Is Cosmelan Completely Safe? Can Melasma Get Worse After Treatment? Are There Adverse Reactions (Hyperpigmentation)?

Question

33 female. Acne and melasma. TIA, I´m quite desperate.

Larry S. Nichter, MD, MS, FACS · Answer

Melasma is a common disorder that is often
difficult to treat.  It isn't unusual for a patient to become frustrated
after trying  a variety of treatments in an attempt to  obtain
satisfactory results.  Like most other complicated skin conditions, a
combination of treatments paired with the proper skin regimen works best!
Topical de-pigmenting agents  such as hydroquinone or other melanin
inhibitors along with a topical tretinoic acid to increase skin cell turnover,
 hastens the fading of uneven patches.  This commitment along with
specific medical-grade chemical peels, appropriate  laser treatments and
diligent protection , can enhance the likelihood of reducing or resolving
melasma !

#melasma
 #chemicalpeels # unevenskincolor

Anteneh Roba, MD · Answer

Since Cosmelan contains hydroquinone at a higher percentage , using it for a prolonged time or using it repeatedly can lead to a condition called ochronosis. If Cosmelan is used as suggested by the manufacturer it should decrease hyperpigmentation and not increase it, and is completely safe.

F. Victor Rueckl, MD (in memoriam) · Answer

I have not had any patients whose melasma got worse after using Cosmelan, assuming they follow directions and use the system properly. I have had a few patients with tremendously stubborn melasma who we had to do the series on more than once, or once and then again a few years later. The key with maintenance though is to make certain that you wear a good sunscreen every day!

	"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Is Cosmelan Completely Safe? Can Melasma Get Worse After Treatment? Are There Adverse Reactions (Hyperpigmentation)?

Answers (3)

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