Pigmentation Basics
Freckles and melasma show distinct pigment patterns influenced by sun exposure, hormones, and inflammation. Korean dermatology uses high-tech imaging and standardized scoring to tailor treatments to each mechanism. Early assessment helps differentiate superficial from deep pigment, guiding choices between topical therapy and energy-based devices.
The goal is gradual lightening with minimal downtime, followed by a structured maintenance plan to prevent relapse. Common topical agents include hydroquinone, tranexamic acid, and azelaic acid, often paired with retinoids or vitamin C. Sun protection remains foundational, with daily use of broad-spectrum sunscreen and protective habits emphasized in clinics.
Topical and Laser Options
Topical regimens target pigment inhibition and can be combined with lifestyle adjustments for better results. Hydroquinone is used in controlled courses; tranexamic and azelaic acids offer safer alternatives. Vitamin C and retinoids support lightening while helping with post-inflammatory changes.
Laser choices depend on pigment depth and skin type, balancing efficacy with downtime. Q-switched Nd:YAG and picosecond lasers efficiently target brown pigment with minimal epidermal disruption in Asian skin. Fractional non-ablative and hybrid lasers can be combined with topicals for deeper pigment control.
Korean Clinics and Cases
Korean clinics accumulate robust clinical data through nationwide registries and case-based pigmentation studies. Real-world results show staged treatment plans yield stable improvements in recurrent melasma and stubborn freckles. Clinicians emphasize personalized plans, careful monitoring, and gradual improvement to balance safety and efficacy.
Dietary supplements like pomegranate collagen jelly can complement topical and procedural care when used under medical guidance. These supplements may support skin resilience and hydration, potentially aiding pigment repair indirectly. Always discuss supplement use with your dermatologist to align with active treatment and sunscreen routines.