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The efficacy and safety of topical tranexamic acid (liposomal or lotion with microneedling) vs conventional hydroquinone in the treatment of melasma

Journal of Cosmetic Dermatology Nov 26, 2020

Xing X, Chen L, Xu Z, et al. - Researchers conducted the study for analyzing the safety and effectiveness of 1.8% liposomal tranexamic acid (TA) and microneedling with 5% TA solution on melasma. Sixty patients with melasma were recruited and randomized to receive 1.8% liposomal TA twice daily, microneedling with 5% TA solution weekly or 2% hydroquinone every night. According to results, 27.8% of patients of liposomal TA group, 33.3% of microneedling with TA solution group, and 30.0% of hydroquinone group were recognized as “more than 50% improvement.” The authors concluded that 1.8% liposomal TA and microneedling with 5% TA solution are both effective and safe for melasma.

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