves, and pants. SPF fabrics can offer added protection.Avoid peak sun hours: UV exposure is usually greatest between the hours of 10 a.m. to 2 p.m. What Does the SPF Number on Sunscreen Mean? Summary Dark spots commonly occur as people age. They are often the result of past sun exposure. But they can also be due to some skin conditions, medications, and certain medical conditions. Often your healthcare provider or dermatologist can diagnose dark spots by looking at them. But in some cases, they may do a skin biopsy to be sure. Dark spots are usually harmless. Even so, some people choose to have them removed for cosmetic reasons. Treatment options include skin lightening creams and cosmetic procedures. You may not be able to prevent dark spots entirely. But, you can reduce your risk by using sunscreen, staying covered up when you are in the sun, and staying out of the sun during peak hours. A Word From Verywell Visit your dermatologist annually for a skin checkup, even if you think any oddities on your skin are harmless. Though a dark spot is likely nothing to worry about, remember that skin color changes can sometimes be a sign of cancer. That's particularly true when paired with other changes such as bleeding, itching, and redness. In rare cases, what can appear as a sunspot such as a solar lentigo may, in fact, represent a type of melanoma called lentigo maligna. If your healthcare provider sees a potentially harmful dark spot, they can perform a biopsy to check for something more serious, like skin cancer. Frequently Asked Questions How can I get rid of dark spots on my face? Over-the-counter skin lightening creams help reduce dark spots on the face or body, but these may require several months of use. Cosmetic procedures such as cryosurgery, laser treatment, and chemical peels can remove dark spots entirely, but may not be an option for people with sensitive skin. What causes liver spots? Liver spots (dark spots) are often caused by exposure to ultraviolet (UV) light, which is received from being outside in the sun or using a tanning bed. Liver spots can also be caused by certain skin conditions or diseases including melasma and post-inflammatory hyperpigmentation, as well as from certain medications like Cordarone and Pacerone. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 17 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Scarcella G, Dethlefsen MW, Nielsen MCE. Treatment of solar lentigines using a combination of picosecond laser and biophotonic treatment. Clin Case Rep. 2018;6(9):1868-1870. doi:10.1002/ccr3.1749 Scherer D, Kumar R. Genetics of pigmentation in skin cancer--a review. Mutat Res. 2010;705(2):141-53. doi:10.1016/j.mrrev.2010.06.002 Bastiaens M, Hoefnagel J, Westendorp R, Vermeer BJ, Bouwes Bavinck JN. Solar lentigines are strongly related to sun exposure in contrast to ephelides. Pigment Cell Res. 2004;17(3):225-9. doi:10.1111/j.1600-0749.2004.00131.x Davis EC, Callender VD. 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J Cutan Aesthet Surg. 2012;5(2):93-103. doi:10.4103/0974-2077.99436 Prohaska J, Badri T. Cryotherapy. StatPearls. Schalka S. New data on hyperpigmentation disorders. J Eur Acad Dermatol Venereol. 2017;31 Suppl 5:18-21. doi:10.1111/jdv.14411 Additional Reading Tomecki J, Woodhouse G. Common benign growths. Cleveland Clinic Center for Continuing Education.