The spots on the face of a 15-year-old girl are considered as freckles, chloasma, coffee spots, etc. According to different types of spots, general treatment, medication, physical therapy and other methods should be used for reasonable treatment. 1. Freckle: it is a pigmentation spot that occurs on the facial skin and belongs to autosomal dominant genetic disease, which generally has no effect on the body, so it does not affect the aesthetics and does not need to be removed. For patients who are affected by aesthetics, cosmetics can be used to cover them appropriately, and if necessary, they can go to the hospital for reasonable treatment by physical methods such as laser and freezing. 2. Melasma: It is a yellow-brown pigmentation spot on the face, which is mainly caused by heredity, ultraviolet irradiation, changes in the level of sex hormones and medication, etc. For melasma, it is necessary to do a good job first. For melasma, first of all, it is necessary to do a good job of sunscreen, and secondly, under the guidance of specialists, hydroquinone and its glycosidic anhydride derivatives, 2%~5% hydroquinone cream, etc., or oral aminocyclic acid and other medicines, combined with photoelectricity treatment at the same time. 3. Coffee spot: it is a common pigmentation skin disease, mainly caused by heredity. Since it has no effect on the health of the body, no special treatment is needed. For patients with aesthetic needs, physical methods such as laser, freezing, grinding and so on can be reasonably treated under the guidance of doctors. For the phenomenon of 15-year-old girls with spots on the face, it may also be related to other systemic diseases, and it is recommended to go to a regular hospital in time and standardize the treatment under the guidance of a specialist.