http://www.asds.net/LiverSpotsAgingHandsInformation.aspx
American Society For Dermatologic Surgery
As people age, unsightly blemishes, commonly called liver spots, can appear on the face and on the back of the hands. Another upsetting change for many mature adults is the loss of smoothly contoured hands. Dermatologic surgeons can improve both of these distressing conditions safely and effectively with excellent results.