Thermal paste for the threads between the reflector and pill, copper tape for the gap between the drop-in and host, and a head with improved heatsinking will work wonders.
Arctic Silver 5 is one of the best thermal pastes currently available. If you didn't ask nailbender to glue the reflector and pill together with thermal compound, get yourself an Arctic Silver 5 and apply a tiny amount to fill in the gap between the threads of the reflector and pill, which will improve thermal pathway.
Aluminum foil and copper tape both work to improve thermal pathway between the drop-in and host, but the former is more of an affordable method whereas the latter is the recommended solution. Both methods require you to apply enough to get the drop-in fit snug inside the host. Using copper tape will allow heat to transfer from the drop-in to the host body faster than aluminum foil. But aluminum foil is infinitely better than nothing.
As for an alternate head... You probably won't need 'em, unless you are a nutjob like me that prefers dangerously overdriven drop-ins. Cryos Z44 and Z32 bezels and fivemega's beefy head have significantly increased surface area compared to smooth heads, allowing higher dissipation rates.
I use all of the above methods to run vinhnguyen54's XM-L2 drop-in at 4.2A, which gets around 1,300 OTF lumens. Darkness withers before it.