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Cosmelan has an at home treatment which is not as strong as the MD preparation. The MD preparation which is placed only in a doctor's office has hydoquinone and Retin-A compounded into the preparation. The time left on is followed by guidelines from 5 or more hours depending on skin type. Since this is a weaker preparation you should contact the company itself for guidelines.
Cosmelan is almost always applied in a doctor's office because it has to be done a specific way..... You leave it on for 6-8 hours, but the physician and medical staff determine that. From your photos I don't see melasma which is what this treatment is for. I see other sun damage, freckles, and sites, but Cosmelan is not a treatment for those. "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."
I've never heard of apply Cosmelan to the kneecaps. It's is designed for the face. You don't have to peel from the Cosmelan to have a good result, but you need to make sure you are using the Cosmelan 2 and Vitamin K product. And using sunscreen. "This answer has been solicited without seeing...
There are two different types of Cosmelan products. One type is with hydroquinone and the other is formulated without hydroquinone. Cosmelan MD which is the product that I use is compounded with hydroquinone and requires no additional hydroquinone during the initial mask. After the tr...
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...
Cosmelan is a fantastic treatment for melasma and hyperpigmentation. The best treatment is the medical grade Cosmelan. You will require two treatments three weeks apart for the best results. Please consult a board certified dermatologist with a lot of experience with Cosmelan for the best re...
Cosmelan is a great product and I generally recommend two treatment 3 weeks apart as the company recommends for best results. Cosmelan re-application 4 months later should have had similar results. I would suggest you return to your treating physician for evaluation.
When I do a Cosmelan peel (and home care products) on my patients, I also give them a prescription strength hydrocortisone cream to use. This calms any associated redness, tightness, or dryness. Since adding this into the regimen I haven't had any patients with prolonged redness or irritation....