Age spots or “liver spots” are flat, brown areas called lentigines, and have nothing to do with your liver, but are “liver” colored.  They are caused by sun exposure and appear commonly on the back of the hands but also occur on the face, back, chest, and the tops of the feet.  People who have a family history of age spots should avoid excessive sun exposure.  Treatments include topical prescription medications, freezing with liquid nitrogen, laser therapies, and chemical peels.  Contact us for an examination and institution of appropriate treatment.