Objective To explore the application effect of a standardized and personalized intervention plan of temperaturecontrolled ice compression in the treatment of facial erythema and pigmentation. Methods A total of 90 patients with facial erythema and pigmentation admitted to Beijing ADD+ Medical Esthetic Clinic from March to June 2023 were selected, and they were divided into the control group (n =45) and the observation group (n =45) by the random number table method. The control group received basic skin guidance combined with temperature-controlled ice compression with fixed parameters, and the observation group adjusted the parameters of temperature-controlled ice compression according to the patient's lesion type (erythema-dominant/pigmentation-dominant/simultaneous existence) on the basis of basic skin care guidance. The Global Aesthetic Improvement Scale (GAIS) scores, skin colorimeter measured values, satisfaction and adverse reactions were compared between the two groups. Results The scores of GAIS-Erythema and GAIS-Pigmentation in the observation group at 4 weeks after intervention and 1 month after the end of intervention were lower than those in the control group (P <0.05). The L* values of the observation group at 4 weeks after intervention and 1 month after the end of intervention were higher than those of the control group, and the a* and b* values were lower than those of the control group (P <0.05). The satisfaction score of the observation group was (4.25±0.48) points, which was higher than (2.81±0.60)points of the control group (P <0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P >0.05). Conclusion The application of personalized temperature-controlled ice compression intervention for patients with facial erythema and pigmentation can promote the improvement of related symptoms, enhance aesthetics and satisfaction, with high safety.