White spots on the face without pain and itch may be caused by vitiligo, pityriasis alba, psoriasis and other diseases, need to take targeted treatment according to the cause. 1. Vitiligo: mainly caused by the destruction of melanocytes and reduced production, it is easy to cause white spots on the patient’s skin, and usually does not cause pain and itching symptoms. You can apply carbostanol ointment, halomethasone ointment and other drugs under the guidance of the doctor for treatment, and skin transplantation is also available for patients with serious conditions. 2. White chaff rash: usually caused by malnutrition and vitamin deficiency, can cause white patches on the skin, patients usually have no conscious symptoms. Patients usually have no conscious symptoms. It can be treated with local urea ointment, vitamin E cream and other medicines, and can also be treated with vitamin B complex tablets, vitamin C tablets and other medicines as prescribed by the doctor. 3. Psoriasis is related to genetic factors and bacterial infections, and it is easy to cause skin lesions with silvery-white scales, which will not cause pain and itching in patients with mild disease. Tacrolimus ointment, retinoic acid cream and other drugs can be applied to treat the disease. White spots on the face without pain and itching may have other causes, it is recommended to consult a doctor in time to clarify the cause of the disease, and follow the doctor’s instructions for treatment.