It sounds frustrating to have black spots on your face for several years. The medications you mentioned, Cleargel and Apgel, are typically used to treat acne and related skin issues by helping to clear blocked pores and reduce inflammation.

• Apgel contains adapalene, which helps to loosen skin cells and reduce oil, improving acne and preventing new spots.
• These treatments usually take time, and one month might not be enough to see full improvement, especially for long-standing spots.
• Black spots could be post-inflammatory hyperpigmentation, which often improves gradually but may require additional treatments like sunscreen, skin-lightening agents, or dermatological procedures.

I recommend following up with a dermatologist who can assess your skin condition in detail and suggest a tailored treatment plan, possibly including longer or different therapies to address the pigmentation effectively. If you notice worsening irritation, redness, or new symptoms, seek medical advice promptly.To narrow down potential causes, we will need some more information.Please tell me your age and gender.