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

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.

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

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."