Any recommendations for hyperpigmentation on groins as I have tried everything and nothing seems to work?

Addressing hyperpigmentation, especially in sensitive areas like the groins, can be challenging. Here are some recommendations and considerations that might help:

Consult a Specialist: Ensure you are working with a board-certified dermatologist who has experience in treating hyperpigmentation in sensitive areas. They can provide personalized advice and treatment plans.

Consider Laser Treatments: Procedures such as fractional laser therapy or Q-switched Nd:YAG lasers can target hyperpigmentation effectively. These treatments should be performed by an experienced professional to minimize the risk of irritation or worsening pigmentation.

Topical Treatments: In addition to hydroquinone, consider other topical agents like azelaic acid, kojic acid, or niacinamide, which can be effective in reducing pigmentation. These agents can be gentler on sensitive skin.

Chemical Peels: While you have tried Vi Peels, other formulations of chemical peels with lower concentrations or different active ingredients might yield better results. Consult with your dermatologist about alternatives like glycolic or lactic acid peels.

Sun Protection: Although the groin area is not typically exposed to sunlight, ensuring overall sun protection is crucial. Use broad-spectrum sunscreen on any exposed areas of skin to prevent further pigmentation.

Lifestyle and Clothing: Consider any potential irritants, such as tight clothing or friction, that might be exacerbating the hyperpigmentation. Opt for loose, breathable fabrics to reduce irritation.

Patience and Consistency: Treating hyperpigmentation can take time, and it’s important to be consistent with treatments and follow your dermatologist’s guidance closely.

By combining these strategies and maintaining open communication with your dermatologist, you can develop an effective approach to managing hyperpigmentation in the groin area.