The Light-to-Lift Protocol: A Combined Approach to Melasma Care for Selected Patients
Presented by Dr Brian Chan at AMWC China 2025
A combined approach to melasma care for selected patients
Melasma is a chronic, recurrent pigmentary condition and can be especially challenging to manage in Asian skin types. Treatment usually focuses on gradual improvement and ongoing maintenance rather than complete or permanent clearance.
At Alluna Medical, our aim with any melasma-focused plan is to support progressive improvement in pigmentation and overall skin quality, understanding that responses vary and that maintenance strategies are often needed. The Light-to-Lift Protocol, developed by Dr Brian Chan and presented at the Aesthetic & Anti-Aging Medicine World Congress (AMWC China 2025), combines Intense Pulsed Light (IPL) and injectable poly-L-lactic acid (PLLA) as one possible approach for selected patients, targeting both more superficial and deeper dermal components of the skin.
The science behind the protocol
Light (IPL) – Low-fluence, multi-pulse IPL can be used, in carefully selected cases, to target visible pigment and superficial vascular components thought to contribute to melasma appearance. Treatment parameters are adjusted to help reduce the risk of post-inflammatory hyperpigmentation, particularly in darker skin types.
Lift (PLLA) – Poly-L-lactic acid is a biostimulatory injectable that is intended to stimulate collagen production and support the dermal matrix over time, which may contribute to improved firmness and perceived skin quality.
In this protocol, treatments are planned over a period of approximately 20 weeks. IPL is used first to address vascular and pigmentary components as appropriate; PLLA is then introduced to support the deeper structural framework of the skin. The intention is to create a more supportive environment for ongoing pigment control and skin quality, rather than a guarantee of “cure.”
Why “Light first, then Lift”?
For patients with melasma, especially those with Fitzpatrick skin types III–V, careful sequencing of treatments is important to help reduce the risk of flares and pigment worsening. Addressing pigment and vascular activity first with conservative IPL settings may help stabilise the skin before introducing collagen-stimulating treatments.
This “light first, then lift” sequence is designed with caution for Asian skin, where the risk of post-inflammatory hyperpigmentation is higher. The goal is to prioritise stability and gradual change rather than aggressive intervention.
What patients can expect
For suitable candidates, the protocol may involve:
Gentle, low-energy IPL sessions spaced at intervals (often around 4 weeks) as part of a broader pigment-care plan.
Two or more PLLA sessions planned to support dermal structure and perceived elasticity.
Typically short downtime for most sessions, although temporary redness, sensitivity, or pigment fluctuation can still occur.
A gradual, rather than immediate, course of change over several months, with realistic expectations set in advance.
In internal clinical experience at our clinic, many patients reported subjective improvement in the appearance of melasma and overall skin quality and expressed high satisfaction with their outcomes. However, these observations are from a limited group, are not a substitute for formal clinical trials, and individual responses vary. There remains a possibility of pigment rebound or PIH, and this is discussed as part of informed consent.
Designed for Asian skin in mind
The protocol parameters—such as IPL wavelength selection, fluence, pulse structure, PLLA dilution, and injection technique—are chosen with particular attention to the characteristics and sensitivity of Asian skin. Care is taken to balance potential benefits with the known higher risk of pigmentary change in these skin types.
Rather than promising a specific result, the protocol is offered as a cautious, mechanism-informed option for appropriate patients, alongside other evidence-based melasma management strategies (for example, topical agents, sun protection, and lifestyle measures).
Our Aim with the Light-To-Lift Protocol
The Light-to-Lift Protocol reflects Alluna Medical’s interest in regenerative, mechanism-based aesthetics for pigmentary conditions, focusing not only on visible pigmentation but also on overall skin support and long-term management.
The aim is to provide a structured, doctor-led approach that seeks gradual, realistic improvement within a comprehensive melasma care plan. Whether this protocol is suitable for you depends on your diagnosis, skin type, treatment history, and expectations, and will be determined after a detailed medical assessment.,
Ready to rediscover your radiance?
Your skin deserves the highest standard of care. Discover how The Light-To-Lift Protocol and help you restore your skin’s natural radiance.
⚠️ Disclaimer: This page is for educational purposes only and not medical advice. Please consult your provider for an accurate assessment and tailored recommendations.
