the first thing to do is to have a skin cancer screening to make sure that the spots are ok. your dermatologist can then recommend a variety of treatment options depending on the location number and size of the spots. if you are describing the patchy darkness that occurs on the forehead cheeks and upper lip from hormones and sun -- that is usually a form of melasma and for that typically we recommend products that contain hydroquinone retinoids sepi-white as ingredients to look for. other treatments include chemical peels that more dramatically help even out the skin tone and lighten and sometimes even erase the dark spots. if you go in the sun the dark patches will quickly return.
what is the best way to remove or lighten a dark spot that was caused by the sun and estrogen?