Lactic acid: the exfoliating depigmenter that removes pigmented cells
Lactic acid is an alpha hydroxy acid (AHA) with a molecular weight of 90 Da — larger than glycolic acid (76 Da), making it gentler and more suitable for melanin-rich skin. Its depigmenting mechanism is indirect but clinically effective: by accelerating the shedding of pigmented keratinocytes from the skin surface, lactic acid progressively reduces the visible burden of existing hyperpigmentation. Each exfoliation cycle removes a layer of melanin-laden cells, revealing less pigmented cells beneath. At 5–10% concentration (daily use), lactic acid improves PIH by 72% at 16 weeks according to a 2024 split-face RCT in Fitzpatrick IV–V Indian subjects. Unlike glycolic acid, lactic acid also has a secondary depigmenting mechanism: it directly inhibits tyrosinase (the melanin-producing enzyme) at a modest level, providing some prevention of new pigmentation in addition to removing existing pigmentation. Lactic acid is also a humectant — it attracts moisture to the skin, making it the only AHA that simultaneously exfoliates and hydrates. This dual action makes lactic acid particularly suitable for Indian women with dry skin and pigmentation, where glycolic acid would cause excessive dryness and potential barrier damage. Optimal protocol for PIH: lactic acid 5% every other night for 2 weeks, increase to nightly for 4 weeks, then increase to 10% every other night. Always use SPF 50+ during the day — exfoliated skin is more photosensitive and new UV exposure will undo depigmentation progress.