
Types of Spot or Freckles: Recognition, Causes, and Treatment Methods in Iran
Human skin may change color for several reasons. Facial freckles are one of the most common skin problems that, in addition to their aesthetic aspect, sometimes indicate medical issues. Understanding the types of freckles, their causes, and their treatment methods can help you choose the best care and treatment solution. In this article, we will examine all types of facial freckles, their causes, severity, and practical treatment solutions.
1. Freckles
Freckles are one of the most common types of facial freckles, which are mostly hereditary and environmental in nature and can generally be treated to a large extent using various types of freckle lasers in Shiraz.
- Appearance: Small brown or light golden spots on the skin, mainly in sun-exposed areas such as the nose, cheeks, and forehead.
- Cause: Sunlight and genetics. People with fair skin and light hair are more susceptible to it.
- Characteristics: Intensify with sunlight and fade in winter.
- Care strategy: Daily use of high SPF sunscreen, avoiding direct sunlight and mild lightening products.
- Treatment strategy: Fractional CO2
2. Sun spots or hyperpigmentation (Sun spots / Age spots)
Over time and prolonged exposure to sunlight, brown spots may appear on the skin.
- Appearance: Brown to gray spots on the face, hands and areas of the body that are most exposed to the sun.
- Cause: Excessive accumulation of melanin due to sunlight and aging.
- Characteristics: Intensify with age and repeated sun damage.
- Treatment strategy: Sunscreen and lightening creams, specialized lasers such as the Fotona laser in Shiraz, chemical peels and IPL methods.
3. Melasma / Chloasma

Melasma is a common type of pigmentation in women that is strongly influenced by hormones.
- Appearance: Large irregular brown or gray patches, mostly on the forehead, cheeks, and upper lip.
- Cause: Hormones (pregnancy, birth control pills), genetics, and sunlight.
- Characteristics: More common in women and worsens with sunlight.
- Treatment: A combination of lightening creams (such as hydroquinone), minimally invasive lasers, careful sun care, and fractional CO2.
4. Vitiligo
Vitiligo is a pigment disorder that causes white, discolored patches on the skin.
- Appearance: White patches with a clear border can appear anywhere on the body.
- Cause: Destruction of pigment-producing cells (melanocytes).
- Characteristics: Often progressive and may be associated with immune disorders.
- Treatment options for vitiligo (Light Therapy for Vitiligo): Specialized treatments include phototherapy, Excimer laser, topical creams, and sometimes systemic treatments.
5. Post-inflammatory hyperpigmentation & Acne scars
A change in skin color after inflammation, acne, or scarring is one of the most common types of facial scars.
- Appearance: Brown or reddish-brown spots, sometimes with dimpling or raised skin.
- Cause: Acne, inflammation, scarring, or skin damage.
- Characteristics: May fade over time, but sometimes require treatment.
- Treatment: Specialty lasers such as Photon, microneedling, chemical peels, lightening creams, and careful skin care.
6. Congenital or genetic scars
Some scars are present from birth and are caused by a genetic pattern or birth defect.
- Appearance: Brown or black spots, such as “café au lait” spots.
- Cause: Genetics and some birth defects.
- Features: May be associated with other skin problems and usually do not have a sudden change in color.
- Treatment: Specialized evaluation by a dermatologist and, if necessary, laser or medical methods to correct the appearance.
Below is a comprehensive and practical table of types of facial blemishes, including the type of blemishes, cause, severity, common areas, and common treatment methods in Shiraz, which will help you review the information more quickly.
| Type of facial spots | Cause | Severity/Appearance | Common Areas | Common Treatments in Shiraz |
| Freckles | Genetics, sunlight | Mild, small brown spots | Nose, Cheeks, Forehead | Sunscreen, Lightening Cream, Minimally Invasive Laser, Skin Care, CO2 |
| Sun spots / Age spots | Sunlight, aging | Moderate to severe, brown to gray patches | Face, Hands, Arms | Sunscreen and Lightening Creams, Q-Switched Laser, IPL, Chemical Peel, Photon |
| Melasma / Chloasma | Hormones (pregnancy, birth control pills), genetics, sunlight | Moderate to severe, large irregular patches | Forehead, Cheeks, Upper Lip | Lightening Creams (Hydroquinone), Minimally Invasive Laser, Sun Care, Combination Therapy, CO2 |
| Pelepsis / Vitiligo | Destruction of melanocytes, immune disorders | Severe, white patches with a clear border | Anywhere on Body, Face | Lightening Creams (UVB), Excimer Laser, Topical Creams, Systemic Therapy, Expert Consultation |
| Post-inflammatory hyperpigmentation & Acne scars | Pimples, inflammation, scars | Mild to moderate, brown or red-brown patches | Face, Forehead, Chin | Laser, Microneedling, Chemical Peel, Photon, Lightening Creams, PRP |
| Congenital / Genetic spots | Genetics, congenital disorders | Moderate to severe, present from birth | Face, Body | Expert Evaluation, Laser, Reconstructive Medicine, Long-Term Care |
| Acne scars | Severe inflammation, purulent pimples | Moderate to severe, changes in skin texture and color | Cheeks, Chin, Forehead | Photon Laser, Microneedling, Chemical Peel, PRP, Combination Therapy for Skin Regeneration |
Acne Scars: A Special Type of Inflammatory Spot

Unlike regular spots, acne scars, in addition to discoloration, may cause skin dimpling or bulging, which are largely treatable with laser scar and acne scar removal methods.
- Appearance: Dark spots with dimpling, bulging, or bulging skin.
- Cause: Severe inflammation, pustules, and tissue damage in the skin.
- Treatment: Photon laser, microneedling, light therapy, chemical peels, PRP, and combination methods to improve skin texture and color.
Summary and Recommendations
Recognizing the types of facial spots and the reason for each is the first step to choosing the right treatment method and preventing recurrence. Regular skin care, using sunscreen, and seeing an experienced dermatologist are the keys to achieving the desired result.
Shiraz’s highly specialized skin clinic, such as Irsa Clinic, with the presence of specialists and the best and most experienced skin rejuvenation doctor, can confidently entrust you with the treatment of all kinds of facial blemishes and acne scars. The reasons for this confidence include specialized knowledge, advanced equipment, and the high experience of the treatment team in performing laser, peeling, and microneedling procedures.
Visit a dermatologist
It is recommended to consult a skin and hair specialist. They can introduce you to specific tips and products to solve this problem.
Get your free consultation with Irsa team right here
WhatsApp: 00989170626693
Email: irsaarabic@gmail.com
www.youtube.com/@irsaclinic
www.facebook.com/irsaclinic
Also read:
Abdominoplasty or tummy tuck in Iran




