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How To Remove Black Spots On Back And Neck?

Facts Checked
Black Spots On Back And Neck


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Keeping our skin spot free has been a consistent desire of people everywhere. One skin condition that makes achieving this difficult, is the appearance of black spots on back and neck, also around shoulders. Black spots are usually harmless; The causes may be varied ranging from simple sunspots to conditions like skin cancers which may need immediate attention. It is important to consult a dermatologist who can diagnose the cause of these black spots and suggest an appropriate treatment to get rid of them.

Black Spots On The Back And Neck

Dark spots on the neck, back and shoulders may be discrete or diffuse and are often confused with dirt that you can wash off. However, these black or dark spots are signs of hyperpigmentation where patches of skin become darker in colour than surrounding normal skin. While they can appear anywhere on your body, dark spots usually develop on areas that have maximum exposure to the sun.

Must Read: What Is The Best Treatment For Skin Pigmentation?

Causes Of Black Spots On Back And Neck

Dark spots on the back and neck can develop due to many reasons, like the following:

  1. Excessive exposure to UV rays: Either overexposure to the UV rays due to frequent stepping out into the sun without adequate sun protection or excessive use of artificial tanning can result in dark spots on the back and neck. This is because of excessive melanin production in the skin.
  2. Skin conditions: Riehl’s Melanosis, Acne, Macular Amyloidosis, Lichen Planus Pigmentosus, etc. can cause dark spots on the neck and back.
  3. Ageing: Solar lentigines or liver spots are dark spots that are common in people above 40 years of age.
  4. Acanthosis Nigricans: The condition commonly affects the neck and body folds like underarms etc. The skin looks velvety and thickened and appears like a dirty neck. It occurs because of excessive weight gain and insulin hormone imbalance.
  5. Side effects of Medication: Use of drugs like Tetracyclines, Phenytoin, Sulfonamides, Estrogens, Amiodarone, Phenothiazines, etc. can result in black spots on back and shoulders.
  6. Medical conditions: Certain health concerns like liver disease, Addison’s disease, Pituitary tumours, hemochromatosis, etc. can cause the formation of dark spots on the back.

Must Read: Skin Lightening Treatment

Symptoms Of Black Spots On Back, Neck & Shoulders

Read further to know how the black spots on back, neck and shoulders look.

  • The dark spots can range in colour from dark brown to black or slate grey.
  • They are painless.
  • The texture of a black spot may be smooth or uneven similar to the surrounding skin.
  • Solar lentigines are usually flat and oval.

Treatment For Black Spots On Back And Neck

A dermatologist may use any of the following methods to reduce the black spots on your back and neck depending on the condition:

  • Laser Treatment: This procedure involves the use of laser emissions to disintegrate the pigment selectively. Cells responsible for the appearance of black spots on back and neck, It also helps stimulate collagen production for faster healing. It is an effective treatment for reducing dark spots.
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  • Chemical Peels: There are different types of chemical peels, which can help you get rid of your dark spots. These peels contain alpha and beta hydroxy acids derived from natural sources of varying strengths and work by exfoliating and removing the damaged skin cells and accumulated pigment in the superficial layers of the skin. Some of the best chemical peels that are effective in treating dark spots are glycolic peels and trichloroacetic peels.
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  • Microneedling: It is one of the common treatments for dark spots as it does not use any chemicals and it encourages the body to heal on its own. It involves the use of a hand-held device that contains several tiny needles, which help in stimulating collagen production in the skin.
  • Dermabrasion: This procedure removes layers of skin painlessly with the use of a wire or a diamond-tipped instrument. Dermabrasion works effectively for reducing spots that penetrate deeper than the epidermis (top layer of skin).
  • Skin Lightening Creams: There are a large number of skin lightening creams available in the market. They can help in reducing a few types of dark spots if you apply them in a proper dose and for a duration recommended by your dermatologist. One of the most common ingredients present in these skin-lightening creams is hydroquinone. They also contain Kojic Acid, Lactic Acid, Glycolic Acid, Azelaic Acid, etc. Though these creams may be useful, they generally offer temporary results and have to be used under the guidance of a Dermatologist.
  • Home Remedies: Many people often try to get rid of the black spots by using home remedies; however, it is advisable to visit a dermatologist who can find out the root cause of this pigmentary concern and suggest an effective treatment accordingly.

Must Read: Do Chemical Peels Remove Dark Spots?

Tips For Prevention Of Black Spots On Back And Neck

Here are a few simple tips you can follow to prevent dark spots on your body.

  1. Cover up all extremities of your body to protect them from sun damage. Wear hats, gloves, scarves, shades, etc. to protect your skin from the harsh sun rays.
  2. Do not touch, scratch or pick up wounds or scabs to avoid long-term scarring.
  3. Use sunscreen with SPF 30 to protect your skin from UV rays before stepping out.

Remember, dark spots on your back, shoulders and neck may indicate an underlying health condition. Therefore, it is critical to understand how to treat them. If you are suffering from dark spots, go ahead and seek immediate medical attention to safeguard your skin health today.

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About The Author

Dr. T N Rekha Singh

Dr. T N Rekha Singh

Dr T N Rekha Singh is an MD in Dermatology, Venereology and Leprology from the esteemed Gandhi Medical College at Hyderabad. She has a rich experience of over 11 years in performing advanced laser treatments for hair reduction, skin resurfacing and skin lightening, scar and anti-ageing procedures. She also specialises in offering hair regrowth treatment and non-invasive body contouring service. Working as a Senior Consultant Dermatologist and the Training Head at Oliva Skin & Hair Clinic for over a decade, she has mentored more than 60 doctors in the field of advanced medico-aesthetic care. She has been exemplary in introducing clinical marvels and enhancing the quality of care at Oliva and making it at par with global standards. She imparts extensive training to dermatologists and therapists and helps them keep abreast with the latest technological innovations in the industry. Awarded for her research at the AP state conference, she has participated and presented papers at many prestigious national and international dermatology seminars. She is passionate about offering revolutionary skin and hair care treatments using the science of transformation and providing nothing but the best results for all Oliva clients. She enjoys reading, travelling and cooking in her free time. She lives with her husband and kids in Hyderabad.


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