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Apply an ointment, such as petroleum jelly, after cleanings to prevent scabs from forming. After the treatment area is fully healed, patients should:. How Are Liver Spots Treated? Find a local dermatologic surgeon. Bleaching Creams, Tretinoin and Alpha-Hydroxy Acids — These are topical applications prescribed by the physician to fade small spots. Treatment of liver spots is usually performed by the dermatologic surgeon in the office. Risks As with any treatment, there are risks associated with it, though they are minimized in the hands of a qualified ASDS dermatologist.

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