Thanks for your response. I have been under the care of a dermatologist since my diagnosis. I took Accutane for acne when I was younger and wonder if this may have caused it. My dermatologist doesn’t think so. I have tried hydroquinone, but it never helped. I went to a holistic doctor and he had me try azelaic acid gel. I tried acupuncture, herbal supplements, eating super clean and cutting out gluten. I’ve also use face products that do not contain a lot of chemicals. It’s mostly on my chin so I think it’s hormonal. I was on natural progesterone for awhile but it didn’t help. As you can see, I have tried pretty much everything. Now I’m worried about my mental well-being because it bothers me so much. I feel like it’s such a curse to never go out in the sun without covering my face. Even just the heat makes it worse. Thanks for listening 😊