Cosmelan and Melasma: Hyperpigmentation of the skin

Raffy Karamanoukian, MD answers: Does Cosmelan work on melasma?

I am looking for information regarding melasma and Cosmelan. What are the results like? Thanks!


Raffy Karamanoukian, MD
11 months ago

Melasma is a progressive process that exhibits excessive pigmentation of the facial skin.  Hormones play a major factor in the development of melasma in fadult emales, but melasma can occur at all ages and in males and females.

Cosmelan has been introduced as a non-invasive chemical peel with potent ingredients that can temporary lighten hyperpigmentation.

The key to the successful treatment of hyperpigmentation and melasma is to understand its causes and realize that there is no permanent solution.  An aggressive acute and longterm protocol must be initiated in order to provide a durable solution.  Otherwise, a single pronged treatment with Cosmelan will not provide longterm satisfaction.

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More answers to Does Cosmelan work on melasma?

A: Cosmelan does work on Melasma, but not on everyone

Harold J. Kaplan, MD
9 days ago

It is important to understand that no single treatment will work for everyone.  We would love to be able to predict which of our patients will respond to Cosmelan and which to our other topical programs.  Unfortunately we cannot.  We have found that Cosmelan works well for about 50% - 70% of our patients.  We do have higher response rates for our other topical programs, but Cosmelan is a good option for many Melasma patients. 

As was stated by another practitioner, Melasma is a condition that is not cured, but rather managed.  Those patients seeking a one time fix will be disappointed regardless of which treatment option they choose.

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