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There are many reasons that you may be experiencing dark spots or hyperpigmentation on the face. Here are the Top 5 that I see in my practice: 1. Post inflammatory hyperpigmentation from conditions like acne, eczema, etc. 2. Hormonal pigmentation - Melasma. 3. Photoaging - mottled pigmentation and dermatosis papulosa nigra (dpns). 4. Post inflammatory hyperpigmentation and scarring from irritation from products. 5. Lichen planus pigmentosus. Also common is Acanthosis Nigricans ! It's also common
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