Tranexamic Acid Injections
Stubborn melasma and hyperpigmentation can feel impossible to treat. You’ve tried creams, peels, and countless products, yet those dark patches remain. Tranexamic acid injections offer a breakthrough solution for pigmentation that simply won’t budge. At Dr N Clinics, Dr Nugwa uses this evidence-based treatment to deliver real results for clients who’ve struggled with resistant pigmentation for months or even years. When applied directly into the affected skin, tranexamic acid works at a cellular level to fade those persistent dark patches and restore your confidence.
What is Tranexamic Acid Injections
Tranexamic acid injections are a specialised intradermal treatment for stubborn melasma and hyperpigmentation. Unlike topical treatments that work on the skin’s surface, these injections deliver the active ingredient directly into the dermis where pigmentation problems occur. Tranexamic acid works by interrupting the melanin production process at multiple stages, effectively reducing the excess pigmentation that causes dark patches.
Dr Nugwa uses a carefully diluted concentration of four milligrams per millilitre, mixed with sterile saline solution. This concentration is based on successful clinical studies and ensures both safety and effectiveness. The treatment involves multiple small injections across the affected area, typically the cheeks, forehead, or other areas where melasma appears. Each injection delivers a precise dose exactly where it’s needed most.
Treatment options
- Seven session protocol for melasma treatment
- Intradermal injection technique for direct delivery
- Diluted tranexamic acid at clinically proven concentration
- Bilateral treatment for symmetrical melasma
- Combination approach with topical treatments
- Maintenance sessions for long-term results
Key benefits
Tranexamic acid injections offer proven results where other treatments have failed.
- Highly effective for stubborn, resistant melasma
- Works at cellular level to reduce melanin production
- Clinically proven results with seven session protocol
- Visible improvement from session four onwards
- Suitable for all skin types, especially darker tones
- Minimal systemic absorption with targeted delivery
- Can be combined with other pigmentation treatments
How long does the treatment last?
The standard treatment protocol consists of seven sessions, each spaced two weeks apart. This timing allows your skin to respond to each treatment whilst building progressive improvement. The complete course takes approximately three to four months from start to finish.
Most clients begin to see noticeable improvement around the fourth or fifth session. Some see changes even earlier, whilst others need the full seven sessions to appreciate the results. The key is patience and commitment to completing the entire treatment course. Results from tranexamic acid injections can last for many months, and in some cases, years. However, melasma can recur if triggers like sun exposure or hormonal changes aren’t managed. Dr Nugwa will work with you on a maintenance plan that may include occasional top-up sessions and daily sun protection to keep your skin clear long-term.
Treatment Options for Tranexamic Acid Injections
Standard Seven Session Protocol
The evidence-based approach for treating resistant melasma effectively.
- Seven treatments spaced two weeks apart
- Based on successful clinical studies
- Progressive improvement with each session
Targeted Melasma Treatment
Precise injection technique for symmetrical facial pigmentation.
- Treats both sides of the face evenly
- Focuses on cheeks, forehead, chin, and upper lip areas
- Multiple injection points ensure complete coverage
Stubborn Hyperpigmentation Therapy
Effective solution for post-inflammatory hyperpigmentation that won’t fade.
- Addresses dark marks from acne, eczema, or injuries
- Particularly effective for darker skin tones
- Reduces excess melanin at the source
Combination Treatment Approach
Enhanced results when paired with complementary therapies.
- Works alongside chemical peels for better outcomes
- Can be combined with medical grade topical treatments
- Addresses pigmentation from multiple angles
Maintenance Protocol
Keeps your skin clear after completing the initial treatment course.
- Occasional top-up sessions as needed
- Prevents recurrence of pigmentation
- Long-term management for lasting results
Customised Concentration Therapy
Treatment strength tailored to your specific skin needs.
- Diluted multiple times with sterile saline
- Safe concentration of four milligrams per millilitre
- Adjusted based on skin response and tolerance
At a glance
Treatment time
Each session takes approximately 30 minutes. This includes cleansing the treatment area, applying numbing cream, waiting for it to take effect, and performing the injections. The actual injection process takes around 10 to 15 minutes.
Anaesthetic
Topical numbing cream (4% lidocaine) applied 15-20 minutes before treatment
Recovery time
Minimal, you can return to normal activities immediately
Duration of result
Several months to years with proper maintenance
Sessions
Seven sessions required, spaced two weeks apart
Results
Visible improvement typically from session four onwards, full results after completing the course
Aftercare
Avoid touching or rubbing the treated area for several hours after injection. Use gentle skincare products only for 24 hours. Sun protection is essential, apply SPF 50 or higher every day and reapply throughout the day. Avoid excessive heat, saunas, hot yoga, and strenuous exercise for 24 hours post-treatment. Continue with any prescribed topical treatments between sessions as directed.
Prices
Pricing information for the complete seven-session treatment course is available during your consultation. Dr Nugwa will discuss the investment required and any additional treatments that may enhance your results.
| Dr Nugwa | |
|---|---|
| Starter Package (3 sessions) | from £XXX |
| Advanced Package (6 sessions) | from £XXX |
| Premium Package (custom blend of treatments) | from £XXX |
| Membership find out more | from £XXX |
Frequently asked questions
If you would like to discuss any concerns with your provider or have any other questions regarding your medical history, please get in touch.
How is tranexamic acid different from other melasma treatments?
Tranexamic acid works differently from topical treatments or chemical peels. It’s injected directly into the affected skin, targeting melanin production at a cellular level. This approach is particularly effective for stubborn melasma that hasn’t responded to conventional treatments.
Does the treatment hurt?
We apply topical numbing cream before treatment, which significantly reduces discomfort. Most clients report feeling only minor pinprick sensations during the injections. The treatment is generally well-tolerated and not considered painful.
Why do you use tranexamic acid instead of PRP injections?
Dr Nugwa has conducted her own clinical observations comparing tranexamic acid with platelet-rich plasma injections for melasma. The results were clear. Tranexamic acid showed significantly better improvement, which is why we focus on this proven approach.
Can I have this treatment if I have very dark skin?
Absolutely. Tranexamic acid injections are particularly beneficial for darker skin tones, which are more prone to stubborn melasma. Dr Nugwa has extensive experience treating skin of colour safely and effectively with this method.
What happens if I miss a session?
Consistency is important for best results. If you need to miss a session, we can reschedule it, but try to maintain the two-week interval between treatments when possible. Significant gaps may affect your final results.
Will my melasma come back after treatment?
Melasma can recur if triggers aren’t managed. Sun exposure is the biggest risk factor. With diligent sun protection and maintenance treatments as needed, many clients keep their melasma under control long-term. We’ll create a maintenance plan for you.
Can I use makeup after treatment?
We recommend avoiding makeup for 24 hours after treatment to allow the injection sites to settle. After that, you can resume your normal makeup routine.
Are there any side effects?
Most clients experience minimal side effects. You may have slight redness, minor swelling, or tiny bruises at injection sites, which typically resolve within a day or two. Serious complications are rare when the treatment is performed correctly.
How quickly will I see results?
Most clients notice visible improvement around the fourth or fifth session. Some see changes earlier, whilst others need the full seven sessions. Everyone’s skin responds at its own pace, which is why completing the course is important.
Why choose Dr N Clinics?
Dr Nugwa’s approach to tranexamic acid injections is rooted in evidence and experience. She doesn’t just follow protocols blindly. She’s conducted her own clinical studies comparing different treatment methods for melasma, and the results consistently show tranexamic acid injections outperform other approaches.
When you choose Dr N Clinics, you’re getting treatment from someone who truly understands what works. Dr Nugwa’s experience with skin of colour means she knows how to treat stubborn pigmentation safely and effectively in all skin types. You’ll receive personalised care throughout your treatment journey, with direct access to Dr Nugwa if you have questions or concerns. This isn’t a conveyor belt service. It’s thoughtful, evidence-based care focused on getting you real results.