Long-standing black spots on the cheeks along with rough, pigmented skin on the chin are most likely due to chronic pigmentation (post-inflammatory hyperpigmentation or melasma) along with some textural skin changes. Since it has been present for many years, it requires consistent and long-term treatment. Helpful Tips / Word of Caution: • Pigmentation takes time (weeks to months) to improve, so be patient • Avoid sun exposure and always use sunscreen, even indoors if exposed to light • Do not use multiple strong creams together without guidance • Since it is long-standing, combination treatment under a dermatologist will give the best results. You can consult me online via app for detailed evaluation and treatment.

Hii there … It’s really hard to comment anything without pictures and proper history ….kindly share pictures , you can video consult also or visit your nearest dermatology clinic for better evaluation and treatment

Undergo laser removal therapy.. otherwise few creams also available...for detailed prescription do direct online consultation by sending photos.

Hey there young lady... 16 yrs is a long time and obviously what you are doing isn't working. Also since one has no clue about how this looked when it began, progress is difficult to ascertain objectively. Suggest you 📥 some clear digital pics of your issues and then let's take it forward via this App's INSTANT ONLINE Consultation 🙏 As a fellow medical professional from Bengaluru, I don't usually charge such consults. But, we will need an in-depth discussion to arrive at a suitable treatment plan tailored for you. Good Luck and Godspeed 🙏

Need to see the condition Consult online with photos for proper evaluation and treatment

Need to consult online for further management

Black spots on the cheeks present since childhood can have several causes such as nevus (mole), lentigines, post-inflammatory pigmentation, or other benign pigmentary conditions. The exact diagnosis depends on clinical examination

Detailed history and clear images are required for correct diagnosis and treatment

Kindly consult online

Hello you can do online consultation with Doctor.  Need to take detailed history for proper evaluation.  Please share photos of concerned areas. Will prescribe medication accordingly.

Kindly consult online for further examination and proper treatment

You Need physical consultation Visit your nearest dermatologist For further expert opinion You can contact me on whats app on 7o15oo8352

Share pics for better evaluation May be procedure treatment helps

Kindly share a clear picture in good lighting of affected areas as it can be many things without a picture Also detailed medical history needs to be assessed before starting you on your personalised treatment

Specific medication will improve condition. Kindly consult online for proper treatment and guidance.

No need to worry.specific treatment is available.it depends on severity of the disease . Complete medical history is required.. Pls do online consultation with Dermatologist for detailed prescription & guidance.