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Pigmented dry spots on my legs, and inside of knees. What is the most effective treatment for this? (photos)

Caring3912
Two photos included of inside knee area. I exfoliate frequently but the texture doesn't change.

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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
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