Lactate & Fluocinonide have been prescribed for Hyperpigmentation on my heel. but they don't work. What else can I do? (photo)

When dealing with persistent hyperpigmentation that doesn't respond to initial treatments, there are several steps you can take:

Consult a Dermatologist: If you haven't already, it's crucial to have a thorough evaluation by a dermatologist. They can accurately diagnose the underlying cause of the hyperpigmentation and recommend appropriate treatments.

Alternative Topical Treatments: If lactate and fluocinonide are not effective, your dermatologist might suggest other topical treatments. These could include hydroquinone, retinoids, or other lightening agents like azelaic acid or kojic acid.

Chemical Peels: Superficial chemical peels can help in reducing hyperpigmentation by exfoliating the top layers of skin and promoting the turnover of skin cells.

Laser Treatments: Depending on the diagnosis, laser therapy might be an option. Treatments like fractional lasers or intense pulsed light (IPL) can target pigmentation issues more effectively in some cases.

Sun Protection: Protecting your skin from further sun damage is crucial. Use a broad-spectrum sunscreen with SPF 30 or higher daily, even on cloudy days, to prevent worsening of hyperpigmentation.

Lifestyle and Home Care: Sometimes, changes in skincare routines or lifestyle can aid in improving skin conditions. Ensure you’re using gentle, non-irritating products and consider moisturizing regularly to support skin health.

Monitor for Changes: Keep track of any changes in the pigmentation, including size, color, or texture, and report these to your dermatologist.

By working closely with a skincare professional, you can explore these options and find a treatment plan tailored to your specific needs.