How to remove spots on both sides of the cheeks

Generally, the appearance of spots on both cheeks may be caused by prolonged sun exposure, improper skincare, melasma, seborrheic keratosis, or melanosis. Treatments such as photorejuvenation, chemical peels, laser therapy, or medication can be used under a doctor's guidance. Specific analyses are as follows:

1. Prolonged Sun Exposure

Extended exposure to sunlight may allow ultraviolet (UV) rays to stimulate melanocytes, leading to pigmentation and the formation of dark spots on the cheeks. It is advisable to apply sunscreen and wear sun-protective hats when outdoors to avoid direct UV exposure. Photorejuvenation treatment may also be performed under medical supervision, using broad-spectrum pulsed light to break down pigmentation and stimulate collagen regeneration, resulting in smoother and brighter skin. The typical reference cost for photorejuvenation ranges from 800 to 2,500 yuan per session. Improvement is usually noticeable within 1–2 days after treatment, although side effects such as redness, swelling, and pain may occur.

2. Improper Skincare

Excessive cleansing or over-exfoliation may damage the skin barrier, leading to hyperpigmentation on both cheeks. Maintaining proper hydration and avoiding aggressive skin cleansing are important preventive measures. Chemical peels with alpha-hydroxy acids (AHA), applied under a doctor’s recommendation, can help remove the aged stratum corneum and lighten existing spots. The typical reference cost for AHA peels ranges from 300 to 800 yuan per session. Noticeable improvement generally occurs within 1–3 days, though adverse reactions such as skin allergy or infection may develop.

3. Melasma

Melasma may result from factors such as UV exposure and hormonal fluctuations. It often presents as irregularly shaped patches on both cheeks, typically appearing as brownish discolorations. Treatment options include topical medications such as hydroquinone cream, tretinoin cream, or Xiaoyao Pills, used as directed by a physician. Laser therapy may also be recommended, where laser energy breaks down pigment particles into fragments that are then phagocytosed by macrophages and eliminated via the lymphatic system, thereby improving skin appearance. The typical reference cost for laser therapy ranges from 1,000 to 3,000 yuan per session. Improvement is usually seen within 1–2 weeks, though potential side effects include post-inflammatory hyperpigmentation or rebound pigmentation ("rebound darkening").

4. Seborrheic Keratosis

Seborrheic keratosis is primarily associated with skin aging. This condition causes abnormal cell metabolism and increased melanin deposition, potentially forming spots on both cheeks. Symptoms may include skin lesions and itching. Under medical guidance, treatments may include topical medications such as tazarotene gel, adapalene gel, or fluorouracil cream.

5. Melanosis

Melanosis is commonly linked to malnutrition or long-term exposure to chemical substances. It may impair skin metabolism, leading to the aforementioned symptoms. Additional symptoms may include dryness and scaling. Treatment under medical supervision may involve oral supplements such as vitamin C tablets, glutathione tablets, or compound glycyrrhizin tablets.

Maintaining a regular sleep schedule, avoiding late nights, and appropriately supplementing with vitamins and collagen can support skin recovery and overall skin health.