I am a 32-year-old housewife following a strictly vegetarian diet. For the past 3-4 months, I have developed 6-7 black pimple spots on my cheeks for the first time. Please advise on the cause and treatment.
The black spots are probably due to leftover marks from pimples (post-inflammatory hyperpigmentation) or adult-onset acne, which may sometimes be linked to hormonal changes or nutritional deficiencies common in vegetarian diets. You should consult a doctor or dermatologist to check your vitamin B12 and iron levels. In the meantime, use a mild topical treatment, such as niacinamide or azelaic acid, to help fade the spots safely.