Brown Spots

Brown spots are one of the most common reasons people visit a dermatologist. While many are harmless signs of sun exposure or aging, others may be caused by hormones, genetics, inflammation, or previous skin injury. Occasionally, what appears to be a harmless brown spot can actually be skin cancer.

Because there are many different causes of brown spots, the first step is an accurate diagnosis. Regular skin examinations are one of the best ways to monitor existing spots and identify new or changing lesions early.

What Causes Brown Spots?

Brown spots develop when excess pigment, called melanin, collects in the skin. This can happen for many reasons, including years of sun exposure, hormonal changes, inflammation, certain medications, or genetics.

Common types of brown spots include:

Age Spots (Solar Lentigines)

Often called liver spots or sun spots, these flat brown spots develop after years of ultraviolet (UV) exposure. They commonly appear on the face, hands, shoulders, chest, and other areas that receive the most sun.

Melasma

Melasma causes larger patches of brown or gray-brown discoloration, most often on the cheeks, forehead, upper lip, and chin. It is commonly associated with hormonal changes, pregnancy, birth control pills, and sun exposure.

Post-Inflammatory Hyperpigmentation

Sometimes a brown spot develops after the skin has healed from acne, eczema, an insect bite, or another injury. These darkened areas often fade over time but may benefit from treatment.

Café au Lait Spots

These light brown birthmarks are often present from childhood and are usually harmless. While most people have only one or two, multiple café au lait spots may occasionally warrant further evaluation.

When Should a Brown Spot Be Evaluated?

Most brown spots are harmless, but it isn’t always possible to tell by appearance alone. Schedule an evaluation if a spot:

  • Is new or changing
  • Has irregular borders or multiple colors
  • Bleeds, crusts, or doesn’t heal
  • Looks different from your other spots
  • Causes concern for any reason

A simple skin examination can often determine whether a spot is benign or requires additional evaluation.

Treatment Options

Treatment depends entirely on the cause of the brown spot. Once the diagnosis is confirmed, your provider will recommend the most appropriate approach.

Depending on the type of pigmentation, treatment may include:

  • Prescription medications
  • Chemical peels
  • Laser treatments
  • Sun protection strategies
  • Observation when treatment is not necessary

Not every brown spot requires treatment, and not every treatment is appropriate for every type of pigmentation.

Protecting Your Skin

Daily sunscreen use is one of the best ways to help prevent many types of brown spots from becoming darker and reduce the development of new sun-induced pigmentation.

Additional protection includes wearing sun-protective clothing, seeking shade during peak sunlight hours, and avoiding indoor tanning.

Schedule an Evaluation

If you’ve noticed a new brown spot, changes in an existing spot, or an area of pigmentation that concerns you, our providers can help determine the cause and recommend the most appropriate treatment.

If it’s been more than a year since your last full-body skin examination, this is also a great opportunity to schedule your annual skin check. Regular skin examinations are one of the best ways to identify new or changing spots early, when treatment is often the simplest and most effective.

Call (402) 933-0800 or book an appointment online today.

 

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