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Be on river and notice skin blemish (5,4)

Ross

I believe the answer is:

liver spot

I'm a little stuck... Click here to teach me more about this clue!

'skin blemish' is the definition.
The answer and definition can be both body parts as well as being singular nouns.
Maybe there's an association between them I don't understand?

'be on river and notice' is the wordplay.
'be' becomes 'live' (living is a kind of being**).
'on' is a charade indicator (letters next to each other).
'river' becomes 'r'.
'and' means one lot of letters go next to another.
'notice' becomes 'spot' (I've seen this before).
'live'+'r'+'spot'='LIVER SPOT'

Can you help me to learn more?

I've seen this clue in The Times.
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