Ugly brown patches on my cheeks

Patient : I have brown patches on my cheeks. They are symmetrical, size of a quarter and and have not changed size or shape since they appeared 5 years ago. I never go out in the sun, don't smoke, don't have children,don't take any kind of medication and Don't expose my skin to any kind of harsh treatment. I am Asian skin tone and 44 years old. Please advise how I can get rid of these brown patches and also what caused them to appear in the first place. Thanks.
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