Using an exfoliating mixture on your skin helps to remove dead skin cells, which can make the skin appear lighter and brighter. [2] X Research source

Both baking soda and lemon juice work well as natural lightening agents for many people, and the grittiness of the baking soda helps to exfoliate your skin. Both of these can help to make dark skin look lighter over time.

While almond oil is a natural lightener, it will also add moisture to your skin, which helps to reduce darkness by making the skin more supple.

Aloe has been proven as a natural healing for scars in a number of studies. [5] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source To extract aloe gel from the leaves of an aloe plant, simply cut the leaf off of the plant and slice down the center of the leaf. Then, use a spoon to scoop the gel out of the leaf. If you don’t have fresh aloe gel available, you can purchase pure aloe from most pharmacies or supermarkets.

Physical exfoliation with a loofah, sponge, or gentle pumice stone is a common treatment for the symptoms of psoriasis and other dry-skin conditions.

Dryness is one of the most common causes of dark skin throughout the body. If you stop applying moisturizer regularly, the dark spots on your knees may return.

While it’s not easy to reverse hyperpigmentation or scarring, you can prevent it from getting worse by wearing sunscreen. In some cases, using sunscreen can even remove dark spots entirely!

For people with sensitive skin, hydroquinone can cause inflammation. If you feel a burning or tingling sensation when you apply the cream, rinse your knees with cold water immediately. Avoid using lightening creams for longer than 6 weeks. They can cause skin irritation and damage to the outer layer of skin, and long-term use of whitening cream has been linked to certain types of cancer. Always use these hydroquinone creams under the direction of a dermatologist. [10] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source

If you don’t see results from increasing your water intake, consider using a natural remedy or applying a moisturizer in addition to drinking water.

Be sure to explain which methods you’ve used to try to get rid of your dark knees. Your doctor may be able to explain why your skin is darker in that area, and can offer more potent treatments for lightening the skin.

This condition is called “diabetic dermopathy,” and people often mistake these marks for age spots.