This is a problem that bothers many women. They aren’t really age spots; they are sun damage.
So the first thing is to start wearing a sun block on the hands daily and reapply as much as you can. It helps to wear gloves (fingerless) while driving if you spend a lot of time in the car. Antiaging creams like a 10-15% glycolic at night or TNS Recovery will help – try alternating them. But …. at the end of the day, those spots may require a laser. A series of 3 IPL treatments or 2 Fraxel Dual treatment (we have this now in our Seattle clinic) will help immensely.
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