Discoloration since 8 Months still not going away

Good to hear back from you brother. Yes, I know that medication. My two kids used the medication with different brand name but containing tacrolimus as the ingredients for their servere eczema. Eczema is also known to depigmentize the effected skin area. This is why why your dermatologist suggested it because the hydrocortizone does act like an eczema promoter in a perfect condition (the bad perfect conditions as in the Perfect Storm).

If you want to try it, do only a spot application check. Use a cotton swab or a small applicator for one spot only Leave the rest alone. Make sure to isolate the cream from spreading out of the area by only applying during rest or free time when you can be butt naked until the cream is dried off. Most of the time, including my kids, the skin repigmentation takes between 2 to 3 months. However, each person is different due to biochemistry their bodies produce, and real life factors in play. So, you can do spot treatment only. No more than than. Nothing venture, nothing gain. Since you are healthy, it will not cause any issues.

My dermatologists also indicated that ingredients ruxolitinib cream is very effective in restoring pigmentation, but the ailments the cream is used for is completely off from your diagnosis. It's a lot more potent for what it does to restore pigmentation.
Thanks for the quick reply my brother. Do you think it would be a better option to try this cream instead of just waiting and not doing anything? Because I don't want to make things worse or cause more irritation. If it comes back on its own, I would wait too.
I've read that it takes up to a year for it to go away on its own. But so far there has been no repigmentation after over 2-3 months, I haven't even seen small dark spots there.

If you think it will go away on its own, then I'll wait without any further experiments. What would your personal recommendation be?

As you rightly said, I have to be naked when I apply the cream and only on that spot. What happens if it gets on healthy skin that isn't white-spotted? It's not easy to apply the cream exactly on that spot without it getting on other areas.

Wouldn't a retinal cream be good too? It stimulates cell renewal too. I use coconut oil every morning to care for the skin on my penis. I think I can at least keep doing that, right?
 
Thanks for the quick reply my brother. Do you think it would be a better option to try this cream instead of just waiting and not doing anything? Because I don't want to make things worse or cause more irritation. If it comes back on its own, I would wait too.
If I'm in your shoes, I'm willing to try using spot treatment method. I've done that as well for various part of my body, be my face, my legs, arms, stomach, and even my butt cheeks. I even tested an anti-fungal medication for my feet just to test even though I don't have any issues. Why? Always test when you're still healthy because you never know when you need to rely on the medication down the line. Of course, your body will change over time, but at least you know what you're allergic to, or not, way ahead of time.

I've read that it takes up to a year for it to go away on its own. But so far there has been no repigmentation after over 2-3 months, I haven't even seen small dark spots there.
Exactly. If nothing seem to change, might as well force it to change. If you have the patience, allow time to take its course. If you don't want to and willing to experiment like I do, take a step forward with it.

If you think it will go away on its own, then I'll wait without any further experiments. What would your personal recommendation be?
For my face, I was thinking my age spot, or liver spot, or the many terms that come with it, would go away as well acccording to my dermatologists. It didn't. It got bigger. For my kids' eczema depigmentation, our dermatologists pointed out that the skin would return in a few months once the eczema was treated. It did, but it took over a year. Latter episodes of eczema, we treated it with cream, eczema went away, and repigmentation came back.

For my arm, I had a scarring patch caused by 3rd degree burn from a tool I used. Scarring healed, but repigmentation did not come back for 2 years even under the intense sun exposure. The surround healthy skin darken and ligten by shades, but that patch never get the right pigmentation. I used the various creams to promote pigmentation gain to match. This is mainly for my own experimentation so I can report back to the dermatologists and my family for their own references. I don't care if I'm a zebra with odd patterns.

As you rightly said, I have to be naked when I apply the cream and only on that spot. What happens if it gets on healthy skin that isn't white-spotted? It's not easy to apply the cream exactly on that spot without it getting on other areas.
You can apply the cream, leave it on for 20 minutes until it dries, and cover with a reusable flexible bandage to prevent spreading and quick absorption. This will prevent the similar fiasco as the hydrocortisone. Well, this is me.

Wouldn't a retinal cream be good too?
Yes is is. It's a much safer alternative, but it will take a bit longer than the presciption versions. Over the counter tends to be much safer and less potent. However, each country is different. I went to Mexico and the selection of over the counter potency products were crazy. Their breast enlargement creams containing chemicals that actually causes men's scrotum to enlarge faster than the breasts. Yeah, I'm not going there.

It stimulates cell renewal too. I use coconut oil every morning to care for the skin on my penis. I think I can at least keep doing that, right?
Yes it can indeed. But only use one or the other and not both. Coconut oil will act as a defensive layer to prevent retinol from absorbing, and retinol will act as a filler to prevent the oil from functioning properly.
 
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