Over time, the natural ageing process and exposure to ultraviolet radiation from the sun causes the accumulation of pigments in the skin leading to age spots, hyperpigmentation or freckles (Including brown spots, liver spots, age spots, sun spots, sunburn freckles, lentigos, or senile/solar lentigines).Skin pigmentation can also occur during pregnancy due to hormonal changes in the body.
These marks are in areas most often exposed to the sun, particularly the hands, face, shoulders, arms, decollete and forehead (and the head if bald) and range in colour from light brown to red or black. Most are harmless, but all are ageing and may be unattractive.
Café au lait and other pigmented birthmarks are localised areas of increased pigmentation in the skin and are present at birth.
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