Black skin removal. To this skin issues?

Thanks for the query. Skin care needs to be customized based on the presenting complaints. Based on your description, it appears that you have acanthosis nigricans. These conditions have a strong relation to one's internal health and it needs to be evaluated as often quoted - Skin is the mirror of internal health. Attempting treatment without understanding the pathology will be futile and make the course longer. Sun protection is mandatory and will require usage of Sunscreens. You may benefit from usage of a laser device i.e. Q- switched Nd YAG laser but that is in addition to the main treatment. Internal health needs to be fixed based on blood chemistry reports. Apart from active pharmaceutical medicines, a healthy diet and lifestyle is mandatory to achieve results.

Chemical peels may work faster in conjunction with other medications.

Your dermatologist will decide a treatment plan for you after a consultation.