I've never had the brown blotches on my skin. But, I have deep black circles under my eyes (that turn almost purple when I am in a flare); black blotches on my nose (leftovers from lupus lesions); and a crevice in my cheek (another leftover from lupus lesions).
At this point, I care less and less about my physical appearance as I am so very grateful for days of relatively good health. Those days are becoming few and far between, so I cherish them so much more than how I look. When I can get out of bed on my own, go outside and take a walk, and do a bit of exercise, I am elated.
Whomsoever is judging how I look instead of who I am can just dismiss themselves from my life. I am 62yrs old and don't really care how old I look.
Just my point of view of living with Lupus!
Peace and Blessings
Look For The Good and Praise It!