Freckles and melasma can be treated. Patients are advised to go to regular hospitals or institutions for treatment to achieve effective removal. Freckles are a kind of brown, punctiform pigmentation spots commonly found on the face and are related to heredity. Melasma is usually associated with endocrine disorders and is a yellowish-brown pigmentation spot that occurs on the face. For melasma, patients can take oral tranexamic acid, vitamin C, vitamin E, Chinese herbal medicine to activate blood circulation and remove blood stasis or dredge liver and Qi for regulation to inhibit melanin formation, together with physical treatment such as laser and strong pulse light. Through the combined use of multiple means, melasma can be obviously faded or even completely eliminated. Patients with freckles can take vitamin C and glutathione orally, use hydroquinone cream topically to reduce pigmentation, and combine with Q-modulated laser and intense pulsed light for treatment, which usually has better effect. In daily life, patients also need to pay attention to sun protection to prevent hyperpigmentation so as not to stimulate the recurrence of melasma or freckles by ultraviolet rays. In addition, regular work and rest is especially important to ensure sufficient sleep and to develop a good habit of going to bed early and waking up early.