It sounds to me like you are battling with severe hormonal pigmentation. I’m so sorry that this is causing you so much frustration. Unfortunately this is one of the things we deal with regularly so it is not uncommon. We have quite a few options for you, however, I think in a case like yours where you have already been on such active medications for this issue, I’d feel much more confident in my "prescription" if I could actually have a look at you and work through some of your history with you so that we get you the very best possible options. I have had fantastic results with Dermamelan treatments and homecare for severe hormonal pigmentation, combined with a few other great topicals. So if you had to ask me what we’ve had really good results with, I’d definitely say that our Dermamelan package gives us really amazing results! I do think we need to look at your skin in more detail before making any decsions. Are you able to come and see me or one of our Skin Renewal doctors? We have branches in Cape Town and Pretoria and Johannesburg. Please can we make an appointment to help you with this?