Hair loss is a progressive problem and if not tackled in time tends to keep worsening over time. There are various causes of hair fall. Read my health feed for a better detailed understanding. https://fit.practo.com/#!/content/28405 After reading this I hope you will be convinced that a proper thorough examination of your scalp from a qualified dermatologist will be advisable for a fruitful outcome. Dark spots needed to be evaluated for paterrn and distribution to identify cause so treatment can be advised.. For pores on skin - commonly seen in patients on cheeks and nose - creams are not really effective. Lasers offer maximum reponse of upto 70-80 %.. certain peels can offer around 50% improvement after few sittings. Hope this was helpful.