Brown flat spots keep showing up on the back of my hands. Doctor appt is forever away. What should I do?. Full article 👇 💬

 

Understanding Brown Flat Spots on the Hands

Brown flat spots, also known as age spots or liver spots, are common skin occurrences, especially on areas that are regularly exposed to the sun. These spots are typically flat, brown, or black, and can vary in size. They tend to become more noticeable as we age, but they can also appear at any age due to factors like sun exposure, genetics, and skin damage.

While these spots are generally harmless, it’s important to monitor them. Here’s a breakdown of what might be causing the brown spots on the back of your hands:

1. Age Spots (Solar Lentigines)

Age spots are flat, brown, or black spots that appear as a result of prolonged sun exposure over time. They are most common in people over the age of 50, but can also develop in younger individuals who have had significant sun exposure without protection. These spots often appear on areas like the backs of the hands, face, shoulders, and chest.

• Cause: The primary cause is sun exposure. UV rays from the sun trigger the production of melanin, the pigment responsible for skin color. Over time, excess melanin can form into dark spots on the skin.

• Characteristics: Age spots are typically flat, round or oval, and can range from light brown to dark brown or black. They are usually uniform in color, and unlike moles, they don’t have a raised surface or irregular borders.

2. Freckles

Freckles are small, light brown spots that also result from sun exposure. However, unlike age spots, freckles are often genetic. People with fair skin or red hair are more prone to freckles. They tend to be more noticeable in the summer when the skin is exposed to the sun.

• Cause: Freckles occur when melanin is produced in response to sun exposure. They often appear in clusters and can become darker with more sun exposure.

3. Lentigines

Lentigines are similar to age spots but can develop as a result of factors other than sun exposure. These can be either benign or linked to conditions such as hormonal changes or certain medications. However, lentigines can be more irregular in shape and might be more persistent compared to freckles or age spots.

4. Actinic Keratosis (AK)

While rare, sometimes a flat, brown spot can be an actinic keratosis, which is a precancerous growth. AKs often appear on sun-exposed areas like the back of the hands and can resemble age spots, but they may be slightly raised or rough to the touch.

• Cause: AKs develop as a result of cumulative sun damage, typically in individuals with fair skin or those who have spent a lot of time in the sun without protection.

• Warning Signs: If the brown spot changes in size, shape, or color, or if it becomes irritated, it is important to seek medical attention immediately, as it could signal a more serious issue.

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Preventing Further Damage

While you wait for your doctor’s appointment, here are a few preventive measures you can take to reduce further skin damage and protect your hands:

1. Protect Your Hands from the Sun

The best way to prevent brown spots from getting worse is to avoid further sun exposure. Even if you're not sure whether your spots are from the sun, UV exposure can cause new spots to form and darken existing ones. Here’s how you can protect your skin:

• Use Sunscreen: Always apply sunscreen to the backs of your hands before going outside. Choose a broad-spectrum sunscreen with SPF 30 or higher. Sunscreen should be reapplied every two hours, especially if you’re sweating or washing your hands.

• Wear Gloves: If you're spending extended periods of time outdoors or in the sun, wear protective gloves. There are many stylish options available now that provide UV protection.

• Avoid Peak Sun Hours: The sun’s rays are the strongest between 10 a.m. and 4 p.m. If you can, try to stay in the shade during these hours to minimize exposure.

2. Stay Hydrated

Dehydrated skin is more prone to damage, and keeping your skin moisturized is an important step in preventing further irritation. Drink plenty of water throughout the day, and use a good moisturizer for your hands.

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Home Remedies and Treatment Options

While professional treatments like laser therapy or chemical peels are often used for age spots or other brown spots, there are several safe and natural home remedies you can try to lighten and reduce the appearance of these spots.

1. Lemon Juice

Lemon juice contains citric acid, a natural bleaching agent that may help lighten dark spots over time. It can exfoliate the skin, and its acidic properties can help break down excess melanin.

• How to Use:

  1. Squeeze fresh lemon juice and apply it directly to the spots using a cotton ball.

  2. Leave it on for about 10 minutes before rinsing off with lukewarm water.

  3. Repeat this process once or twice a day.

Note: Be careful when using lemon juice as it can make your skin more sensitive to the sun. Always apply sunscreen if you're going outside after using lemon juice on your skin.

2. Aloe Vera

Aloe vera is known for its healing properties and can help soothe irritated skin. It also contains compounds like aloin, which have been shown to help lighten dark spots and reduce inflammation.

• How to Use:

  1. Apply fresh aloe vera gel directly from the plant onto the affected areas of your skin.

  2. Leave it on for 20-30 minutes before rinsing off.

  3. Do this twice a day for the best results.

3. Apple Cider Vinegar

Apple cider vinegar contains acetic acid, which may help exfoliate the skin and lighten dark spots over time.

• How to Use:

  1. Dilute apple cider vinegar with an equal amount of water (to prevent skin irritation).

  2. Apply this mixture to your brown spots using a cotton ball.

  3. Leave it on for 5-10 minutes, then rinse off.

  4. Repeat this treatment once or twice a day.

4. Vitamin C Serum

Vitamin C is a potent antioxidant that can help reduce the appearance of dark spots and brighten your skin. It works by inhibiting melanin production and promoting skin regeneration.

• How to Use:

  1. Apply a vitamin C serum or cream directly to the brown spots on the back of your hands.

  2. Let it absorb into the skin, and then apply sunscreen if you're going outside.

  3. Use this product daily for the best results.

5. Retinoids

Retinoids (like retinol or tretinoin) are derivatives of vitamin A that help accelerate skin cell turnover and reduce the appearance of dark spots. These are commonly used to treat acne scars, sun spots, and signs of aging.

• How to Use:

  1. Apply a small amount of retinol or retinoid cream to the affected areas before bed.

  2. Make sure to start with a lower concentration if you're new to retinoids, as they can cause dryness and irritation initially.

  3. Always apply sunscreen during the day when using retinoids, as they increase skin sensitivity to the sun.

6. Niacinamide (Vitamin B3)

Niacinamide is a potent ingredient that helps reduce the appearance of hyperpigmentation. It works by inhibiting the transfer of pigment to the skin cells, which can lighten dark spots over time.

• How to Use:

  1. Use a niacinamide serum or cream and apply it to your hands daily.

  2. It’s a gentle option, so it’s great for long-term use.

7. Over-the-Counter (OTC) Treatments

There are various OTC creams and treatments specifically designed to address dark spots. These usually contain ingredients like hydroquinone, alpha hydroxy acids (AHAs), or licorice extract, which can help brighten the skin and reduce pigmentation.

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Skincare Routine for Aging Hands

In addition to addressing the brown spots, it’s important to adopt a comprehensive skincare routine for your hands. The skin on your hands is thinner and more delicate than the rest of your body, making it more susceptible to damage. Here's a routine you can follow:

1. Cleanse Gently

Use a mild, moisturizing hand wash to cleanse your hands. Avoid using harsh soaps, as they can strip your skin of its natural oils, leading to dryness and further damage.

2. Exfoliate

Exfoliate your hands once or twice a week using a gentle scrub or a natural exfoliant (like sugar or coffee grounds mixed with olive oil). This will help remove dead skin cells and promote healthy skin turnover.

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