How do you manage residual hyperpigmentation after breast irradiation?
If this is bothersome to the patient, are there any topic ointments or medications that can help if used?
Answer from: Radiation Oncologist at Community Practice
There are definitely options, including modified Kligman formula cream (4% hydroquinone, 0.05% tretinoin, and 0.01% fluocinolone acetonide) for 8 weeks as initial treatment; this - or some iteration of it - is what is typically used for cases of post-inflammatory hyperpigmentation (PIH) or melasma.&...