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Triamcinolone acetonide ointment 0.1% cream?

My buttocks area has post inflammatory inflammation. It has been like this for many years and i didn't take care of myself. The thing is i also had a pilonidal cyst that i had minor surgery for last year. I also currently have anal fissure and have this for at least 5 years. I have the hyperpigmentation for 5 years at least already. I used hydroquinone 6 percent for 2.5 months given by my dermatologist but all it did was make my buttocks redder.

I went to another dermatologist and he prescribed me triamcinolone acetonide ointment 0.1% and told me to use it for 6 weeks and then see him again. He says area still looks inflamed after its been like this for 5 years already.

Does anyone know what this cream is suppose to do? I went back to my other dermatologist and he said the triamcinolone acetonide ointment cream isn't going to do much.

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