What causes spots to appear above the zygomatic bone?

May 30, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, pigmentation on the cheekbones may be caused by sun damage, aging, hormonal imbalances, melasma, or seborrheic keratosis. It is important to take proper sun protection measures and avoid prolonged exposure to sunlight. Maintaining healthy lifestyle habits, reducing stress, eating a balanced diet, keeping the skin clean, and providing adequate moisturization can help prevent skin dryness and premature aging.

Generally, the appearance of spots on the cheekbones may be caused by sunburn, aging, endocrine disorders, melasma during pregnancy, or seborrheic keratosis. If discomfort occurs, it is recommended to seek medical attention promptly. Specific analyses are as follows:

1. Sunburn

Prolonged exposure to sunlight allows ultraviolet rays to directly damage the skin, leading to pigmentation and the formation of spots on the cheekbones. This may be accompanied by mild sunburn sensation or skin redness. It is advisable to use a high-SPF, broad-spectrum sunscreen daily on the face, especially over the cheekbone area.

2. Aging Factors

With advancing age, the skin's metabolic capacity declines, affecting pigment metabolism and resulting in age spots on the cheekbones. This may also be associated with signs of skin aging such as laxity and wrinkles. Treatment should follow medical advice and may include vitamin C tablets, vitamin E soft capsules, and tranexamic acid tablets.

3. Endocrine Disorders

Endocrine imbalances can result from factors such as qi and blood deficiency or liver and kidney insufficiency. Lifestyle habits, stress, and other factors may disrupt endocrine function, affecting melanin metabolism and leading to spot formation on the cheekbones. Symptoms may also include menstrual irregularities, mood swings, and excessive sebum production. Treatment under medical guidance may include Xiaoyao Pills, progesterone capsules, or Bazhen Pills.

4. Melasma (Pregnancy Spots)

During pregnancy, hormonal changes can increase melanin deposition, causing spots to form on facial areas such as the cheekbones. These are often accompanied by symptoms like dryness and tightness. Treatment should follow medical advice and may include vitamin C, vitamin E soft capsules, and Xiaoyao Pills.

5. Seborrheic Keratosis

This condition is usually caused by skin aging or genetic mutations, leading to thickening of the stratum corneum and accumulation of melanin within it, forming pigmented spots. It may be accompanied by dry, rough skin. Treatment under medical supervision may involve topical medications such as tazarotene cream, adapalene gel, or isotretinoin gel.

To prevent and improve the occurrence of spots on the cheekbones, it is important to maintain proper sun protection, avoid prolonged sun exposure, adopt healthy lifestyle habits, reduce stress, maintain a balanced diet, keep the skin clean, and ensure adequate moisturization to prevent dryness and premature aging. When necessary, appropriate skincare and skin-lightening products may be used to help improve skin condition.

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