Patient presents with a complaint of age spots, also known as solar lentigines, liver spots, or sun spots.  Examination reveals multiple well-demarcated, flat, brown to tan macules varying in size from a few millimeters to several centimeters in diameter.  Lesions are primarily located on sun-exposed areas, including the face, dorsal hands, forearms, and décolleté.  Patient reports a history of chronic sun exposure and tanning bed use.  No associated symptoms such as pain, itching, or bleeding are reported.  Dermoscopic examination shows a regular pattern of pigmentation.  The clinical presentation is consistent with a diagnosis of solar lentigo, ICD-10 code L81.4.  Differential diagnoses considered include ephelides, seborrheic keratosis, and lentigo maligna.  No concerning features suggestive of malignancy were noted.  Patient education provided regarding sun protection strategies, including daily sunscreen use with an SPF of 30 or higher, seeking shade during peak sun hours, and wearing protective clothing.  Discussed the benign nature of solar lentigines and options for cosmetic treatment including cryotherapy, laser therapy, and topical agents such as hydroquinone or retinoids.  Patient opted for observation at this time and will return for follow-up as needed.  Follow-up recommended in one year or sooner if any changes in size, shape, or color are observed.