Age spots or liver spots are usually found on skin that is sun-exposed; despite their name, they have no relation to liver function. They’re also known as solar lentigo. These spots represent changes in skin color associated with older age and are the result of increased pigmentation in combination with growing older as well as exposure to the sun or other UV light. They commonly begin to appear after age 40 and mostly occur on the backs of the hands, forearms, shoulder, face, and forehead—the places most apt to be exposed to sunlight. Age spots are often accompanied by other signs of sun damage, including deep wrinkles; dry, rough skin; fine red veins on the cheeks, nose, and ears; and thinner, more translucent-looking skin.[16]