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Does Cosmelan Work on Melasma?

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

Doctor Answers (8)

Cosmelan and Melasma

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Cosmelan is a fabulous treatment for melasma.  It is an in office procedure which is placed on the skin by the physician.  It takes two treatments scheduled three weeks apart.  The results are dramatic.  Strict sun avoidance and maintenance creams are necessary to complete the process.  For the best results please consult a board certified physician with a great deal of experience with melasma and cosmelan therapy.


New York Dermatologist
5.0 out of 5 stars 27 reviews

Does Cosmelan Work on Melasma?

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Comelan for melasma is a great alternative and we see great results. I suggest purchasing and doing your treatments with a reputiable physician who works with all skin types

George T. Boris, MD, FRCS, FACS
Los Angeles Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

Cosmelan, treatment for Melasma

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Melasma is a skin condition where the face takes on a brownish color. It is Hyperpigmentation: an unnatural-looking increase in pigmentation, brought on by sun exposure, certain prescription medications or pregnancy. In fact, Melasma is often referred to as the “mask of pregnancy.” Melasma is most common in women between the ages of 20 and 40.

Fortunately, Cosmelan depigmentation treatments are available to restore your face to its natural look. Based on the inhibition of tyrosine, which is the enzyme responsible for the melanin Hyperpigmentation, Cosmelan® is a formula available only from a plastic surgeon.

After about one week, you’ll start to notice a difference. The excessive skin pigmentation will start to decrease, and your face will return to its normal appearance. We offer Cosmelan depigmentation treatments at both our San Francisco and Marin offices.
 

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 30 reviews

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Cosmelan for Melasma

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Melasma can be very frustrating. Most patients welcome any type of help. They usually have gone through bleaching creams and other treatments.

We have had good results with the Cosmelan treatment program. The reduction in pigmentation, of course, varies from patient to patient. It should be used in conjunction with a skin care strategy.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

Cosmelan does work on Melasma, as a first step

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Cosmelan has varying degrees of effect on every patient but most patients are very happy to get some kind of pigment blending, so even partial improvements are welcome.

Those who struggle with Melasma know just how frustrating finding a good treatment can be. The first step is getting your pigment producing cells to slow down. Cosmelan contains various pigment suppressors and with the introduction of Cosmelan MD, the option for hydroquinone is there.

Suppression is critical. You can peel every week and get some relief by exfoliation of surface pigmentation, but unless the melanocytes in your skin revert to a more normal level of activity, you'll see your Melasma spring up again and again.

Cosmelan is great at giving your skin a kick start by the power of the Cosmelan Peel which causes a considerable amount of surface pigment to peel away. The suppression ingredients will start the slowing down of pigment production deep in the skin.

The BIG "MUST" in your treatment is protecting your skin from UV exposure. Sunlight and excessive heat will put your pigment reducing cells back into overdrive and you'll end up where you started. It is IMPERATIVE that you use a high SPF sun screen every day, clouds or sun, in the car or on the beach. Sunblocks with UVA and UVB protection are really important.

You will need to use pigment suppression products on an ongoing basis as well. Most likely you will need a maintenance peel now and then to keep the Melasma at bay. Like acne, Melasma is not so much cured as controlled. Cosmelan has proven to be a very useful controlling program.

Rebecca Fitzgerald, MD
Los Angeles Dermatologist
4.0 out of 5 stars 17 reviews

Cosmelan does work on Melasma, but not on everyone

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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.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Significantly reduces Melasma

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I have worked with many peels throughout my career as a dermatologist. What works for Caucasian skin might actually cause adverse events on Hispanic and darker individuals. Cosmelan (or Dermamelan) provides an effective method to peel without the major worrisome adverse events that might occur with TCA or glycolic peels.

The mask is applied and removed after 6-8 hours. It can be combined with microdermabrasion and is kept for a shorter period of time. After application, aftercare is key with cleanser, moisturizer, sunscreens and other lightening creams to be given. The regimen is repeated again to achieve further improvement.

Hassan Galadari, MD
Dubai Dermatologist

Cosmelan and Melasma: Hyperpigmentation of the skin

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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.

I have found additional success with the Melarase creams for longterm care of melasma. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 47 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.