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woman with age spots

Liver Spots

While liver spots are harmless, they can detract from a clear, youthful complexion.

Also called age spots or sun spots, these imperfections are hyperpigmented areas that result from sun exposure.

How do I know if it's an age spot?

woman with age spots

Like Their Name Implies, Liver Spots Are Dark Areas on the Skin

A Spectrum of Shades

These spots can range in color, from light tan to brown or black.

Flat & Smooth

Unlike some moles, the spots are not raised. Typically oval in shape, liver spots have the same textures as the rest of your skin.

Affect Sun Exposed Areas

Liver spots most commonly occur on the face, shoulders, chest, and back of the hands since these areas are prone to excessive sun exposure. 

Genetics Have Some Influence But Sun Exposure Is the Biggest Risk Factor

If you have light skin and red hair, you’re at a higher risk of developing age spots, or solar lentigines. The other major predictor is sun exposure, so if you've frequently experienced sunburns, spent time tanning, or live in a sunny location, you may be more prone to age spots.

But what actually causes the spots to develop?

UV Light Speeds Melanin Production

Sun Exposure

Tanning or spending time in the sun exposes the skin to increased levels of ultraviolet (UV) light. 

Melanin Production

UV light speeds the production of melanin, which can clump together in high concentrations and form a visible spot. 

“The best thing you can do for the health and appearance of your skin is to shield it from the sun – starting when you’re young.”  Andrew Weil, M.D.

What Can I Do to Lower My Risk?

Wear Protective Clothing

Broad-brimmed hats, long-sleeve shirts, and other clothing that covers the skin from the sun’s rays can reduce your risk of developing age spots.

Avoid the Sun Between 10 and 2

UV rays are most intense between 10 a.m. and 2 p.m. so plan on being inside during these hours when you can

Slather on the Sunscreen

Use a broad-spectrum sunscreen (check the label to ensure both UVA and UVB light is blocked) of at least SPF 30 religiously. Apply 15-30 minutes before you go outside and reapply every two hours. 

When in Doubt, Make an Appointment

True liver spots do not pose any threat to your health. However, they can often be mistaken for other, more serious skin conditions, such as melanoma, or skin cancer. In general, if a new spot appears on your body, you should see a dermatologist. In addition, patients over age 50 should have a full-body exam, especially if they have a family history of skin cancer.

Dermatologists undergo special training in skin conditions and can identify potentially harmful spots.

Usually, your doctor can diagnose a liver spot with a simple visual inspection. However, if they notice something unusual, your dermatologist may do additional tests, such as a skin biopsy. This procedure is short and typically done in your doctor’s office under local anesthesia. They can send the skin sample to a lab for microscopic analysis. 

Treatment Actually Lightens or Removes Spots

Creams and Lotions

Bleaching creams, retinoids, or mild steroids can all lighten dark spots.


Procedures like dermabrasion and microdermabrasion exfoliate the topmost layer of skin, revealing more evenly pigmented tissue.


Freezing the spot destroys dark pigments, so when the area heals, the skin will appear lighter. 

Laser Treatment

Intense pulsed light and laser treatments kill melanocytes, or melanin-producing cells. This causes the spots to fade. 

A Professional Can Provide the Most Effective Treatment

Liver spots can make you look older than you really are. While over-the-counter options are available, a doctor can help you achieve the most effective results in the shortest amount of time. Schedule a consultation today to find out how to restore your youthful glow. 

James B. Lowe, MD, FACS

Lowe Plastic Surgery

Dr. Lowe is a board-certified surgeon and is affiliated with several prestigious organizations:

  • American Society of Plastic Surgeons 
  • American Society for Aesthetic Plastic Surgery
  • American Board of Plastic Surgery
  • Fellow, American Association of Plastic Surgeons
  • Fellow, American College of Surgeons 
  • American Society for Surgery of the Hand 

Schedule your consultation by contacting us online or calling us at (405) 942-4300.

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