Melasma in Asian Skin: Why Gentle Wins
Dr. Yang Jung-hwa, MD • November 9, 2026
Short answer: melasma is driven by hormones, UV and heat, and Asian skin reacts easily to inflammation with more pigment. Gentle, repeated low-energy pico toning, medication where suitable and strict sun protection fade melasma more safely than strong, hot lasers.
1. What makes melasma different
Unlike freckles or sun spots, melasma is an active process. Heat and inflammation can switch pigment cells back on, so aggressive treatment can cause rebound.
2. The gentle approach
- Low-energy pico toning, 5–10 sessions
- Medication such as tranexamic acid when the doctor judges it suitable
- Barrier care and daily SPF 50
3. What to avoid
High-heat treatments on melasma areas, saunas during treatment, and skipping sunscreen.
4. Maintenance
Melasma can return with sun or hormonal change, so occasional maintenance toning is normal.
Conclusion
Patience beats power. Melasma guide · Tone Harmony Therapy.











