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                        Pigmentary Disorders – Lentigenes 
                         
                        Lentigines are  also known as sun spots, freckles or liver spots. They are harmless, flat,  brown discolorations of the skin, and are caused frequent sun exposure  on the skin. 
                         
                        They are commonly  found on the backs of the hands, necks and faces of people over 40 years of  age. These brown spots are harmless and do not need to be treated unless they  are changing in appearance or getting bigger in size.  
                         
                        Normal brown  spots can be 1 cm or greater in diameter. Use of sunscreen and sun avoidance is  the best way to prevent the development of more brown spots.  This will not prevent the occurrence of brown  spots due to sun damage done at earlier stages of your life. 
                         
                        Methods  used  to remove these brown spots  include: 
                         
                        
                          - liquid  nitrogen application
 
                          - laser  therapy
 
                          - chemical  peels
 
                          - alpha  hydroxy acid gel and beta hydroxy acid gel
 
                          - topical  vitamin C treatment
 
                          - topical  vitamin C used in combination with alpha hydroxy acid
 
                          - Retin-A  cream to lighten the spots
 
                          - Retin-A cream  used in combination with alpha hydroxy acid
 
                         
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