Black dots on the face may be seen in pigmentation, blackheads and pimples, which need to be removed by laser treatment and medication respectively. 1. Pigmentation mainly includes chloasma, freckles and age spots, of which freckles and age spots will be manifested as small black spots or black dots on the skin, and the treatment mainly includes laser treatment, medication (local topical retinol cream), etc. Blackheads are one of the early manifestations of acne, which is related to the sebum of the skin. 2. Blackheads are one of the early manifestations of acne and are related to the abnormal excretion of sebaceous glands in the skin. In the treatment mode, the main treatment is to give medication to dissolve keratin, such as retinoic acid cream. It can also be treated by taking needle clearing directly with a sterile needle. Due to the different physical condition of individuals, the treatment will also have certain changes, the specific circumstances need to first consult a doctor, follow the doctor’s instructions for treatment.