Microdermabrasion before & after photos
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Microdermabrasion Cost $300 average cost

Microdermabrasion with Salicylic Acid or Cosmelan for Melasma?

I am suffering from melasma. I have also other brown spots on my cheek (look like aging spots). I tried so many different creams like Trio A and Skinoren, but nothing changed. Now I am looking for the right treatment. How successful will the result of microdermabrasion together with salicylic acid be on my melasma? I'm Skin type III. Is this a possible treatment or may the melasma react and come back more darker? How much will this cost?

I've also heard about Cosmelan. Will this be a better option? Can I get long-term results from Cosmelan? How often can I repeat this treatment? Is cosmelan harmful for the skin?

Asked 29 months ago by Lotte70 in Germany
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Microdermabrasion is not standard for melasma. Cosmelan is a good choice.

Microdermabrasion is not a standard treatment for melasma. Rather, it would be better to try different bleaching creams, specifically Triluma, to try to lighten the area. Sometimes laser will work, but studies have shown that melasma will recur after laser in most cases, so at most, it is temporary relief. Contant use of a bleaching cream + laser (if desired) may be a great starting point. Also, Cosmelan is an excellent treatment. It is meant to be a once a year treatment, but you can... more
Don Mehrabi, MD
Beverly Hills Dermatologist
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