Wash elbows gently with a mild cleanser daily
Exfoliate 1 to 2 times per week with a gentle scrub or chemical exfoliant
Apply a moisturizer with urea, lactic acid, or salicylic acid
Use petroleum jelly or a thick cream at night
Apply sunscreen to exposed elbows
Avoid frequent leaning or friction on elbows
Wear long sleeves or protective fabric if friction is unavoidable
Keep elbows hydrated after bathing
Use a gentle retinoid product if tolerated
Try a brightening ingredient like niacinamide, azelaic acid, or vitamin C
Treat dry skin and eczema promptly
Maintain a healthy weight if pressure on elbows is a factor
See a dermatologist if darkening is sudden, severe, or persistent