DPN Removal: Treatment for Small Dark Facial Spots

Dermatosis papulosa nigra (DPN) describes small, smooth, dark raised spots that often appear on the cheeks, temples, face or neck. They are common in people with darker skin and may run in families.

DPNs are benign, but people may choose removal for comfort or appearance. A clinician should check spots before treatment, as not every dark spot is DPN.

After confirming the diagnosis, the clinician discusses whether removal is suitable, which method may be used and how to care for the skin as it heals.

1. 01Examine the spots and confirm they are consistent with DPN.
2. 02Discuss treatment options, including electrocautery where appropriate.
3. 03Plan treatment for the number and location of spots.
4. 04Review wound care and the possibility of pigment change or scarring.

• People with small raised spots that have been diagnosed as DPN.
• People whose spots catch on clothing or jewellery.
• People considering removal for personal or cosmetic reasons.

Assessment

Diagnosis before treatment

Treatment time

Depends on the number of spots

Sensation

Discussed before procedure

Healing

May involve small crusts

Aftercare: Keep treated skin clean and follow the clinician’s instructions. Avoid picking at healing spots and use sun protection as advised.

Removal can leave temporary or lasting pigment change or a scar. The clinician chooses an approach carefully and discusses these risks before treatment; no method can promise scar-free healing.