Raised age spots on hands: what to know

Classic sun spots, also called solar lentigines, are commonly flat areas of increased pigment on skin that has received repeated sun exposure. A rough, scaly, thickened, crusted, bleeding, or distinctly raised mark may instead be another sun-related lesion or an unrelated skin growth. A photo and in-person examination help a dermatologist assess its colour, border, surface, and evolution. Compare both hands and note whether one spot differs from the others.

Arrange a dermatology assessment for a mark that is newly raised, repeatedly irritated, or difficult to identify. Until then, use broad-spectrum sun protection on the backs of the hands, cover them when practical, and avoid picking or applying strong lightening products. If a benign diagnosis is confirmed, options may include [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [IPL Photofacial](/treatments/laser-and-energy/ipl-photofacial/), [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/), or [Cryotherapy (Lesion Removal)](/treatments/surgical-dermatology/cryotherapy-lesion-removal/). The suitable choice depends on diagnosis, skin tone, and the lesion’s depth.

Seek prompt medical review if the spot changes quickly, develops an uneven border or multiple colours, becomes tender, crusts, bleeds, or fails to heal. Do not assume a mark is harmless because it resembles an age spot; diagnosis comes before removal.

Ask whether the lesion is a sun spot or a different growth, whether dermoscopy or sampling is needed, and which treatment would limit pigment changes or scarring for your skin.