Hello, You are having dark patches around the mouth and cheeks; dark patches are bothering you. Hyperpigmentation may be due to underlying medical conditions, lifestyle habits and medications. Dark patches don’t necessarily require treatment. Changes in the melanin production on the face are commonly caused by Sun exposure, hormone fluctuations, medications, and certain underlying conditions. Melasma, dark brown and grayish brown patches on the forehead, cheeks, and upper lip are caused by hormonal changes in women. Sometimes hyperpigmentation may be due to infection around your mouth or black spots after the skin has healed. Pigment changes may be triggered by deficiency in vitamin D and vitamin B12. Avoid UV rays exposure around your face, chest and other areas. Your risk for skin discoloration around the mouth from sun damage is higher if you don’t wear sunscreen in this area. Hyperpigmentation around the mouth may be more difficult to treat compared to other areas of your face, due to the delicate nature of the skin in this area. Exfoliation and skin brightening serums containing antioxidants like vitamin C help reduce the appearance of hyperpigmentation. However, the spots may return soon after you stop using these methods. Retinoids may also help to lighten your skin. Use these products gradually, starting with every other day as your skin gets used to them. The products may have side effects so you are suggested to do a patch test before applying it. However, you are suggested to get clinically examined by a dermatologist. You may be prescribe azelaic acid to reduce discoloration and inflammation. If required you may be recommended laser therapy for dark spots or chemical peels to help reduce appearance of pigmentation. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician