Pigmentation
Melasma
Melasma is a chronic pigmentation disorder that causes symmetrical brown or grey-brown patches, usually on the cheeks, forehead and upper lip. Korean dermatologists treat it with strict sun protection, topical lighteners, oral tranexamic acid where suitable and gentle low-energy laser toning.
Overview
Melasma is driven by sun exposure, hormones and inflammation, and it is especially common in Asian skin. Aggressive treatment can make it worse, so a measured approach is essential.
Korean dermatologists are known for low-fluence laser toning protocols, but these work best as part of a medical plan rather than on their own.
At a glance
Who gets it
Most often women aged 25 to 50, during pregnancy or on hormonal contraception, and people with medium skin tones.
Treatment options
Hydroquinone or non-hydroquinone lighteners, tretinoin, azelaic acid, oral tranexamic acid, laser toning, pico toning and light peels.
What to expect
Improvement over months; maintenance is needed because melasma tends to recur.
Frequently asked questions
Can melasma be cured?
It can be lightened significantly, but it is a chronic condition that needs ongoing maintenance.
Is laser toning safe for melasma?
Low-energy toning can help when performed conservatively, but overtreatment can cause rebound darkening or white spots.
Does sunscreen really matter?
Yes. Daily broad-spectrum sunscreen and visible-light protection are the foundation of treatment.
Related
Choose a specialist
See a board-certified dermatologist, not just a “skin clinic”
In Korea, only about 1 in 10 clinics that treat skin is run by a dermatology specialist (피부과 전문의). Specialists complete a four-year dermatology residency and a national exam. Our directory lists only clinics in the Association of Korean Dermatologists’ specialist search. This page is general information, not medical advice.