Why did my hyper pigmentation worsen with Cosmelan 2?

Question

I am Indian and have tried laser, other peels and creams and nothing worked. The only other cream that worked was hydroquinine but that too stopped working after a few months. I used cosmelan 2 without the mask in 2014 and pigment worsened quite a bit. Later did the peel but worsened even further, why did this happen? Can I try just the cream again?

Raffy Karamanoukian, MD, FACS · Answer

We prefer to clear pigmentation and maintain results. I would start with the Kareskin Brightening Kit followed by Clear and Brilliant laser to help with your pigmentation. Best, Dr. KaramanoukianLos Angeles

Karthik Ram, MRCS, DNB · Answer

I suggest you seek a consulation from your physician before proceeding for Cosmelon the second time around . You may not have followed the instructions properly and hence have developed further hyperpigmentation after the peel . Cosmelon 2 is to be used only after step 1 maintenance therapy . The indications for step 1 include Discolourations/ post inflammatory hyper pigmentation hormonal discolourationsFrecklesOld age spotsSpots caused by the sunThe step 1 mask should be left on your skin for at least 8 hrs  or more depending on the pigmentation we are dealing with . That will be decided by your doctor after examining your skin. If Cosmelon has been deemed unsuitable for you , you may try other combination peels such as dermamlan or those that contain glycolic with HQ combinations .

Michele S. Green, MD · Answer

Without photos it is difficult to comment.  However, Cosmelan has hydroquinone and it is possible that you cannot use it.  If that is the case then neither their products or the Cosmelan peel would help.  With your skin type I would stay away from lasers. You should consider Retin-A and chemical peels.  Best, Dr. Green

Why did my hyper pigmentation worsen with Cosmelan 2?

Answers (3)