Cosmelan Peel At A Glance
- Best Results1-2 peels
- Treatment Recovery2-4 days
- Procedure Time20 min
- Skin SpecialistDermal Therapist, Clinical Nurse
- Duration of Results6-14+ months
- AnaestheticPainless, Nil
- Back to WorkNext day
- Cost$$
Cosmelan Peel
Cosmelan mask is a novel chemical peel involving a two-step process consisting of an in-clinic peel and a home regime of topicals. This peel is aimed at treating unwanted pigmentation such as melasma, freckles, sun damage & age spots.
FactsFacts on Cosmelan Peel
- Cosmelan can address pigmentation on the face, neck & decolletage
- This peel can treat melasma, sun damage, post acne marks – post inflammatory hyperpigmentation
- The peel can remove over 90% of pigmentation within 10 days of application
- Cosmelan is a convenient two-step process
- The first step is the application of the peel in clinic
- The second phase is at home use of specified products included in the peel kit
- Patient selection is super important in achieving predictable long lasting results
What conditions can Cosmelan Peel treat?
Cosmelan & the more powerful Dermamelan peel can address skin conditions such as melasma/chloasma, freckles, sun damage, post acne marks as well as age spots. This peel can be used on the face as well as the chest- decolletage.
How does the Cosmelan peel mask work?
The first step of the peel involves removal of excess pigmentation. The second step (at home use of pigment inhibiting products) prevents & reduces the formation of further pigment.
View our Treatment Gallery
How is Cosmelan different from the Dermamelan peel?
Cosmelan is ideal for patients who are seeking a gentler alternative to Dermamelan. The latter is 30-40% stronger (more peeling, downtime an additional 48 hours) compared to the Cosmelan peel mask.
The majority of melasma peels I perform are of the Dermamelan subtype. This is because Dermamelan is stronger, hence removing more unwanted pigmentation in one session.
I prefer older Q switch lasers over pico lasers for the management of melasma. It is not that we can not get an improvement with pico, the argument is that we achieve more predictable results with QSL. Additionally the patient saves💲as we are using a more cost effective laser👍🏻
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🔬Skin Science: We know so much more about melasma now than ever before. It is a complex play of UV, HEV & IR radiation with just about every cell in the skin, not just melanocytes. Our odds of treating melasma has risen dramatically over the past 6 years with the understanding of how melanosomes are transferred to cells & the role of plasminogen & VEGF
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1️⃣💊Medical therapy remains first line
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2️⃣🔫Lasers can help, QSL> Pico> Fractional Non-Ablative
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3️⃣🍌Peels: Novel peels like Dermamelan and Cosmelan for epidermal > dermal. V. low concentration AHA, Jessner & super low TCA can help maintain
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4️⃣👎🏼Microneedling: Got lost in translation, from a method to increase transepidermal delivery of ‘actives’ such as hydroquinone, ascorbic acid, antioxidants it became the PRIMARY modality for most. Not a good idea
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😎Davin Lim
Dermatologist
Brisbane 🇦🇺
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#microneedling #melasma #melasmatreatment #dermatologist #drdavinlim #skinlightening #pigmentationtreatment #cosmelan #dermamelan #melasmacure #ethnicskin #dermatologyclinic #skinclinic
Melasma and dark circles. B and A by Lisa and Alison @cliniccutis
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🔬Skin Science: 3 main factors contributing to #melasma, genetics, hormones & radiation. We can’t control the first two, but with adequate protection radiation (incl. IR and HEV - high energy visible) can be reduced. HEV/ blue- especially important in this skin type as melanocytes have blue light receptors, Opsin 3. Pigmentary sunscreens useful
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👉Treatment options-
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👉SPF must be absolute
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👉Pigment inhibitors: the usual HQ, #arbutin, ascorbic acid, licorice root extracts, #cysteamine, kojic acid, bearberry and botanicals
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👉VEGF and fibrinogen modulators
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👉Lasers: nano over pico for melasma
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🍌Peels: Usual low concentration AHAs, TCA. When do I use novel Dermamelan or Cosmelan peels? Only when pigment is epidermal / mixed AND with t.acid cover po.
I prefer lasers over peels as the former is more cost effective with no downtime
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👀Dark circles: many causes, this improved due to increase collagen production from dermal toning- more side effect than actual aim, no vascular lasers used (in this case)
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😎Dr Davin Lim
@drdavinlim
Dermatologist
Brisbane🇦🇺
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#melsamatreatment #melasma #pigmentationtreatment #dermatologist #drdavinlim #davinlim #skinbrightening #skinlightening #tranexamicacid #skinscience #dermalscience #instaskincare #pigmentationcure #melasmaskincare
Melasma is a form of facial pigmentation. Share if you find this useful
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🔬Skin Science of #melasma is extremely complex. The main cause is an interaction of genetics, UV & in some cases hormones. Excessive pigment is produced by melanocytes
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How is melasma different from other pigment? Unlike #freckles #sunspots & age warts, melasma requires gentle & precise treatment. #IPL, aggressive lasers & #microneedling commonly flare up melasma
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How I treat melasma: The very first step is diagnosis as there are many forms of pigmentation. I then formulate a plan based upon careful clinical examination
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🌞Sunscreen is the foundation of treatment. #invisiblezinc #sunsense #neutogena make
great formulations. Ensure at least twice a day application. .
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👀Pigment inhibitors include #hydroquinone #kojicacid #ascorbicacid #arbutin #azelaicacid & #retinoids. The concentration & formulation combination varies according to skin sensitivity, depth of pigment, & previous treatments
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🔫Lasers; used appropriately can help lighten skin. Nano or Pico lasers, followed by either very, very low power 1927 #fraxel or #clearandbrilliant. .
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🍊Chemical peels can reduce melasma. My top peels are #retinoicacid peels, Dermamelan & Cosmelan peels, followed by #lacticacidpeels, #glycolicacidpeels & #TCApeels. Careful selection of suitable patients is paramount
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💉Vascular Modulation can be achieved with tablets, creams & copper bromide lasers. Tranexamic acid topically from the #inkeylist can be useful in some cases
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😎Davin’s Protip: Individualise melasma management. The answer is NOT a peel, nor a laser, nor creams/tablets. Melasma can be improved in the majority of cases, recurrence is the rule & rotational treatment is indicated. Dermamelan peel has pros & cons; this treatment may be suitable for some, but not all patients. .
Dr Davin Lim @cliniccutis
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BrisVegas
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#cosmelan #skinhealth #beautytips #healthskin #skincarecommunity #brisbanedermatologist #dermatology
How do I know if this peel is suitable for my concerns?
As always it is important to diagnose the type of pigmentation before treatment. Cosmelan & Dermamelan peels are best used on primarily stable superficial or epidermal pigmentation in patients who have a basic understanding of pigment treatments. Ideal candidates for this peel include-
- Patients with primarily superficial pigmentation (epidermal > dermal)
- People who have a strict timeline for melasma treatment, namely greatest improvement in the shortest time
- Patients who are good with at least twice daily application of sunscreen
- Patients who have less than 90 min of recreational sun a week (incidental UV such as running, hiking, swimming)
- All skin types can be safely treated (Ethnic-Asian- Dark skin)
To see if the Cosmelan Peel mask is right for you, book with my clinical team at Cutis Dermatology.
Davin’s Viewpoint on Dermamelan & Cosmelan peels
This form of chemical peeling is suitable for patients who require a quick improvement for their melasma, without extended downtime. The ideal patient is one who has a good grasp of sun protection, product use as well as a basic understating of melasma. To see if Cosmelan-Dermamelan is right for you, book a consultation with either myself or my senior nurses at Cutis Dermatology, Brisbane.
The majority of my melasma patients are prescribed Dermamelan as this is more powerful. Cosmelan is ideal for patients who are more risk averse, have less clinical pigmentation & limited downtime. As with all melasma treatments, candidate selection & education are paramount.
