Short answer:
A melasma program is a planned course that combines gentle lasers, prescription skincare, sometimes oral tranexamic acid, and strict sun protection, followed by maintenance. Gangnam clinics use programs because melasma is chronic and tends to rebound after aggressive one-off treatments. A program typically costs ₩500,000–₩1,500,000, involves 8–12 sessions, and has no real downtime.
Why melasma needs a program, not a single laser
Melasma is driven by hormones, sun and visible light, inflammation and increased small blood vessels. Strong heat-based lasers can clear spots briefly, then trigger inflammation that makes the pigment return darker. The safer approach is to calm pigment production steadily over several months and then maintain the result.
The building blocks of a Gangnam melasma program
- Low-fluence laser toning:
gentle Q-switched Nd:YAG laser toning
breaks up pigment with minimal heat, usually weekly or every two weeks.
- Pico toning:
pico toning
uses ultra-short pulses for pigment with less heat; many clinics alternate it with laser toning.
- Sylfirm X:
pulsed-wave RF
targets the abnormal vessels and damaged basement membrane behind melasma.
- Topicals:
prescription creams may include hydroquinone, tranexamic acid, azelaic acid or similar brighteners.
- Oral tranexamic acid:
sometimes prescribed after screening, as it is not suitable for people with a history of blood clots or certain other risks.
- Sun and light protection:
broad-spectrum sunscreen every day, ideally tinted to block visible light, plus hats and shade.
What a typical program looks like
- Consultation:
diagnosis, skin imaging and a check for triggers such as hormones or medications.
- Active phase, about 2–4 months:
8–12 laser or Sylfirm sessions plus daily topicals.
- Review:
before-and-after imaging and adjustment of the plan.
- Maintenance:
sessions every 1–3 months and continued sun care.
Realistic results
Most people see melasma become lighter and more even over the first 2–3 months. Complete, permanent clearance is uncommon, and summer, pregnancy or stopping sunscreen can bring it back. The aim is long-term control with minimal irritation.
Melasma program price in Gangnam (2026)
- Typical program:
₩500,000–₩1,500,000, about $360–$1,070, most quotes near ₩1,000,000.
- Single laser toning:
₩50,000–₩100,000 per session.
- Single pico toning:
₩50,000–₩150,000 per session.
- Sylfirm X:
₩300,000–₩700,000 per session.
See the melasma program cost guide
and our melasma concern page.
Planning as a visitor or expat
Because melasma programs need repeated visits, they suit expats in Seoul best. Visitors can start with a consultation and a few sessions, take home a prescribed skincare plan, and continue maintenance with a dermatologist at home. See our expat guide.
Frequently asked questions
Can melasma be cured?
No. It can be lightened and controlled, but maintenance is usually needed.
Why not use a strong laser to remove it quickly?
Strong heat can inflame the skin and cause rebound pigmentation, especially in Asian skin.
How many sessions are needed?
Typically 8–12 sessions in the active phase, then maintenance.
Is oral tranexamic acid safe?
It can be effective, but it must be prescribed after a doctor checks your medical history.
How much does a melasma program cost?
Typically ₩500,000–₩1,500,000 in Gangnam in 2026.
This article is general information, not medical advice. Suitability, settings and results vary by person. Always consult a licensed doctor and get an itemised written quote before treatment. Prices are typical 2026 Gangnam planning ranges at about 1 USD = ₩1,400 and change often. Updated October 2026.
