Flat brown patches have a way of showing up on the face and the backs of the hands sometime in your 40s or 50s, usually without any announcement. You’ll hear them called sunspots, liver spots, or solar lentigines, depending on who’s doing the describing. Age spots form when years of ultraviolet light push your skin into overproducing melanin, and that extra pigment settles into small, concentrated patches.
Your eyes and your skin absorb the same UV light, which is why comprehensive eye exams and skin rejuvenation can share a waiting room.
What Age Spots Actually Are
An age spot lies flat against the skin. It won’t itch, flake, or rise above the surface, and its color runs anywhere from light tan to deep brown depending on your complexion and how much sun that patch has absorbed over the years.
Look at the parts of your body that see daylight most often, because roughly 90% of these spots appear on sun-exposed skin:
- Cheeks, forehead, and temples
- Backs of the hands
- Forearms
- Shoulders and upper back
The Real Reason Age Spots Form
Melanin gives your skin its color, and it doubles as a built-in defense. When UV rays land, your body speeds up melanin production and sends it toward the surface to shield the layers underneath.
That system holds up for a long time. Eventually the pigment stops spreading evenly and starts gathering in clusters instead, and those clusters surface as brown patches.
No single afternoon outside creates one. An age spot is more like the receipt for a few thousand afternoons.
Risk Factors That Play a Role
Not everyone develops age spots at the same rate. A few factors can increase your chances:
- Fair skin starts with less melanin on hand, so overproduction happens more readily
- Tanning beds deliver the same UV load as time under open sky
- A history of blistering sunburns raises your odds
- Family history can prime your skin to develop spots even with modest exposure
- Age plays a part, since spots become common in adults over 50
When to Get a Spot Checked Out
Most brown patches are precisely what they appear to be. A few are not, and melanoma can resemble an ordinary age spot closely enough to slip past a quick glance in the mirror.
Have a professional examine the area if you notice any of the following:
- A spot that grows or changes shape over a few weeks
- Ragged, notched, or blurred borders
- More than one color inside the same patch
- Bleeding, itching, or tenderness when you touch it
- One spot that looks nothing like the others around it
Bring it up at your next appointment rather than waiting to see what happens. Early evaluation gives you options.

What You Can Try at Home
Topical care works slowly, and skipping days tends to undo whatever progress you’ve made. Build a simple routine and stick with it:
- Apply a vitamin C serum each morning, which may help brighten dull patches over time
- Exfoliate gently once or twice a week to clear away surface cells
- Add a retinoid at night if your skin tolerates it
- Reapply sunscreen through the day, since ongoing UV exposure can darken the spots you already have
Medical-grade skin care and chemical peels work at higher concentrations than what you’ll find on a drugstore shelf, and an aesthetics provider can match the formula to your skin instead of leaving you to guess.
In-Office Treatment with SmoothGlo
Sometimes topicals stall out. Light-based treatment goes after pigment more directly.
SmoothGlo pairs intense pulsed light with radiofrequency microneedling in one session, so it addresses uneven tone and texture together. That combination suits people who came in thinking about age spots and stayed to ask about fine lines.
Ask an optometrist who offers aesthetic services whether your pigment may respond well to it. A consultation sorts that out quickly.
How to Prevent New Age Spots
The most practical step you can take is making sun protection a daily habit, not just something you do at the beach. Work these into ordinary days:
- Apply broad-spectrum SPF 30 or higher before you head outside, cloudy weather included
- Schedule outdoor plans around the 10 a.m. to 2 p.m. window, when UV intensity peaks
- Wear a wide-brimmed hat and sunglasses that block UVA and UVB rays
- Cover the backs of your hands, which people forget until the spots arrive
None of this erases what’s already there. It can slow the arrival of new spots and help protect whatever ground you gain through treatment.
Let’s Take a Closer Look at Your Skin
Age spots record where the sun found you over the years. What happens next is up to you.
Talk with the team at Advanced Eye Care & Aesthetics about your skin, your goals, and the treatments that make sense for both. Book your appointment and let’s take a look together.
