Small coffee spots can be excised, but excision surgery is generally not recommended, and commonly used treatments include general treatment, laser treatment, and so on. Small coffee spots can be excised, but if the coffee spots grow on the face and the area is not big, surgical excision may lead to localized scarring, so it is often recommended to improve the situation through laser treatment and so on. Small coffee spots generally do not have a great impact on human health, so most small coffee spots do not need special treatment. If it affects the aesthetics, the laser can destroy and decompose the melanin particles without destroying the normal tissue cells, so as to eliminate the small coffee spots. It is recommended that patients go to the hospital for detailed examination, consult with professional physicians, and take targeted treatment according to the doctor’s instructions.