Should I ask my doctor for a higher strength peel treatment for PIH spot on leg? (Photo)

When managing post-inflammatory hyperpigmentation (PIH), especially for an older spot, it's important to consider a few factors and treatment options:

Consultation: Have an open discussion with your doctor about your concerns and the lack of results. It's crucial that you feel comfortable communicating your expectations and discussing alternative strategies.

Higher Strength Peels: If the current glycolic peel is not yielding results, discussing the possibility of a stronger peel might be worthwhile. Options such as trichloroacetic acid (TCA) peels or a higher concentration of glycolic acid can be more effective for deeper pigmentation.

Alternative Treatments: Consider asking about other treatment modalities, such as laser therapy or microneedling, which might be more effective for stubborn PIH.

Topical Treatments: In addition to Tri-Luma, inquire about other topical agents that could be used in conjunction with peels, such as retinoids or azelaic acid, which can enhance the treatment effect.

Second Opinion: If communication remains an issue and you continue to feel dissatisfied, seeking a second opinion from another dermatologist could provide new insights or treatment options.

Remember, treating PIH can be challenging and may require a combination of treatments for optimal results. It's important to have a clear treatment plan and open communication with your healthcare provider.