Botox and mild wrinkles
Botox is a neuromodulator that reduces muscle activity to smooth dynamic wrinkles. In Korean dermatology clinics, it is commonly used around the forehead and eyes as part of facial rejuvenation. While it does not directly treat melasma or lentigines, it can complement pigment-targeted therapies in a comprehensive plan.
Safety hinges on proper assessment, appropriate dosing, and careful spacing to protect surrounding tissues. Many patients notice a quicker return to smoother skin when lines are softened, which can sharpen overall tone. Dermatologists emphasize gradual dosing and post-procedure care to minimize downtime.
Pigment care and lasers
Pigment concerns like melasma and lentigines respond best to a staged approach combining lasers, topicals, and sun protection. In Korea, lasers such as picosecond and Q-switched devices target pigment while matching skin type to reduce downtime. However, there is risk of relapse and post-inflammatory changes, so timing and skin preparation are crucial.
Topical agents like tranexamic acid, azelaic acid, and hydroquinone alternatives are often paired with laser sessions. A typical plan spaces sessions and stays under sun exposure controls, maximizing pigment reduction while preserving skin texture. Clinicians tailor regimens to individual freckles and background tone, aiming for even skin without alarming shifts.
Clinical cases in Korea
Korean clinics report a high volume of melasma and lentigines cases with favorable outcomes using multi modality protocols. Diverse Fitzpatrick skin types are treated with adjusted lasers and careful pigment management to minimize PIH. Case examples often show improved uniformity when combining topical agents, energy devices, and diligent sun protection.
Clinical variation remains, as relapse can occur with hormonal changes or sun exposure without maintenance. Documentation emphasizes measured progress over months, with digital photography guiding regimen tweaks. A cautious approach remains essential, avoiding aggressive treatments that could worsen pigmentation in sensitive skin.
Trends in melasma therapy
Current trends favor a multi modality strategy that blends topical, oral, and energy based therapies. Tranexamic acid has gained traction in both topical and oral forms to reduce pigment production. Clinics also explore milder peels and advanced lasers that minimize downtime while enhancing skin clarity.
Personalized regimens account for calendar year sun exposure, hormonal cycles, and lifestyle factors that drive pigment. Digital monitoring and patient education are integral, helping patients adhere to sunscreen and maintenance routines. As research evolves, Korean dermatology continues to refine protocols that sustain improvements without overshooting pigment control.