Facial spots are a common skin condition that can affect people of all ages. The two most common types of facial spots are SPAS and ACNE, both of which have four letters. SPAS stands for Seborrheic Keratosis, which is a type of noncancerous skin growth that appears as a raised, dark spot on the face. ACNE stands for ACNE Vulgaris, which is a common skin condition characterized by pimples, blackheads, and whiteheads. Both conditions can be treated with topical creams or medications.