and Treating Dark Spots on Children's Faces - Dermatology

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The issue of dark spots on a child's face?


Hello, doctor.
I would like to ask you a question.
My child has had light dark spots on their cheeks since a young age, with more on the left cheek.
Recently, after starting first grade, I've noticed that the spots seem to have increased in number and darkened, which is a bit concerning.
I would like to know if these are sunspots or caused by other factors.
How can we lighten or treat them? Thank you.

A Yi, 40~49 year old female. Ask Date: 2021/03/03

Dr. Li Yufen reply Dermatology


Hello: There are various types of pigmented lesions.
For a preliminary introduction, you can refer to Dr.
Hsieh's article on Care Online: https://www.careonline.com.tw/2019/11/lentigo-melasma-seborrheic-keratosis.html?m=1.
I recommend that you take your child to consult with a nearby dermatologist for evaluation and diagnosis.
Thank you!

Reply Date: 2021/03/03

More Info


Dark spots on children's faces can be a source of concern for many parents. Understanding the underlying causes and potential treatments is essential for addressing these issues effectively.
From your description, it seems that your child has developed dark spots on the cheeks, which have become more pronounced over time. There are several possible reasons for the appearance of these spots, and they can range from benign conditions to those requiring medical attention.

1. Sun Exposure: One of the most common causes of dark spots, or hyperpigmentation, in children is sun exposure. The skin produces more melanin in response to UV radiation, leading to dark spots. This is particularly true if your child spends a lot of time outdoors without adequate sun protection. It's crucial to apply sunscreen with a high SPF to your child's face, especially during peak sun hours, and to encourage them to wear hats or protective clothing.

2. Post-Inflammatory Hyperpigmentation: If your child has had any skin injuries, insect bites, or conditions like eczema, the healing process can lead to dark spots. This is known as post-inflammatory hyperpigmentation, where the skin darkens in response to inflammation or injury. If this is the case, the spots may fade over time as the skin heals.

3. Genetic Factors: Some children may have a genetic predisposition to developing freckles or other types of pigmentation. If there is a family history of similar skin conditions, this could be a contributing factor.

4. Dermatological Conditions: Certain skin conditions, such as melasma or lentigines, can also cause dark spots. These conditions may require evaluation by a dermatologist to determine the best course of action.

5. Diet and Nutrition: While less common, nutritional deficiencies can sometimes affect skin health. Ensuring your child has a balanced diet rich in vitamins and minerals can support overall skin health.


Treatment Options
1. Sun Protection: The first step in treating and preventing further darkening of spots is to ensure proper sun protection. Use a broad-spectrum sunscreen with at least SPF 30, and reapply every two hours when outdoors. Protective clothing and hats can also help shield the skin from UV rays.

2. Topical Treatments: Over-the-counter creams containing ingredients like vitamin C, niacinamide, or licorice extract may help lighten dark spots. However, it's essential to consult with a pediatric dermatologist before starting any treatment to ensure it's safe for your child's age and skin type.

3. Professional Evaluation: If the spots continue to darken or multiply, or if you have concerns about their appearance, it’s advisable to consult a dermatologist. They can provide a thorough examination and may recommend treatments such as chemical peels, laser therapy, or prescription topical agents that are safe for children.

4. Patience and Monitoring: Many dark spots in children can fade over time, especially if they are related to sun exposure or minor skin injuries. Regular monitoring of the spots is essential, and if there are any changes in size, color, or texture, seek medical advice promptly.

In conclusion, while dark spots on your child's face can be concerning, understanding the potential causes and treatment options can help you manage the situation effectively. Always prioritize sun protection and consult with a healthcare professional for personalized advice tailored to your child's specific needs.

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