Dark spots
Dark spots form when pigment cells make too much melanin in one patch, often after sun or a breakout. Fading them takes daily sunscreen, the right active and a few months.
What’s happening
Melanocytes at the base of your epidermis make melanin and pass it up to surface cells. UV light and inflammation, like a healed breakout, can push one area into overdrive, leaving a darker patch.
What helps
Ranked for this concern. Tap one for its full guide.
Stops UV from making new pigment. Without it, other treatments can’t keep up.
Slows melanin production. Performed about as well as 4% hydroquinone for melasma in a large trial.
Slows the hand-off of pigment packets to surface cells.
Slows tyrosinase and counters UV damage. Best in the morning.
Speeds turnover so pigmented cells shed sooner. Slow, and needs a gentle start.
Exfoliates pigmented surface cells. Raises sun sensitivity.
A simple starter routine
Start here, then add one new product at a time.
Mistakes to avoid
- Skipping sunscreen, even on cloudy days
- Picking at spots or breakouts
- Using strong acids so often that skin gets irritated, which can cause new marks
- Expecting results in a week: studies run for months
Sources
- Hakozaki T, et al. Niacinamide and melanosome transfer. Br J Dermatol. 2002. PubMed
- Feng X, et al. Azelaic acid: mechanisms of action and clinical applications. Clin Cosmet Investig Dermatol. 2024. Article
- Al-Niaimi F, Chiang NYZ. Topical vitamin C and the skin. J Clin Aesthet Dermatol. 2017. PMC
- UCSF Health. Sunscreen for skin cancer prevention. UCSF