Hi
Thanks for your query
You have been using
topical steroid creams since long over your face.
Long term use of these egents on the face can lead to various problems like skin thinning,
photosensitivity, hair growth, redness, pigmentation etc.
So firstly, i would advise you to stop using these creams.
You can start using a milder non steroidal lightening agent over your face.
I prefer to use something like kojic acid with vitamin C twice a day in my patients.
Along with it, you should continously use a sunscreen( spf>26) over your face before going out in the sun.
Also take oral vitamin C supplementation continously for a month or so.
If inspite of all these measures, you feel that the pigmentation continues to persisit, then i would advise you to see a
dermatologist who might be able to help you with other techniques like
chemical peels,
dermabrasion , lasers etc .
Hope it helps
Dr Geetika Paul