Actinic keratoses’ (AKs) affecting the face, scalp, hands and forearms, arise in the form of pre-cancerous lesions, common on older people and fair complexions. They stem from over-exposure to sun. AKs feel like a rough patch of skin, can look slightly red or appear as a lesion continuously scabbing. AKs are pre-cancerous, so immediate attention is crucial through in-clinic ‘freezing’ (cryotherapy), ‘surgical scraping’ (curettage) or potent prescription creams.