Spots on the face are most likely to be caused by a skin condition known as melasma.
Melasma is a darkening of the skin, in larger sections than freckles, that is the result of over-productive melanocytes. It is a chronic skin condition that causes discoloration on the face.
Most people get it on their cheeks, bridge of their nose, forehead, chin, and above their upper lip. It also can appear on other parts of the body that get lots of sun, such as the forearms and neck.
Melasma may occur due to overexposure to the sun or cellular hypersensitivity. For women, melasma may also be triggered by estrogen supplements, birth control pills and pregnancy.
Melasma typically results from sun exposure and hormonal changes in women due to progesterone and estrogen, and about 9 of 10 people with melasma are women ages 20 to 50.
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