Q: Can dark spots on skin with age be removed or lightened permanently? The age spots on my face are flat; the ones on my back are raised. I just want to know if brown age spots can be lightened or removed before I invest in advertised products.
A: The spots you are describing sound like solar lentigines and seborrheic keratosis. Both of these classify as “age spots” and are harmless. No over-the-counter product can really help with these. Such products contain various combinations of skin lighteners, retinol, and vitamin C and these are only effective in freckles and very superficial pigmentation.
What age spots require is removal with a laser or radiofrequency device followed by maintenance with a prescription cream like Retin-A micro 0.04% once at night and an SPF 50+ sunscreen 2-3 times per day. The flat spots can also be helped with deep chemical peeling. All of these procedures are done by dermatologists.
— Answer by Dr. Nair, dermatologist on JustAnswer.
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