Alpha-arbutin 5% + kojic acid 2% worked just as well as the gold-standard triple combination cream for fading melasma over 12 weeks. The real win: the alpha-arbutin combo had less melasma come back after stopping treatment and caused fewer side effects like redness and stinging.
Researchers tested both treatments on opposite sides of 30 people's faces for 12 weeks, then tracked what happened for 4 weeks after. They measured melanin levels, melasma severity, and how satisfied patients were.
Funding not disclosed in abstract