The most noticeable sun-induced pigment change is a freckle or solar lentigo. A freckle is caused when the melanin-producing cell, or melanocyte, is damaged causing it to get bigger. Large freckles, also known as age spots or liver spots, can be seen on the backs of the hands, chest, shoulders, arms, and upper back. These are not actually age related but sun-damage related. UV exposure can also cause white spots especially on the legs, but also on the backs of the hands and arms, as melanocytes are destroyed.