As we grow older, our skin changes. Our skin texture becomes less elastic and more fragile. Dry skin is also more common with increasing age and hormonal changes. Age spots include “liver spots” (seborrheic keratoses or lentigoes), sun spots (actinic keratoses), and friction spots (skin tags). Most of these spots are harmless but can be worrisome as they can grow fast or sometimes change. Treatment of the precancerous spots (AK’s) usually recommended. It may include removal with liquid nitrogen, photodynamic therapy or creams. These harmless spots can also be removed especially if they are located in bothersome areas.