About a month ago, my wife suddenly noticed some tiny black dots, about 1 mm in size, appearing on her face and neck over the course of a week. They don't seem like pimples or moles, but they're completely black. This is the first time something like this has happened, and there hasn't been any change in their size or color since then. What could be causing these dots? And more importantly, what should she do to get rid of them?

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Dr Chandra P

General Practitioner

MBBS
5+ Yrs

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These black dots could be due to a condition called dermatosis papulosa nigra, which is common in people with skin of color. To get rid of them, your wife can consider using topical retinoids like Adapalene gel 0.1% once daily at night. Additionally, she can also try cryotherapy treatment with liquid nitrogen by a dermatologist to remove the black dots. It is important to consult a dermatologist for proper evaluation and treatment

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Answered 04/07/2025

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Possible Causes: a. Hyperpigmentation or lentigines. b. Seborrheic keratosis. c. Foreign body reaction.
Recommended Actions: a. Schedule a dermatology appointment for evaluation. b. Avoid picking or scratching the spots. c. Use gentle skincare products until assessed.
Further Steps: a. Monitor for any changes in size, color, or texture. b. Document any new symptoms or skin changes.

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Answered 20/08/2025

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