Small black spots on the face are mostly considered to be related to pigmented nevus, freckles, etc., which should be treated according to their causes by general treatment, physical treatment and surgery. 1. Pigmented nevus: For patients with pigmented nevus, the specific treatment should be decided according to whether the shape is regular and whether the boundary is clear, etc. If the nevus is small, the boundary is clear, the shape is regular and the pigment is symmetrical, the black spot can be removed by carbon dioxide laser and other physical means; otherwise, it is recommended to remove the local lesion through surgery. 2. Freckles: For patients with freckles, first of all, they should pay attention to sun protection, and at present, they can be treated by laser and other physical treatments, including intense pulse light, picosecond laser, etc. The energy generated by the laser can break the pigment particles, which will be swallowed by phagocytes of the human body to be removed and discharged out of the body. For patients with small black spots on the face, it is recommended that they go to the dermatology department of a regular hospital, and choose the appropriate treatment under the guidance of the doctor to actively treat the cause of the disease.