How do I get rid of spots? I have already tried many things such as spot creams and face washes.

Lasers, IPL, peel. Bleaching cream containing hydroquinone such as lustra, or revaleskin with coffeberry can lighten them. For removal an intense pulse light source or laser can lighten them or remove them completely in 1 - 3 sessions depending on settings and response to laser. A medium chemical peel can also lighten or remove these spots.