Glutathione IV · 백옥주사

Whitening Injection
백옥주사

Korea's popular IV infusion of glutathione, vitamin C, and tranexamic acid for brightening and overall tone evenness — with honest info on effects and safety.

Technology

What is Whitening Injection?

Glutathione IV · Tyrosinase Inhibition
Antioxidant-Based Brightening

Whitening injections in Korea — commonly called 백옥주사 (White Jade) or Snow White Injection — are intravenous (IV) infusions whose primary active ingredient is reduced L-glutathione, a tripeptide antioxidant naturally produced in the body. Glutathione inhibits the enzyme tyrosinase, which converts tyrosine into eumelanin (dark pigment), and shifts melanogenesis toward lighter pheomelanin. Over a course of sessions, this can produce a gradual brightening and more even skin tone.

Most Korean clinic protocols use 600–1800mg of glutathione per session, often combined with 1000–3000mg of vitamin C (which helps regenerate glutathione), alpha-lipoic acid (another antioxidant — the key ingredient in the "Cinderella Injection" / 신데렐라주사), and sometimes tranexamic acid for pigmentation control. A typical course is weekly or bi-weekly IV drips (each lasting 15–30 minutes) over several weeks, with visible results usually appearing after 3–5 sessions and peak results at 10–20 sessions.

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Glutathione IV
600–1800mg per session inhibits tyrosinase, slowing melanin synthesis
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Vitamin C Synergy
1000–3000mg regenerates glutathione and supports collagen synthesis
Cinderella Variant
Alpha-lipoic acid based; marketed for anti-aging plus secondary brightening
Not Permanent
Results fade without maintenance; lifestyle & UV exposure drive return of pigment
What It Can Do

Realistic Outcomes

Reported Benefits
  • Gradual lightening of baseline skin tone (1–3 shades in most clinical reports)
  • More even complexion, reduced pigmentation patches
  • Brighter, more "lit-from-within" appearance
  • Secondary antioxidant and detoxification effects
  • Some reduction in melasma appearance (alongside topical treatment)
  • Reduced oxidative stress — claimed anti-aging effect
  • Improvement in dull, sallow complexion
Price Range₩50,000 – ₩200,000 / session
Sessions10–20 sessions for peak effect
10–20 sessions for peak results; ongoing maintenance every 4–6 weeks
Important Safety Information

What You Must Know Before Treatment

This is critical to understand: intravenous glutathione has NOT been approved by the US FDA, Korea's MFDS, or the European EMA specifically for skin whitening. In Korea it is legally used off-label under medical supervision. The strongest clinical evidence for its whitening effect comes from small studies — larger, long-term safety and efficacy data are still limited. The FDA has issued warnings against unsupervised injectable glutathione use.

Potential side effects range from mild (injection site pain, mild bruising, headache, nausea) to rare but serious (severe allergic reactions including anaphylaxis, Stevens-Johnson Syndrome, kidney or liver issues with high doses). Tranexamic acid components carry a small thrombosis risk and are contraindicated in patients with clotting disorders, pregnancy, or history of stroke/DVT. Always disclose full medical history at consultation. Avoid unlicensed providers, home-use IV packages, or non-medical settings.

Results are NOT permanent. Without continued maintenance and strict sun protection, skin will gradually return to its baseline tone. Whitening injections work best as one component of a comprehensive pigmentation strategy that includes topical brighteners (vitamin C serum, niacinamide, tranexamic acid creams, hydroquinone if prescribed), daily SPF 50+, and laser toning. A single IV session as a "one-shot solution" is not realistic.

Procedure

Treatment Process

1
Consultation
Medical history including allergies, liver/kidney function, pregnancy status, medications
2
Preparation
Hydration recommended; avoid heavy meal immediately before IV
3
IV Infusion
Glutathione and co-ingredients dripped via IV line, 15–30 minutes per session
4
Monitoring
Brief rest period to observe for allergic reaction
5
Home Care
Strict SPF 50+, maintain hydration, avoid UV exposure; return weekly
FAQ

Common Questions

Most clinical reports and clinic data suggest 1–3 shades of lightening over a 10–20 session course for patients who respond. Response varies significantly by individual — some patients see minimal change. The treatment works better for evening out pigmentation and brightening dullness than dramatic full-body whitening.
When administered by a licensed physician in a medical setting with appropriate dosing, serious adverse events are uncommon. However, intravenous glutathione for cosmetic purposes is off-label — not FDA or MFDS approved for skin whitening. High doses, unlicensed providers, and home IV setups carry real risks of allergy, thrombosis, or organ strain. Always choose a dermatology clinic with proper emergency protocols.
Not permanent. Without maintenance sessions (typically every 4–6 weeks after completing the initial course) and strict daily sun protection, skin gradually returns to its baseline pigmentation. Many Korean patients undergo 1–2 maintenance sessions per month on an ongoing basis.
백옥주사 (White Jade / Snow White) is built around high-dose glutathione as the main whitening agent. 신데렐라주사 (Cinderella) is built around alpha-lipoic acid with anti-aging and secondary brightening effects. Many clinics offer "combination" drips that include both plus vitamin C, tranexamic acid, and B vitamins.
Yes — and this is common practice in Korean dermatology. Glutathione IV plus laser toning (low-fluence Nd:YAG 1064nm Pico or Q-switched) plus topical brighteners (niacinamide, tranexamic acid cream) gives better results than any single modality alone. Discuss a combined protocol with your dermatologist.
Patients with active liver or kidney disease, pregnancy or breastfeeding, history of severe allergies, bleeding/clotting disorders, active cancer, or chemotherapy should not receive these injections. Always disclose full medical history. Some patients with asthma have developed bronchospasm with IV glutathione.
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