Other types of pigmentation include post-inflammatory hyper-pigmentation, familial pigmentation on the cheeks, under eye circles, and melasma. These types of pigmentation often more difficult to treat than sunspots. More information about these types of pigmentation can be found here.
Lentigines (singular lentigo) or sunspots usually worsen with age and typically occur on sun exposed sites or areas of prior sunburn. Sunspots are often easy to treat once the patient is on regular DAILY sun protection; however, once the melanocytes or skin cells that make pigment are stimulated, a big dose of sun can cause their return.
Because the development of sunspots require repetitive exposure to sun or sunburns, sun spots can also be a sign that you are at risk for precancerous spots (actinic keratoses) and skin cancer. Therefore, if you have any spots on your body, we recommend a skin evaluation.
Treating sunspots requires a partnership with the patient and a dedication to sun protection and safe sun practices. Strict sun protection and habitual skincare is critical to preventing lentigines.