Suggestion on Skin Marks sperad over Face, Hands, Back and Neck

My Daughter ( Now 19) is having multiple round to oval shaped Hyper pigmented lesions on the Face, Neck, Hands and Back since the last 10 years.

We have tried Allopathy and Homeopathy without any improvement for the last 6 to 7 years but without any/ minimal improvement.

We have got Skin Biopsy done multiple times and report can be shared if required.

Pls suggest what can be done ?

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