Melasma treatment options
Melasma and blemishes are among the most common pigmentary concerns seen in Korea, where dermatology blends aesthetic results with safety. Korean clinicians emphasize a thorough assessment of pigment depth, triggers, and skin type, using dermoscopy or a wood lamp to guide treatment. A patient-specific plan often combines sun protection, topical therapies, and energy-based devices to reduce recurrence risk.
Topical regimens may include hydroquinone or tranexamic acid in combination with retinoids and antioxidants, often on alternating schedules to minimize irritation. Azelaic acid or kojic acid can be used for sensitive skin, with careful monitoring for adverse effects. Clinicians may extend treatment with oral tranexamic acid in selected cases, particularly when hormones contribute to hyperpigmentation.
Laser and light therapies
Laser and light therapies have transformed pigment management in Korea, where experienced operators access a range of platforms. Picosecond and Q-switched Nd:YAG lasers target melanin with short pulses, reducing pigment while preserving surrounding tissue. Non-ablative fractional lasers also help remodel the skin and improve texture, but require careful selection to avoid PIH in darker skin.
Treatments are often staged to minimize downtime. Clinicians design laser plans based on pigment depth, skin type, and previous responses, usually combining laser sessions with topical agents to lock in results. Precare includes sun avoidance, patch testing, and a gradual increase in energy, while post-care emphasizes hydration, sunscreen, and protection from heat. Patients should expect multiple sessions spaced weeks apart and understand that results vary with adherence and environmental factors.
Skin regeneration care
Beyond pigment control, Korean dermatology emphasizes skin regeneration and barrier repair as foundations of lasting results. Techniques such as microneedling with or without energy, coupled with serums containing vitamin C, peptides, and growth factors, support healthier skin that resists new pigmentation. Gentle exfoliation and retinoids are introduced progressively to stimulate turnover without triggering inflammation.
Sun protection remains essential, with broad-spectrum SPF 50+ and protective clothing used daily, especially for patients with a history of melasma. For patients dealing with back pain, which can influence posture during clinic visits and healing, clinicians tailor scheduling and ergonomic setups to improve comfort and compliance. Trends toward AI-assisted pigment analysis and at-home light therapies are emerging, but professional evaluation remains key to avoiding PIH.