Dermatosis Papulosa Nigra (DPN)
Dermatosis Papulosa Nigra (DPN) is a common, benign skin condition that presents as multiple small, dark brown to black spots on the face and neck. It primarily affects individuals with darker skin tones, especially those of African, Afro-Caribbean, or Asian descent.
DPN lesions are harmless and non-contagious, but they may increase in number with age and can become a cosmetic concern, particularly when clustered or raised.
What is the treatment for Dermatosis Papulosa Nigra?
Depending on the photos sent, telephone call and short consultation, the treatment could be heat cauterisation or freezing. Along with the importance of removing all the black lesions, your safety is the primary concern, and we, at Skin Revision, need to understand that there will be no scarring or hyperpigmentation. Transparency is critical, and we will advise accordingly.
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What Causes Dermatosis Papulosa Nigra?
DPN is believed to have a genetic component. It often runs in families and usually appears during adolescence or early adulthood. The condition is not related to sun exposure, infection, or skin trauma.
The spots are a type of seborrheic keratosis — a non-cancerous overgrowth of skin cells.
Common Characteristics
Is DPN Dangerous?
No — DPN lesions are benign and do not pose a health risk. They do not develop into cancer and are not infectious. Treatment is entirely elective and based on personal preference for aesthetic reasons.
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Will DPN Come Back After Treatment?
Treated lesions typically do not return. However, new DPN papules may gradually appear over time, especially in individuals who are genetically predisposed.
What Can I Expect After Treatment?
Following treatment, the area may appear slightly red or darkened, and a small scab may form. Healing usually takes 7–14 days. Temporary pigmentation changes (darker or lighter spots) may occur, particularly in darker skin tones, but fade with time. Aftercare instructions should be adhered to for best results.
Do I Need a Consultation?
Yes — we offer a quick initial phone consultation or image-based review to determine suitability and discuss the best approach. In-person consultations are available if preferred.
Recommended treatment(s):
Before and After Pictures
Frequently Asked Questions
No. DPN is not caused by a virus or bacteria and cannot be spread between individuals.
Because it is genetic, it cannot be prevented. However, early treatment can control the number and appearance of lesions.
Most procedures are quick and involve minimal discomfort — typically a mild stinging or freezing sensation.
Healing takes about 7–10 days. You may experience slight scabbing and temporary pigmentation changes. Full aftercare will be advised during your consultation.
Treated lesions usually do not come back, but new ones may develop in the future depending on your skin type and genetics.
DPN most commonly affects individuals with darker skin tones, particularly those of African, Afro-Caribbean, or Asian descent. It usually develops during adolescence or early adulthood and often runs in families.
No, Dermatosis Papulosa Nigra (DPN) is quite different from moles, skin tags, fibrous papules, dermatofibromas or cysts, etc.
Using any of the approved options to remove the DPN, no guarantees are ever given that a small scar maybe visible. It is unlikely that Hyperpigmentation or scaring will occur but we offer no guarantees on any of our treatments. Any scaring would generally fade over time. Your consultation will determine whether it is safe for your skin type and skin tone to have treatment.
Yes. Multiple lesions can often be treated in a single session, depending on the size, number, and treatment method. Your practitioner will advise on the most effective approach during your consultation.