Dark spots on your hands, face, shoulders, and upper chest are often caused by sun exposure and other factors related to aging. These dark spots, develop as part of a process known as hyperpigmentation, where exposure to sunlight causes excess melanin causes dark pigmentation in the skin's epithelial cells. Hyperpigmentation is an evolutionary to help protect skin from the damage caused by ultraviolet light. While these brown spots are sometimes permanently embedded in the skin, there are a few products and procedures available at Holderness Plastic Surgery that can help reduce their appearance or possibly prevent future dark spots from forming. There are several different formulations of skin brightening cream you might want to try. Some of the most effective brands use a glycolic acid base and Retin-A to reduce the appearance of dark spots. These creams can also be used in concert with exfoliation cream or exfoliated pads. For some people having Holderness perform a microdermabrasion procedure, can offer further exfoliation. If you have questions or concerns about dark spots on your hands, face or other parts of the body and you would like to explore treatment options, please feel free to call Holderness Plastic Surgery at 336-275-0919 to schedule a consultation.