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Cosmelan Melasma Treatment

What is Cosmelan treatment?

Cosmelan is a chemical peel which includes a combination of different depigmentation agents. These agents  decrease melanin production on the skin by inhibition of enzymes tyrosinase. Melanin is responsible for darkening of the skin which results  in formation of brown spots due to sun exposure as well as formation of melasma when influenced by hormones.

What are the indications for the Cosmelan treatment?

  • Melasma
  • Brown Spots
  • Blotchy Skin
  • Hyper-pigmentation
  • Post-inflammatory hyper-pigmentation of dermatitis and acne scars
  • Photo-damage skin
  • Aged skin
  • Prevention of hyper-pigmentation post-laser and post-peel

What are the Pre-procedure instructions?

  • Avoidance of any facial or any salon activity for 1 week before the peel
  • Strict sun protection before and after peel
  • Priming of the skin with few depigmenting creams before the treatment

What are the steps for the Cosmelan treatment?

The initial treatment with Cosmelan is always done in the doctor’s office. The first part involves evaluation of the skin type by the doctor. The cleansing of the skin is done with the degreasing agent in order to remove the dead cells, skin oils and old debris. After the degreasing step, Cosmelan 1 mask is applied and left on for a total of 10 – 14 hours depending on the skin type. I like to apply a uniform layer all over and sometimes  apply two coats on the resistant and depigmenting areas.  After the mask application, you are able to go home with the mask on. Avoid sun exposure with the mask on.  In my clinic I advise my patients to do this treatment in the evening after sunset so that patient is not exposed to the sun rays immediately after the mask is put on.

After appropriate amount of time has elapsed, the mask is removed with water and a neutral cleanser. I also advise my patient not to rub or scrub the face with any facewash or soap. Face needs to be cleansed with lots of plain water. Immediately following the cleansing of the face, the mesoestetic Hydra-vital factor K cream is applied on the treated area.

What are the contents of the Cosmelan peel?

I like to make my patient read the contents of the peel and talk to them about the advantage of each agent and assure them that it is a hydroquinone free peel.

Cosmelan 1 – mask

Azelaic Acid, Kojic Acid, Phytic Acid, Ascorbic Acid, Arbutine, and Titanium Dioxide

Cosmelan 2 – Maintenance Cream (30g)
Titanium Dioxide, Kojic Acid, Phytic Acid, Ascorbic Acid

Mesoestetic Hydra Vital Factor K Cream (50ml)
Hydro nutritional cream for face and neck. Hydroviton, VItamin K, Vitamin E, Amniotic fluid, Glycerine, Silicone oil.

What are the steps to be followed after the Mask is removed?

The second stage is the home maintenance program. It consists of the daily application of the Cosmelan 2 cream.  The cream is applied 2-3 times a day, for the first two weeks following the application of the mask, then once a day from then on.  Continual daily use is recommended for the best results. If skin is dry I like to give my patient Cetaphil Damn moisturizing cream to be applied several times in a day along with Mesoestetic Hdrya- vital factor K. I advise physical blockade for 2 – 3 weeks after the peel. I ask my patient to carry an umbrella or a scarf if possible along with application of sunscreen which is a very vital step. Reapplication every 3 – 4 hours is also what I counsel my patient.

What to expect after the Cosmelan treatment?

First and Second day

During the first two days of the treatment, the skin may turn red. If the skin is very sensitive, the patient may experience an itching feeling. Slight burning and tightening of the skin is also absolutely normal, especially during the first 24 to 48 hours after starting the treatment. To relieve these problems, it is advisable to apply the Mesoestetic Hydra-vital factor K whenever necessary. Slight reddening and swelling of the face is also likely to occur which will take 4 – 5 days to settle.

Fourth and Fifth day

Flaking will occur on all skin types. In this case it is advisable to apply the Mesoestetic Hydra-vital factor K cream, repeating this every two hours on the day when the flaking is most intense repeating this every 2 hours until it improves.

Seventh and Eight day

Skin appears healthy and luminous and the marks begin to fade.

What are the instructions to be followed after the procedure?

  • Do not rub or scratch the skin
  • Do not try to pull or cut flakes
  • Do not use exfoliants, scrubs or peels
  • Avoid steam baths, saunas
  • Avoid swimming for 2 weeks after the procedure
  • Avoid makeup till flaking occurs

What are the advantage of Cosmelan treatment?

  • Very effective in all types of Melasma especially deep seated severe Melasma or post inflammatory hyperpigmentation PIH
  • Effective for pigmentation that has failed to resolve after traditional skin lightening topical products
  • Effective for pigmentation that has failed to resolve after traditional treatments such as superficial peels
  • Rapid and easy depigmenting action
  • Compatible with ALL skin types
  • Light peeling effect
  • Treatment can be used all year round
  • Does not contain Hydroquinone or TCA
  • No side effects

What are the disadvantages of Cosmelan treatment?

  • Downtime for the patient
  • Not be performed in the summer months

What is the visit followup schedule?
I ask my patient to visit my clinic in 8 days of the treatment, 15 days after, and a follow up visit every month thereafter.

How long will the result last?
The results continue to improve with the use of Cosmelan 2 cream and with strict sunscreen application. The results are long term and with continued use of  a good skin care routine patients experiences very healthy and pigmentation free skin.

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