I have melasma on my upper lip. For the past several years I have done cosmelan with success every winter. However this year when I went into my dermatologists for the second touch up application the before/after photos showed since the cosmelan my melasma had gotten worse. I'm so frustrated. I did notice on the cosmelan box that it was almost expired. I did the mask in November, the cosmelan was apparently compoundd in august and the expiration date was a week away. Could this be the reason?
Answer: Brightening kit for melasma I would start with the Melarase Brightening kit followed by chemical peels and Clear and Brilliant to restore your skin complexion. Best, Dr. KaramanoukianLos Angeles
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Answer: Brightening kit for melasma I would start with the Melarase Brightening kit followed by chemical peels and Clear and Brilliant to restore your skin complexion. Best, Dr. KaramanoukianLos Angeles
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August 19, 2019
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp This is tough to answer without before and after pictures. It is unlikely that this is why your melasma got worse. As you know, melasma needs lifelong maintenance, but usually a combination approach will give the best improvement. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
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August 19, 2019
Answer: Melasma Treatment--Best Treatment Is Clear + Brilliant / Fraxel / Aerolase w Microneedling/prp This is tough to answer without before and after pictures. It is unlikely that this is why your melasma got worse. As you know, melasma needs lifelong maintenance, but usually a combination approach will give the best improvement. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer
Helpful
February 2, 2018
Answer: Cosmelan or Brightening Kit Cosmelan is a sensitive product and unfortunately has expired. I recommend a physician formulated skin care regimen from KareSkin clled Brightening Kit. There may be others on the market but I like the entirety of this KIt for brightening. BestH Karamanoukian MD FACS
Helpful 1 person found this helpful
February 2, 2018
Answer: Cosmelan or Brightening Kit Cosmelan is a sensitive product and unfortunately has expired. I recommend a physician formulated skin care regimen from KareSkin clled Brightening Kit. There may be others on the market but I like the entirety of this KIt for brightening. BestH Karamanoukian MD FACS
Helpful 1 person found this helpful
Answer: Post inflammatory inflammation, skin irritation, incidental UV ...read more We can speculate on the reasons why - as Dr Emer says Before and Afters would be useful, however if it confirms worsening, the above may account for why. Now to aim to improve melasma you should understand the cause. Melasma is a very common cause of skin pigmentation. It can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. This forms the foundation of all treatments.
Helpful
Answer: Post inflammatory inflammation, skin irritation, incidental UV ...read more We can speculate on the reasons why - as Dr Emer says Before and Afters would be useful, however if it confirms worsening, the above may account for why. Now to aim to improve melasma you should understand the cause. Melasma is a very common cause of skin pigmentation. It can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours. This forms the foundation of all treatments.
Helpful
