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A and Avita. However, because the substance is quite strong, these medications are only available with a prescription. If you do not have a prescription from your dermatologist, you can try medications containing retinol. This ingredient is also very effective in exfoliating dark skin and letting the healthy skin come to the surface. However, you must be really cautious when using it, as it may excessively dry your skin, damaging it for a long period of time. Sutilains The action of this type of substance is rather simple. As member of the keratase family, this substance loosens the intercellular connections, thus allowing the affected skin to exfoliate faster than normal. In addition to that, the sutilains are great as add-ins in different treatments because they penetrate easily in the deeper layers of skin. The substances presented above can be used both on their own and in combination with other substances. Below you will find a list with 36