Black spots on the face that do not improve with creams and sunscreen are often due to conditions like hyperpigmentation or melasma, which can be influenced by sun exposure, hormonal changes, acne marks, stress, or skin irritation. While using sunscreen and creams like Ban A Tan is helpful, improvement can be slow and may not occur if the underlying cause is not addressed or if stronger treatment is needed. It is also important to use sunscreen correctly (enough quantity and regular reapplication), as even small sun exposure can worsen pigmentation. In many cases, treatment may require medicated creams prescribed by a doctor, such as those containing retinoids, hydroquinone, azelaic acid, or kojic acid. Avoid using multiple or harsh creams without guidance, as they can irritate the skin and worsen spots. Consulting a dermatologist is the best next step to identify the exact cause and start appropriate treatment, which may include creams, chemical peels, or other procedures. With proper care and consistency, these spots can improve over time.