Melasma and Pigment Spots
Melasma and pigment spots are common concerns in clinical dermatology, particularly among Asian populations with a higher prevalence of sun-induced hyperpigmentation. In Korea, clinics report diverse presentations from mild brown spots to more confluent patches on cheeks and forehead. Environmental factors, hormonal fluctuations, and sun exposure interact to intensify the condition.
Topical options include hydroquinone, azelaic acid, and niacinamide, often combined with sunscreen. In many Korean practices, tranexamic acid is added to counteract pigment production during the inflammatory phase. Given melasma’s tendency to relapse, clinicians emphasize long-term maintenance with daily sun protection.
Laser therapies like Q-switched Nd:YAG and picosecond lasers offer targeted pigment reduction with controlled downtime. Chemical peels and retinoids are used cautiously to avoid rebound hyperpigmentation. Outcome varies with skin type and adherence to aftercare.
Biotin and Skin Health
Biotin supplements have long been marketed for hair and nail health, and some patients take them hoping for skin benefits. However, evidence directly linking Biotin supplementation to pigment normalization is limited. Deficiency-related skin findings can improve with supplementation, but routine use for melasma is not established.
In dermatology practice, Biotin supplements are not a proven treatment for hyperpigmentation, and clinicians typically prioritize sun protection, brightening topicals, and procedural options. If a patient has a confirmed Biotin deficiency, repletion may improve overall skin resilience, but it does not guarantee pigment correction. Consultation with a clinician is essential to avoid unnecessary supplementation.
Some patients report perceived improvements in skin tone when nutritional status improves, underscoring the role of comprehensive skin care. Korean clinics often tailor plans by combining topical agents with laser therapy, while dietary factors are addressed through counseling. This holistic approach aims to reduce melasma recurrence rather than quick fixes.
Korean Laser and Topicals
Korean clinics favor a layered approach that combines lasers with topical regimens for pigment reduction. Picosecond and Q-switched lasers target pigment granules with precision. Safety protocols and pigment-suppressing downtime are considered in face-to-face consultations.
Topical strategies include tranexamic acid creams or serums, hydroquinone masks, azelaic acid, and vitamin C formulations. Dermatologists adjust concentrations to minimize irritation across different skin tones. Consistency and sunscreen adherence remain critical for lasting results.
Procedural choices depend on pigment depth, skin type, and expectations. In clinical practice, staged treatments often yield the best balance of efficacy and safety. Ongoing monitoring helps prevent post-inflammatory hyperpigmentation.
Daily Skincare Tips
Daily skincare leads to incremental improvements and reduces flare-ups in melasma management. Sun protection with broad-spectrum SPF 50+ and wide-brimmed hats is non-negotiable. Avoid irritants that can trigger inflammation and subsequent pigment changes.
Gentle cleansing, non-irritating moisturizers, and barrier-supporting ingredients help maintain skin resilience. When using active products like retinoids or acids, start slow and increase frequency as tolerated. And, around sensitive areas, patch testing prevents adverse reactions.
Clinical practice in Korea shows that patient education and realistic timelines improve adherence. Regular follow-ups help adjust therapies and prevent relapse. By combining lifestyle factors with targeted treatments, pigment control becomes sustainable.