Hello. This looks like the typical skin changes seen with many of the allergies pets can suffer from. Unless the underlying allergies are dealt with, it is difficult to totally clear up the skin. You can start with a mild shampoo, either containing Pramoxine or 1% hydrocortisone ( available online & at pet retailers ). Use cool water & bath her twice a week. Adding a good quality fish oil supplement may help ( approx. 1000 mg twice a day ). Since your pet is an older girl, it would be very helpful to do some bloodwork to identify any underlying issues, including a low thyroid, that may be contributing to her skin problems. Hopefully, you can find her some relief soon. Thanks for using Petco Pet Education Center, formerly Petcoach.