What are the effective methods to treat dark knuckles?

Hi there,You may want to revisit your dermatologist and have them write you a prescription for a higher percentage of HQ along with tretinoin and a vitamin c.  Also sun avoidance is key along high SPF.Be consistent and patient.     Best of luck....

Hi Compassionate11769, With your normal skin tone, the use of laser will have higher risk, but you can definitely try pigment laser to lighten the areas that you want to lighten. It may however take several sessions to achieve evenness of the skin tone. 

I believe doing this is going to be difficult.The skin lightening creams do not penetrate that deeply. For any procedure to work it has to go into the deeper layers of the dermis. So options like Laser could be considered.It will all depend what is your aesthetic goal. 

Hi there,I am not sure if that is from sun exposure; that should be evaluated by a dermatologist.Once diagnosed then treatments to considered from sun exposure would be Topical medical grade system such as Obagi; chem peels and possible laser once the skin has been properly pretreated. See an e...

Based on your photos, I would suggest you are a 5 or 6 on the Fitzpatrick scale. Darker skin tones require special attention, since many lasers and other treatments are not safe or effective for these skin types. In my office, we have more than 50 laser and light devices, which allow us to...

There are many reasons why the skin darkens which may include sun exposure, inflammation, existing skin conditions, medication, genetics, etc. IV therapy may be helpful for you. It involves directly injecting a concoction of vitamins and minerals into your bloodstream. The concoction will be...