Dark spots
Good evidenceTrial-supported brightening, usually as a co-star
Randomized trials — often combining kojic acid with hydroquinone or glycolic acid — show meaningful melasma improvement, with kojic-containing arms modestly outperforming those without in split-face testing. Solo evidence at today's 1% cap is thinner; expect it to assist rather than lead.
The receipts
4 trials/reviews indexed · showing most cited- Randomized trialDermatol Surg· 1999· cited 137×
Treatment of melasma using kojic acid in a gel containing hydroquinone and glycolic acid.
- Randomized trialCutis· 2010· cited 20×
Evaluation of a kojic acid, emblica extract, and glycolic acid formulation compared with hydroquinone 4% for skin lightening.
- Randomized trialJ Cosmet Laser Ther· 2021· cited 11×
Evaluation of the of the efficacy of Fractional Erbium-Doped Yttrium Aluminum Garnet Laser-Assisted Drug Delivery of Kojic Acid in the Treatment of Melasma; A split face, comparative clinical study.
- Randomized trialJ Cosmet Dermatol· 2025· cited 4×
The Efficacy of Topical Cosmetic Containing Alpha-Arbutin 5% and Kojic Acid 2% Compared With Triple Combination Cream for the Treatment of Melasma: A Split-Face, Evaluator-Blinded Randomized Pilot Study.