Hair removal creams still have small black spots after removing the underarms may be hyperpigmentation, which can be improved by scrubs, topical medications and laser treatments. 1. Scrubs: It is recommended that after using hair removal creams, you can properly apply scrubs on the underarm area, which can remove the aging keratin of the underarm skin, thus improving the state of the underarm black spots. 2. Topical medication: After using hair removal creams, you can also mix appropriate retinoic acid cream with body lotion and apply it on the underarm black spots to improve the condition. 3. Laser treatment: The photothermal effect of laser can be utilized to precisely cauterize the melanin at the hair follicles of the black spots to remove them. When there are still small black spots after using hair removal cream to remove the underarms, it is recommended to go to a regular hospital in time to improve under the guidance of a professional doctor.