Age spots (also called liver spots or solar lentigo) are collections of pigment caused by exposure to the sun. They also sometimes result from bruising that leaves blood pigments behind. They are most common in people over the age of 55. The spots commonly appear on the hands but can occur almost anywhere, especially sun-exposed areas such as the face, back, arms, feet, shoulders and face. These spots are common on the backs of the hand, face and legs. Those who tan extensively will also have them over the shoulders, back, chest and many other areas of skin. Lentigines are superficial collections of skin pigment called melanin which have accumulated within the top layer of skin called the epidermis. Ephelides are common in lighter type skin in individuals who sunburn easily. Lentigines usually appear later in life and can occur in all skin types.