Staying away from sun. The best treatment of age spot is by prevention. By staying away from the blistering heat of the sun ray, one can maintain the skin health both by delaying the onset of sun spot and the wrinkle. It is difficult for the Caucasian to achieve as all the European white like the sun. This is due to not just the culture, but also because of the cold weather they are facing throughout the long and cold winter. The arrival of the spring, summer and autumn where there is an abundant of sun-ray bring them much joy in going for sunbath.
Use sunscreen if must go under the sun. Another way is by using a good sunblock cream or ointment that can block both the UVA and UVB rays. The cream need to be applied every four hourly in order to be effective. The ideal sun protection factor, the SPF should be 30 and above. The higher the SPF the thicker the cream viscosity and hence less comfortable to wear.
Use physical barrier like the long sleeve, hat. Of course, another way is to wear a long sleeve and long pant to cover up the skin. Asian are particularly mindful of exposure as they want to keep fair. That is good news for the Asian. And, this is the reason that they get less age spot.
Topical cream. cream with whitening agent like the hydroquinone, Retin A, Corticosteroid cream, and other naturally occurring agent like licorice, kojic acid, azelaic acid
Fruit acid skin peel. From light to medium and deep peel can be used. AHA, BHA are popular peel. The use of chemical peel can be very effective especially for the lower skin type 3 or less. The caution is that after the treatment, the patient must keep and stay away from the direct sunlight or else they will get age spot soon again.
Galvanic current. Use this machine to force the skin lightening agent deep into the skin.
Use IPL, Laser machine. The best way to remove the darker pigmented spot is to use an intense pulse light, IPL or a laser treatment. The treatment performance is better for the whiter or fairer skin, with skin type less than 2. For higher skin type, the treatment is less than ideal as they frequently get PIH.