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?

Doctor Answers 1

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 repeat it in 4-6 months if the results are good, but not perfect. Other options for melasma include repeated glycolic peels. Theoretically, deeper peels would work, but I would worry about it coming back worse.

The standard rules apply: birth control and pregnancy will worsen melasma. Those two and sun exposure will prevent any treatment from working.

Hope this helps!

Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

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.