Cause of age spots on hands

First of all, the accumulation or absence of skin pigment on the hands is of concern as an aesthetic problem. But the appearance of age spots can also be caused by serious pathological abnormalities that require medical attention.

Types of pigmentation disorders

Changes in pigmentation on the hands can be of different types, depending on the color of the pigment spots.

There are:

1. Red spots. Red pigment spots form in newborns due to excess melanin, infections suffered by the mother, and fetal hypoxia.
2. Yellow spots appear due to dysfunction of the liver or other organs of the digestive tract. They are not removed by cosmetic means. Initially, you need to contact a gastroenterologist.
3. Accumulation of brown pigment speaks of increased melanin production, which can be caused by a hormonal imbalance, excessive tanning, solarium in particular, systemic diseases, and oncology.
4. After 50 years, senile age spots appear - lentigo. Often the reason for their appearance is associated with natural changes in hormonal levels and exposure to the sun. They darken with tanning, and when the skin turns pale, they remain the same intensely colored. The sun damages cells containing melanin, which is why this effect is observed.
   
   
   
   
5. White spots or vitiligo occur due to a lack of melanin. Doctors cannot clearly establish the cause of the disease, but associate it with hormonal imbalances and metabolic processes in the skin.

Causes of dark age spots

Pigment spots on the hands may appear if:

1. Changes in hormonal balance associated with old age.
2. A change in the ratio of hormones in the body caused by a natural process: pregnancy, puberty.
3. Hereditary predisposition.
4. Reaction to prolonged exposure to UV rays.
5. Taking medications, often hormonal.
6. Reaction to cosmetic products.
7. Exposure to household chemicals.
8. Lack of vitamins and minerals in the body, such as vitamin C.
9. Metabolic disease.
10. Systemic diseases that cause hormonal imbalance. These include diseases of the endocrine, genital, and digestive organs. In addition, hormonal imbalances are caused by frequent stress.

Causes of light spots

White spots on the hands indicate insufficient production of melanin, that is, the absence of pigment, and The reasons for this phenomenon can be completely different:

1. Vitiligo – an autoimmune disease in which melanin disappears in certain areas of the skin, resulting in the formation of pigmentless spots with uneven edges on the surface of the skin.

Vitiligo is one of the reasons for the appearance of light pigment spots on the hands.

1. Malassezia fungus is a harmless yeast fungus that feeds on dead epithelial cells. Under certain conditions, it causes a pathology characterized by the appearance of light spots on the skin, including on the hands. Some dermatologists refer to this type of pathology as pityriasis alba, which is a light, scaly spot.
2. Hypomelanosis idiopathic - a disease that is inherited. It is characterized by the appearance of spots on the skin that lack pigmentation. Often the disease manifests itself in old age.
3. Nevus - This is a mole, but devoid of melanin. When tanning, it becomes more and more different from the rest of the skin and can degenerate into a cancerous formation.

Treatment options

Pigment spots on the hands can be evidence of an autoimmune disease, cancer, disruption of internal organs, including the endocrine system, or exposure to external factors, so treatment methods are radically different.

In some cases, it is enough to resort to traditional methods or the use of lightening cosmetics, others require medication, salon treatments or surgery.

For example, vitiligo cannot be cured with folk remedies.

Therapy is carried out in a salon or clinical setting, through injections, laser skin treatment, and cell transfer. If the appearance of age spots is caused by a systemic disease, you need to get rid of the root cause, then the problem will disappear by itself.

Hand creams

Cosmetics used to eliminate age spots on the hands contain substances that cause the destruction of melanin. They eliminate visual symptoms and quickly help if pigmentation is caused by age or exposure to sunlight.

Some creams contain hydroquinone. This is an organic substance that blocks the production of the hormone responsible for skin pigmentation. This substance is toxic, so creams contain it in minimal quantities.

However, after 2 weeks of regular use, a positive result is observed. It is not recommended to use it for longer than 8 weeks. In addition, products with hydroquinone destroy collagen, which is why early wrinkles appear with long-term use.

Creams containing hydroquinone include:

1. Achroactive Max – Bulgarian-made cream containing UV filters and vitamin C.
2. Achromin – also made in Bulgaria. In addition to hydroquinone, it contains lactic acid, UV blockers, and licorice root extract.
3. Astramin – also contains hydroquinone, as well as fruit and lactic acids, vitamin C, and protects against ultraviolet radiation. This product can be used for up to two months, and the effect is noticeable within a few days after the first use and lasts for another month after the last use.
4. Expigment. The composition of the product is similar to Astramin, but is available in two concentrations of hydroquinone: 2 and 4%. The product is produced in Turkey. If previous funds cost around 100-170 rubles, then this one will cost 800.
5. Amenity Pure White Cream. Produced in Japan. The composition includes a complex of acids with a whitening effect, vitamins and oils. This cream is less toxic, since fatty acids neutralize the harmful properties of hydroquinone to some extent. The price is not for everyone - more than 8,000 rubles.

Creams with glycolic and azelaic acid

Such products not only whiten, but also take care of the skin of the hands, making it more youthful, softening the keratinized areas:

1. Sesderma Hidraderm Hand Cream - Made in Spain. Contains lactic acid, glycolic acid and jojoba oil. It gently cares for the skin, rejuvenating it, gently eliminating age spots on the hands.
2. Cream Azelik blocks the development of pigmentation, due to which the skin lightens.
3. Skinoren gel – its main purpose is to combat acne and oily skin, but it also helps with pigmentation.

Creams with essential oils. These are safe products, the effect of which is based on the natural whitening effect inherent in a number of essential oils: citrus, rosewood, camphor, parsley, carrots, celery.

Bleaching products sometimes contain mercury. Such formulations are strictly prohibited for use during pregnancy and breastfeeding due to their toxic effects. If the whitening cream causes a reaction on the skin: allergies, itching, burning, darkening, its use should be stopped immediately.

Drug treatment

Anti-pigmentation medications are prescribed by a dermatologist after determining the causes of hyperpigmentation. Additional tests may be ordered, including hormone tests.

If the problem is caused by a hormonal imbalance, then hormonal drugs will be prescribed, the action of which is aimed at normalizing the function of one or another organ of the endocrine system. For digestive problems, therapy will include taking medications to treat diarrhea, constipation, ulcers, gastritis, and normalize intestinal microflora.

Salon treatments

Salon procedures give quick results and are used in cases where a cosmetic defect cannot be dealt with using home methods.

1. Laser. The device affects only pigmented areas without affecting healthy ones, therefore it is considered the safest method of treatment. The skin is cleansed and treated with a gel that improves contact between the laser and the skin. After the first session, pigment spots are significantly lightened, and after several sessions they disappear completely.
   
   
   
   
2. ELOS. This is a type of laser procedure, but first the deep layers of the skin are exposed to infrared light, which improves the tissue's susceptibility to subsequent treatment with radio waves. And then they apply radio wave current to the skin, which destroys the pigment.
3. Chemical peeling. This type of procedure involves treating the skin with products containing fruit, lactic acids, salicylic or glycolic acids. As a result of the treatment, the top layer of skin is exfoliated, and the spots gradually lighten with each procedure. The method may not be suitable due to skin sensitivity. In any case, the chemical peeling agent must be selected by a specialist.
4. Dermabrasion. This is skin polishing with a special device. As a result, not only the top layer of skin is removed, but collagen also begins to be actively produced. Since the lower layers of the skin do not accumulate pigment, spots lighten with each procedure.
5. Cryotherapy. The skin is exposed to liquid nitrogen. The damaged layer of skin freezes and dies, and the renewal process begins. Disadvantages of the procedure: duration of treatment, likelihood of loss of sensitivity in the treated area.

Pigment spots on the hands are treated with complex methods.

Salon treatments should be combined with the use of whitening creams and masks. Experts recommend starting to actively get rid of age spots in the autumn, when solar activity decreases.

Masks and compresses

Folk remedies, including masks, are used separately or in conjunction with other treatment methods.

1. Lemon juice will help lighten age spots. If the skin is not too sensitive, you can wipe the pigmented areas with lemon juice or a fresh cut of fruit. But it is better to mix the juice with other ingredients, such as whipped egg white. For one protein you will need the juice of half a lemon. 30 minutes after application, the mask should be washed off. The same amount of lemon is mixed with 1 tsp. honey and apply to the skin of the hands for 30 minutes. Honey has rejuvenating and anti-inflammatory properties.
2. Cucumber juice has a whitening property. Fresh gruel prepared from peeled vegetables should be applied to problem areas and covered with cling film for 15 minutes.
3. It is convenient to use white clay in the form of compresses with the addition of bleaching ingredients: lemon juice or hydrogen peroxide. In the first case, the clay must be diluted with lemon juice and water to a creamy consistency and applied to areas of hyperpigmentation. There should be less water than lemon juice, but the amount can be varied depending on the sensitivity of the skin. The mask should be kept for up to 20 minutes, and then you need to moisturize the skin with cream. In the second case, baking soda and talc in a 1:1 ratio and hydrogen peroxide are added to the clay composition. The amount of the active component - peroxide - is determined by the sensitivity of the skin. The exposure time of the mask on the skin is up to 10 minutes.
4. Adherents of traditional methods recommend using masks with starch. The composition again includes lemon juice. The volume of juice squeezed from half a lemon will require an equal volume of starch and ½ volume of water. The mixture is distributed over the skin of the hands and wrapped in cling film. Exposure time – 5 minutes. Frequency of use – 2 rubles/week.
5. You can also combine lemon juice in masks with dill. This product, like lemon juice, has whitening properties. Squeeze out the juice of half a lemon, and pour boiling water over a bunch of greens, chop and combine with the juice. The mask can be applied to the skin for 20 minutes, after which you need to use rich cream or sour cream to nourish the skin.
6. 2 tsp dry yeast combine with 3% hydrogen peroxide and apply to problem areas for 20 minutes.

Compresses have a milder whitening effect, but the intensity of the effect is determined by the components included in the mixture.

1. A compress made from fermented milk products has the most gentle properties. Any product is suitable: kefir, yogurt, natural yogurt. It is most convenient to use gauze or a thin napkin, soaking it in the composition. The compress should be applied to areas of hyperpigmentation and fixed for 15 minutes.
2. A compress of raw potatoes has a mild effect. One potato should be grated, apply the mixture in a thick layer to the skin of your hands and fix with gauze for about an hour.
3. Grated radish is used in a similar way. A compress is made from it, as from potatoes, which is kept for 20 minutes. But you need to wash off the mass with cold milk.
4. A large onion should be peeled, pour 1 liter of water and boil, reducing the liquid to 0.5 liters. A compress of this liquid, having soaked a piece of fabric with it, is applied for 30 minutes, 2 times a day.
5. A bunch of parsley is finely chopped, brewed with boiling water and left to steep for about 3 hours. Then hand baths are made.

Folk remedies for pigmentation

Pigment spots on the hands are treated with folk remedies, which also suggest the use of lemon juice and peroxide, but in other ways:

1. A few drops of lemon juice or ether should be added to a portion of hand cream, or better yet, baby cream with a minimum of additives. This composition is used as a regular cream, rubbing it into the skin of your hands daily.
2. Hydroperite (3%) is diluted with water 1:1 and a cotton pad is soaked in the composition. Then lather it with laundry soap and rub the pigment spots spotwise 1 ruble/week.
3. Castor oil, when used daily, will lighten your skin. It is necessary to rub in the oil 2 times a day.

Diet

In order not to create favorable conditions for the appearance of age spots, you need to eat right: exclude fried and smoked foods, drink enough water - at least 2 liters per day, limit the consumption of coffee and tea.

The menu must include:

1. fish;
2. lean meat;
3. vegetables;
4. fruits;
5. dairy products;
6. additional intake of vitamins B2 and B.

You can cure dark pigment spots that appear on your hands with age or due to exposure to sunlight using traditional methods.

Pigment spots, the appearance of which is associated with diseases of the liver, thyroid gland or other organs, must be treated with complex methods, eliminating the underlying disease. The absence of pigment is a more complex case that requires medical intervention.

Video about pigment spots on the hands, the reasons for their appearance and methods of elimination

How to get rid of age spots at home:

Causes and recipe for a mask against age spots:

It is believed that pigment spots on a woman’s hands can appear with age. This opinion is widespread and erroneous, because a brown spot, a whole scattering of marks, can appear at absolutely any age. The reasons for the appearance of spots are not only age-related, they are associated with hormonal characteristics, skin reactions, allergies, and even general phenotypic characteristics. However, dark spots can be removed.

What are pigment spots

Before you start figuring out how to get rid of stains on your hands, you need to figure out where the so-called senile black marks come from. As a rule, the cause of spots is increased melanin in certain areas of the skin. The hormone responsible for the color of the skin, hair and eyes forms small dots when exposed to sunlight. Brushes are exposed to the sun the most. The deficiency can be removed using cosmetics, traditional methods, and special creams.

Reds

Unlike brown spots, a red spot on the hand can be either completely harmless or serve as a harbinger of disease. Urticaria is an allergy that spreads from the fingers and causes peeling and redness of the skin. The appearance of red marks is not a pigment formation, but is directly related to blood vessels, liver and heart diseases. Sometimes in the initial stages this is how vasculitis or hemangioma manifests itself. The latter ones in the photo resemble stars.

Yellow

Appearing yellow spots on the hands are a reason to consult a gastroenterologist as soon as possible. The appearance of marks is not a disease, but the yellow color makes you think about problems with the liver, stomach, or intestinal dysfunction. Pigmentation of the hands appears with the onset of the disease: cholecystitis, liver failure, intestinal dysfunction. The gastrointestinal tract and other human organs are a single whole, so do not try to solve the problem solely with cosmetics.

Brown

Why do pigment spots appear on my hands? Brown spots on the hands of a young woman are alarming and serve as a reason to go to the doctor: there is a risk of developing a dangerous disease - melanoma. People with hormonal imbalances, after an allergy attack and after excessive exposure to ultraviolet rays should be especially careful. In old age and old age, a violation of melanin production occurs in many people; it is a variant of the norm. Marks are corrected with the help of nutritious decoctions, creams, other procedures and unconventional remedies.

Age spots on hands after 50 years

With age, the endocrine background changes; pigment spots on the skin of the hands in women 50-55 years old are considered the medical norm. Improper production of melanin and gastrointestinal diseases are the reasons why brown spots on the arm spread. Doctors call the marks senile, and the recommendations boil down to avoiding the sun and carefully monitoring the condition of each black spot, the appearance of white spots or on the fingers. Unusual degenerations will make one suspect the development of a malignant process.

How to remove age spots on hands

There are several ways to remove age spots on your hands. Whitening methods using specially made masks receive good reviews. The active substance acts against the accumulation of melanin, locally destroying excess pigment. The appearance of discolored areas of skin takes some time, and the marks tend to darken. For this reason, intervention by a cosmetologist or self-correction of the skin condition should begin as early as possible, as soon as the first suspicious phenomena are noticed.

How to remove age spots on hands

If we list the main ways to get rid of age spots on the hands, then there are several that remain basic. Sometimes it is possible to combine a number of methods in order to get rid of unpleasant color changes. Visits to a cosmetologist and the use of folk remedies to combat unwanted pigmentation can be combined. Age spots on the hands are eradicable.

Sunscreens with powerful protection are your best friends. Melanin tends to break down over time, the main thing is not to stimulate its production in the body. Maintain balance with nutritional formulations. Consult a cosmetologist about official medications to change your skin condition. Age spots on the hands can be removed, but allergic reactions followed by peeling can aggravate the problem. Do not buy medications with unknown composition without consultation.

The folk approach is more gentle and universal, suitable for any skin and can be used without prior consultation with a doctor or cosmetology specialist. The effectiveness of non-traditional methods has been criticized from the point of view of professional cosmetologists, but continues to remain at a high level. Here are the basic recipes:

1. Lemon juice for washing. The acid contained in the juice perfectly lightens and removes marks that appear on the hands with age.
2. A decoction of currant leaves and parsley, possibly with the addition of hydrogen peroxide, will also do a good job of cleaning. Compresses should be applied to the darkest places.
3. Ten drops of ammonia in combination with kefir and sour cream - and a good effective mask is ready, which is applied with your finger. The objects become the palms or other problem areas. Repeat for a week.

Some experts recommend adding hydrogen peroxide to any water for washing, except that used for the face. Pigmentation on the hands decreases. Palms, legs, body - even taking a bath with this common, inexpensive substance is allowed. How to get rid of age spots on hands? Hurry up. The sooner the procedures begin, the better you will be able to cope with them. You don't have to resort to laser correction.

Cream for age spots on hands

It is preferable to correct the lack of nutrients with creams. Hand cream for age spots does more than just remove unwanted melanin. It softens, moisturizes and makes the skin softer, smoothes out wrinkles. During the winter period, healing of red, scaly changes - so-called chicks - may be required. A good cream removes the negative effects of household chemicals. Which substances on the market should you prefer?

1. Clotrimazole - not only brightens, neutralizes inflammation;
2. Melanative is a nutrient medium, treatment and improvement of skin condition;
3. Skinoren is a medicinal cream that cannot be used thoughtlessly, but it fights fungal and bacterial infections;
4. Chinese “Green Tea” - herbal medicine, safe, supplied with antioxidants;
5. Medicalia has a good brightening and healing effect, but is drying and recommended for oily skin.

Before using any product, read the instructions and contraindications. You can’t thoughtlessly apply a product and hope that it will help. Be sure to read the ingredients and check for any sensitive reactions to the ingredients. Healthy looking hand skin is important. The appearance of age spots on the hands is a reason to bleach them, but not to risk the body.

The reasons for the appearance of age spots on the hands depend not only on age. Hormonal imbalance, allergies, and genetic predisposition can cause problems. It all depends on the general health of the body, its ability to regulate the production of melanin - coloring pigment substances.

The reason for the marks

Skin cells contain melanocytes that produce the brown pigment melanin. Dark-skinned people have higher pigment levels, while lighter-skinned people have less. Factors inside and outside the body can negatively affect the process of melanin production: suppress or stimulate. Therefore, some areas of the skin produce less pigment, while others produce more. As a result, marks appear:

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   Yellow spots on the hands. The causes of the defect are failure of the stomach, liver, and impaired liver function. Pigmentation appears with the onset of diseases (cholecystitis, liver failure, intestinal dysfunction), which is why consultation with a gastroenterologist is necessary. Cosmetics and traditional methods will not help solve the problem.
2. Red marks. They are related to blood vessels, heart and liver diseases. Sometimes hemangioma, vasculitis or harmless urticaria manifests itself in this way.
3. Brown spots. They do not disappear with the arrival of winter and do not change color. They can be of different shapes, sizes, with smooth (uneven) edges. The reason for its appearance is the accumulation of coloring pigment in the body.

Pigmentation after 50

Why are pigment spots on the hands after 50 years considered normal? Pigmentation may appear due to the following reasons:

1. decreased hormonal function of the ovaries;
2. decreasing estrogen levels;
3. weakening the protective reaction to exposure to sun rays;
4. reducing the barrier functions of the skin.

Therefore, age-related pigment marks are not considered pathological conditions. But you need to watch them. If the color changes from brown to white, you should contact a specialist.

How to remove stains

The marks do not become inflamed or painful. Often a cosmetic defect is the cause of psychological discomfort and causes complexes. To whiten age spots, it is necessary to take a comprehensive approach to solving the problem: use various removal methods.

Cosmetical tools

The composition of bleaching products sometimes includes hydroquinone, a strong antioxidant reagent. Its content in cosmetics should not exceed 2%. The component blocks the appearance of pigment spots and is toxic.

Cosmetics may contain other elements to suppress melanin production:

1. ascorbic acid to strengthen capillaries;
2. panthenol, responsible for skin regeneration;
3. vitamin E;
4. plant extracts (parsley, white mulberry, jojoba oil, aloe juice and others).

It is recommended to buy cosmetics with natural lighteners that are safe for the skin and effective in removing age spots.

SPA and medical facilities services

You should consult a specialist when you notice the first pigment spots on your hands. SPA salons or medical institutions can help you find out about the causes and treatment. Young and older people will be offered the following methods:

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   Dermabrasion. Sanding problem areas of the skin. Removes pigmentation and reveals healthy layers of the skin.
2. Chemical peeling. Retinol, middle TCA, glycolic. They affect the skin differently, help remove marks, smooth out wrinkles, and have a lifting effect.
3. Laser therapy. Destroys melanin. The beam affects the affected areas of the skin.

Traditional removal methods

Allergies to cosmetics and the high cost of laser therapy are the reasons why you should turn to traditional methods.

Lemon juice

Rich in vitamins C, A, B, E, minerals. Its natural acids are a natural skin brightener. In addition, the juice has an anti-inflammatory effect. Used to lighten skin and treat rashes. Do not apply the product with lemon juice to the area around the eyes, and avoid contact with mucous membranes. The following recipes are popular:

1. 
   
   
   
   Lemon-protein mask. You will need 1 lemon, 1 egg white. Beat the whites until foamy, gradually adding lemon juice. Apply the composition to the skin. As it dries, apply a layer on top. Repeat the procedure until the mixture runs out. Rinse with water, apply moisturizer.
2. Mask-compress. Prepare 10 days before use. You will need 1 lemon, 100 grams of vodka. You need to wash, cut the lemon, pour vodka. Place the mixture in a dark place and let it brew for 10 days. Strain the tincture. Moisten cotton pads, pieces of gauze and apply them to problem areas. Periodically wet the gauze in the solution. After 20 minutes, rinse off and apply nourishing cream.
3. Whitening paste with flour. You will need 1 teaspoon of flour, 1 tablespoon of lemon juice. Mix the ingredients and apply the mixture. Cover with a towel. After 25-30 minutes, rinse off. Moisturize the skin with cream.

Before leaving the house, you need to apply sunscreen to your face and hands, otherwise the number of spots will only increase. But it is better to avoid sunbathing during the whitening course.

White clay

Clay elements do not dissolve in water. They absorb allergens and toxins that collect on the skin. White clay normalizes the functioning of sweat and sebaceous glands, activates collagen production, gives skin elasticity, and removes fine wrinkles. It has an antiseptic effect, relieves inflammation, helps remove brown spots on the hands, the causes of which are caused by age-related changes. Prepare the mixture only in glass or porcelain containers. You can use clay once a week for 2 months.

Hydrogen peroxide

Releases cells from pigment:

1. Lemon solution. Mix 2 tablespoons of hydrogen peroxide and 1 tablespoon of lemon juice. Soak gauze in the solution and apply to problem areas. Leave for 7 minutes, rinse with water. Apply a rich nourishing cream to the skin of your hands and face.
2. Curd mask. Add 15 drops of hydrogen peroxide and ammonia to a tablespoon of cottage cheese. Apply the mask for 25 minutes. Rinse off. Apply moisturizer.

DFor the face and hands, a peroxide concentration of no more than 3.5% should be used.

Using kefir

Lactic acid has bleaching properties. The enzymes and vitamins contained in kefir tone and saturate the skin with useful substances. You can make the following kefir masks:

1. 
   
   
   
   Mask with olive oil, juicegrapefruit. Mix homemade kefir with 2-3 drops of olive oil and a spoonful of grapefruit juice. Apply to skin areas for 5 minutes. Rinse off with cool water.
2. Massage with lemon juice and raw yeast. Mix a tablespoon of kefir with 1 teaspoon of lemon juice and a pinch of yeast. Apply the mixture to the skin and massage for 10-15 minutes. Rinse off with warm water.
3. Scrub with oatmeal, cucumber. Mix 2 tablespoons of kefir, 10 grams of oatmeal, 1 tablespoon of cottage cheese, chopped cucumber without peel. Apply to the face, massage the skin, leave the mixture for 15 minutes. Rinse with water.

Kefir masks should be applied with light, smooth movements and only to problem areas of the skin.

Fresh cucumbers

Moisturize and rejuvenate the skin. Eliminate bags and dark circles under the eyes. Protect against skin problems and help remove age spots:

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   Hot compress. You need to heat half a glass of water to 40 degrees. Add 1 teaspoon of glycerin, juice of one cucumber. Dip gauze and place on face. Wait until it cools down. If desired, rinse off any residue with warm water.
2. Cucumber pulp with aloe juice. It is necessary to chop a small cucumber, add 1 tablespoon of aloe juice, milk powder until a thick mixture is obtained. Apply for 15-20 minutes. Rinse off with warm water.
3. Cucumber puree with olive oil. You will need 3 tablespoons of cucumber puree, 5 drops of olive oil. If desired, you can add the juice of one lemon. Stir the mixture and place in the refrigerator for a couple of minutes. Apply to face and hands for 20-30 minutes. The composition will provide the skin with complete nutrition and deep hydration.

After cucumber masks, it is not necessary to use a moisturizing, rich cream.

Preventive actions

The appearance of age spots can be prevented. You should wear long sleeves, a hat and sunglasses. Apply cosmetics with a high SPF factor. Eliminate bad habits, lead an active lifestyle, and eat right. ​In the sweltering heat, do not go out into the yard. Walk outdoors more often. Choose hormonal medications carefully. Seek medical help promptly.