Bruce P. Robinson, MD

Age Spots | Solar Lentigo| Sun Spots

Age spots are small, flat dark areas on the skin. They vary in size and usually appear on areas exposed to the sun, such as the face, hands, shoulders and arms. Age spots are also called sunspots, liver spots and solar lentigines.

Age spots can look like cancerous growths. True age spots don't need treatment, but they are a sign the skin has received a lot of sun exposure and are an attempt by your skin to protect itself from more sun damage. You can help prevent age spots by regularly using sunscreen and avoiding the sun.

Age spots may affect people of all skin types, but they're more common in adults with light skin. Unlike freckles, which are common in children and fade with no sun exposure, age spots don't fade.

  • Are flat, oval areas of increased pigmentation
  • Are usually tan to dark brown
  • Occur on skin that has had the most sun exposure over the years, such as the backs of hands, tops of feet, face, shoulders and upper back
  • Range from freckle size to about 1/2 inch (13 millimeters) across
  • Can group together, making them more noticeable

When To See a Doctor

Age spots don't require medical care. Have your doctor look at spots that are black or have changed in appearance. These changes can be signs of melanoma, a serious form of skin cancer.

It's best to have any new skin changes evaluated by a doctor, especially if a spot:

  • Is black
  • Is increasing in size
  • Has an irregular border
  • Has an unusual combination of colors
  • Is bleeding

Causes

Age spots are caused by overactive pigment cells. Ultraviolet (UV) light speeds up the production of melanin, a natural pigment that gives skin its color. On skin that has had years of sun exposure, age spots appear when melanin becomes clumped or is produced in high concentrations. Also, the use of commercial tanning lamps and beds can cause age spots.

Laser Treatments for Pigmentation

We offer a range of advanced laser therapies tailored to the type and depth of discoloration, whether you’re dealing with brown spots, melasma, sun damage, or red marks from acne or rosacea. Each treatment is selected based on your unique skin tone, condition, and goals.

Lasers for Brown Spots, Melasma & Sun Damage:

These lasers use ultra-short pulses to break up unwanted pigment while minimizing damage to surrounding skin, ideal for darker skin tones.

Q-switched Nd:YAG Laser: Targets deep pigmentation, including melasma and post-inflammatory hyperpigmentation (PIH), with precision and safety for all skin tones.

Fractional Lasers: These versatile lasers treat pigmentation and improve overall skin quality by stimulating collagen production and resurfacing the skin. Great for: PIH (post inflammatory hyperpigmentation), sun damage, acne scarring, uneven tone, and texture.

Vascular Lasers:

Specialized for redness and pink-toned PIH (post inflammatory hyperpigmentation), especially from acne or rosacea.

Vbeam (Pulsed Dye Laser):
Targets blood vessels to reduce red marks, flushing, and inflammation. A gentle, effective option for sensitive or reactive skin types.

Each laser treatment is customized to your skin’s needs to ensure safe, effective results. During your consultation, we’ll determine the best approach—often combining laser therapy with topical treatments to maximize improvement and minimize recurrence.

Topical Treatment

For brown marks on deeper skin tones, we use a combination of hydroquinone, kojic acid, Vitamin C, and AHAs to gently and effectively lighten dark spots while brightening and smoothing the skin.
These clinically proven ingredients work synergistically to visibly brighten, lighten, and tighten the skin, revealing a more even, radiant complexion.
JAS Anti - Aging TRIO, expertly formulated to replenish, exfoliate, and restore your skin’s natural glow.

Prevention

To help avoid age spots and new spots after treatment, follow these tips for limiting your sun exposure:

  • Avoid the sun between 10 a.m. and 2 p.m. Because the sun's rays are most intense during this time, try to schedule outdoor activities for other times of the day.
  • Use sunscreen. Fifteen to 30 minutes before going outdoors, apply a broad-spectrum sunscreen with a sun protection factor (SPF) of at least 30. Apply sunscreen generously, and reapply every two hours — or more often if you're swimming or perspiring.
  • Cover up. For protection from the sun, wear tightly woven clothing that covers your arms and legs and a broad-brimmed hat, which provides more protection than does a baseball cap or golf visor.Consider wearing clothing designed to provide sun protection. Look for clothes labeled with an ultraviolet protection factor (UPF) of 40 to 50 to get the best protection.

⚠️ Important
Always see a board-certified dermatologist or laser specialist, especially if you have darker skin.
Sun protection is non-negotiable—exposure after treatment can trigger new pigment.

If you are tired of looking older or want the spots removed, schedule a laser consultation and restore your skin to its natural beauty. Our Cosmetic Consultation Reimbursement policy is offered to all patients. Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.

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