Medical Dermatology
Tranexamic Acid for Hyperpigmentation
Tranexamic acid is a medication that may be considered as one part of a dermatologist-led treatment plan for selected pigmentation concerns. It acts on pathways involved in excess pigment production, and it is often discussed particularly for selected cases of melasma or post-inflammatory hyperpigmentation. It can be used through different medically selected routes depending on the patient, the exact concern, medical history and locally approved practice, so it is not only an injectable treatment and no route or dose is recommended without individual medical assessment. Pigmentation must first be diagnosed, because different pigmentation conditions behave differently and require different approaches, often combined with sun protection and other prescribed care. Tranexamic acid does not permanently cure melasma and is not suitable for every patient; results vary.
May help with
- Melasma
- Post-inflammatory hyperpigmentation
- Recurring uneven pigmentation
- Selected facial pigmentation concerns
- Uneven-looking skin tone after diagnosis
Treatment areas
- Face
- Cheeks
- Forehead
- Upper lip
- Selected areas determined after assessment
Tranexamic acid injections
One of the routes that may be considered is injection of small amounts of tranexamic acid into the skin of the affected area, sometimes alongside microneedling. Studies suggest it may help some patients with melasma, but they are generally small and use different doses and schedules, and pigment can return after treatment stops. Bruising, redness, discomfort and temporary swelling at injection points are possible. Because tranexamic acid affects blood clotting, a personal or family history of blood clots, clotting disorders, hormonal contraception use and other medical factors are reviewed before any route is chosen. Injections are one option, not a requirement, and the route is decided individually.
Common questions
Is there downtime?
This is a medical treatment rather than a procedure with a recovery period, so daily activities usually continue as normal. Any expected effects depend on the route selected and are discussed during assessment.
When may results become visible?
Pigment changes slowly, so any improvement is usually reviewed over weeks to months alongside sun protection and other prescribed care. Responses differ between pigmentation conditions and between patients.
How many sessions may be recommended?
Treatment is planned as a monitored course with follow-up reviews rather than a fixed number of visits, and it may be combined with other measures. The plan depends on diagnosis and medical assessment.
Availability & booking
Tranexamic Acid for Hyperpigmentation is available with Dr. Areej Albisher in Dubai and Riyadh. Suitability and the treatment plan are decided after an in-person medical assessment.
This information is for general education and is not a diagnosis or medical advice. Results and suitability vary between individuals.