Long spots on women’s face is a common clinical manifestation, which is considered to be caused by melasma, age spots, freckles and other diseases. 1. Melasma: it is a yellowish-brown patch on the face, the cause of which is unknown and may be related to heredity, ultraviolet irradiation, abnormal sex hormone level and other factors. It leads to the appearance of light yellowish brown or dark brown patches of different shades on the patient’s cheekbones, forehead and upper lip. 2. Age spots: also known as seborrheic keratosis, for the face, the back of the hands exposed parts of the appearance of rice grains to the size of the nail cap of the brown patches, the etiology of the disease is not yet known, may be related to the aging of the skin, heredity, sun exposure and so on. The cause of the disease is unknown, probably related to skin aging, heredity, sunlight exposure, etc. It leads to the appearance of plaques slightly higher than the skin on the face, the back of the hands, the chest and back. 3. Freckles: light brown to dark brown spots occurring on the face, the disease is related to heredity, light exposure and other factors, and its lesions are dotted, rounded, irregularly shaped, pinpoint-sized light brown to dark brown spots. Since there are many reasons for women to have spots on their faces, it is recommended that patients go to regular hospitals in time for consultation and standardized treatment under the guidance of doctors after a clear diagnosis.