How do you manage residual hyperpigmentation after breast irradiation?

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. ...