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all right it is time for ask the derm board certified dermatologist dr billy groff from cosmetic laser dermatology is here to answer some skin questions letamp;#39;s go ahead and get to the first question itamp;#39;s from phyllis in carlsbad who is worried about those age spots on her hands and arms not so much the face but the hands and arms which can be giveaways for sure for a lot of folks of how old they are right it sounds like phyllis like a lot of patients what they do is they take really good care of their face with sunblock sun protection maybe theyamp;#39;ve had some procedures to remove sun damage but oftentimes we neglect the hands and arms so you can see in the photo sheamp;#39;s got quite a bit of sun damage with brown spots and so forth so what i would do in this case is use a combination of whatamp;#39;s called intense pulse light which is similar to a laser and and run that over her entire hand and arm and then i would spot treat with whatamp;#39;s called a q-swi
