Tranexamic Acid: A Powerful Ally for Pigment and Melasma Issues

Pretty With a Pill: Get Rid of Pigment

As a women’s health care provider I was involved in early research on ways to control heavy menstrual bleeding, and in fact tranexamic acid is OTC in 60 countries world wide for this indication. But it’s a game changer for skin as well!

If you’re dealing with stubborn melasma or uneven skin tone, tranexamic acid might just be the game-changer you’ve been looking for. Known for its impressive skin-brightening properties, this ingredient is gaining recognition as a safe and effective treatment for pigmentation issues.

What is Tranexamic Acid?

Tranexamic acid is a synthetic derivative of the amino acid lysine. Originally developed to control excessive bleeding by preventing the breakdown of blood clots, it has found a surprising second role in dermatology: addressing pigmentation issues, particularly melasma.

How Does Tranexamic Acid Work on the Skin?

Tranexamic acid targets hyperpigmentation by addressing the key mechanisms that cause it:

1. Inhibits Melanin Production: It reduces the activation of melanocytes (pigment-producing cells) by interfering with the interaction between keratinocytes and melanocytes, often triggered by UV exposure or inflammation.
2. Blocks Vascular Factors: Tranexamic acid decreases vascular endothelial growth factor (VEGF), reducing the vascular component of melasma that contributes to discoloration.
3. Calms Inflammation: It helps soothe skin and reduce inflammation, a common trigger for hyperpigmentation.

Benefits of Tranexamic Acid for Pigmentation and Melasma

1. Improves Melasma: Studies show that tranexamic acid can significantly reduce the appearance of melasma, especially when combined with other treatments like topical retinoids or vitamin C.
2. Evens Skin Tone: It’s effective in treating sunspots, post-inflammatory hyperpigmentation (PIH), and uneven skin tone.
3. Safe for All Skin Types: Tranexamic acid is gentle enough for sensitive skin and works well across all skin tones, making it an inclusive treatment option.

How to Use Tranexamic Acid

Tranexamic acid is available in several forms, depending on the severity of your pigmentation concerns:

1. Topical Application: Creams and serums containing 2-5% tranexamic acid are the most common and accessible option. These can be incorporated into your skincare routine once or twice daily after cleansing.
2. Oral Tablets: Prescribed by dermatologists for severe melasma. Oral tranexamic acid has shown remarkable results in reducing melasma, but it requires medical supervision due to potential side effects.
3. Injections: In some cases, we may administer tranexamic acid via microneedling or mesotherapy directly into areas of hyperpigmentation. Generally at Hada we recommend PDGF or other treatments instead.

Pairing Tranexamic Acid with Other Ingredients

For enhanced results, tranexamic acid works well with:

– Vitamin C: Boosts antioxidant protection and brightens the skin.
– Niacinamide: Strengthens the skin barrier and further reduces pigmentation.
– Retinoids: Promotes cell turnover, allowing tranexamic acid to penetrate deeper.
Sunscreen: Essential for protecting the skin and preventing further pigmentation.

Are There Any Side Effects?

Tranexamic acid is generally well-tolerated. However, mild irritation or redness may occur in rare cases. When taken orally, it should only be used under medical supervision, as there’s a small risk of blood clot-related side effects.

Final Thoughts

We want to be your lifetime skin care consultants. As your move through life: heading to the beach or heading through hormonal havoc: your skin will change! Let’s talk about creative solutions. Tranexamic acid is a versatile and effective solution for tackling pigmentation and melasma. Whether used as a standalone treatment or in combination with other therapies, it’s an exciting addition to modern skincare routines. As with any treatment, consult with a dermatologist to determine the best approach for your skin. Paired with consistent sun protection, tranexamic acid could be your key to brighter, more even-toned skin.