Dermamelan Peel At A Glance
- Best Results1 treatment
- Treatment Recovery4-7+ days
- Procedure Time20 minutes
- Skin SpecialistDermatologist, nurse
- Duration of Results7-16 months
- AnaestheticNil, painless
- Back to WorkNext day- 5+ Days
Dermamelan Peel is a unique chemical peel that is used for the treatment of persistent & resistant melasma/chloasma. This peel, sometimes referred to as a mask is the fastest method to reset melasma pigmentation. I am extremely selective as to who is suitable for this type of melasma peel as pre-selection is critical to achieving good results. This peel includes a home kit containing pigment inhibitors, moisturizers & sunscreen.
FactsFacts on Dermamelan Peel
- Dermamelan is used to treat melasma, pigment from acne, freckles & age spots
- This two-step peel is suitable for all skin types
- Application of the peel is conducted in the clinic
- The second step is an at home maintenance program
- Dermamelan/Cosmelan is the fastest way to reset melasma
- This preparation does not contain Hydroquinone
- Dermamelan selection is important to achieving good results
What is Dermamelan Peel?
Dermamelan is an effective treatment that is used to treat skin blemishes that are caused by melanin including Melasma/Chloasma. Its aim is to improve the overall texture & luminosity of the skin. It involves a combination of professional treatment conducted in the clinic followed by a home maintenance cream.
The home kit contains pigment correctors, washes, moisturiser & sunscreen.
Will all types of melasma respond to Dermamelan peels?
Peels are best for epidermal forms of melasma. Technically melasma is both epidermal (involving the upper part of the skin known as the epidermis) as well as dermal (deeper layer of skin). The relative proportions of where pigmentation lies gives rise to the primarily depth of melasma.
The depth of melasma can be gauged with clinical examination, dermatoscopy, Wood’s light or in extreme cases a skin biopsy (useful to differentiate other forms of pigmentation including ochronosis, PIH & other causes of skin pigmentation). My team & I will guide you accordingly.
If you have dermal melasma, peels have limited efficacy.
How long will it take to recover from this chemical peel?
4 to 7 days. The majority of patients will start to peel 48 to 72 hours after the application of the cream. Depending on your skin type, peeling typically lasts one week. In 20% of patients, peeling can last up to 8 to 10 days.
What should I expect my melasma to be like after Dermamelan mask peeling?
A realistic expectation is improvement of between 50-80% after one application of Cosmelan – Dermamelan peel. Patients who have primarily epidermal – mixed melasma will have better initial and long-term results compared to primarily dermal pigmentation.
With correct application of post peel products and sun protection, we can expect a good outcome. Peels, lasers & creams do not cure melasma, they merely treat it. You can have this peel repeated every 6-18 months as indicated.
*Dermamelan – Cosmelan does NOT cure melasma, it merely treats this pigment & ‘resets’ the pigment clock.
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What is included in this unique peel program?
A professional peel is conducted within the Specialist suites. Additionally, an at home kit consisting of face washes, nightly anti-pigment creams & sunscreen are included. This home package is part of the ‘peel series.’
How do I know if Dermamelan is suitable for my pigmentation?
The MOST IMPORTANT aspect of pigmentation treatment is a diagnosis. Novel chemical peels for melasma require careful patient selection as not everyone is suitable for this treatment. This peel is suitable for –
- Patients with primarily superficial melasma (epidermal > dermal)
- People who have a strict timeline for melasma treatment, namely greatest improvement in the shortest time
- Patients who are strict with their sun protection
- Patients who have less than 90 min of recreational sun a week (incidental UV such as running, hiking, swimming)
- Those with no medical contraindications to vascular modulators
A consultation is required for every patient. This consultation enables you to express your concerns freely and confidentially. Following an assessment and examination, a tailored treatment plan will be provided and the most appropriate treatment for you will be discussed. As a guide, 80+ % of patients have a good to excellent outcome following novel peels for melasma.
What are the potential side effects & risks of this peel?
This novel peel is a graduated ‘soft’ peel that is very different from TCA – TCA/ Jessner or phenol croton oil peels. Side effects are rare. The major things to note include –
- Prolonged redness & skin irritation (maybe prolonged> 10 days)
- Prolonged peeling – skin flaking (seen in some patients to last up to 12 days)
- Rebound pigmentation (melasma can rebound in some patients)
- Tightness and swelling (this may last 5-7 days)
- True allergies (rare, about 2-3% of patients)
What other options are available to treat pigmentation?
There are many other options available to treat pigmentation, depending on the type and the depth of pigmentation, as well as patient factors (such as skin type and downtime). Some of the other ways I manage pigment include-
- Fraxel lasers: For sun damage & age spots
- Clear & Brilliant laser: This is a gentle form of Fraxel
- LaseMD Ultra: is a better Fraxel in every way
- BBL – IPL: For freckles and sun damage, not good for melasma
- CO2 fractional lasers: For sun damage pigment & wrinkles
- Erbium laser: For Asian & ethnic skin
- Pico & nano lasers for melasma & post acne marks including ethnic skin types
- Tixel for some cases of pigment
Davin’s opinion on Dermamelan - Cosmelan peels for melasma
Even with the event of lasers including Fraxel, Spectra & Picosure/Picoway, I find chemical peels useful in the management of resistant melasma. The Cosmelan/Dermamelan peel is one of the fastest ways to clear melasma– typically 70-80% of melasma will fade within 10 days of starting the peel. This is my preferred method of treating skin pigmentation for patients who see me from the Interstate or overseas. Unfortunately, patients who suffer from dermal melasma will have marginal benefits from lasers and-or peels.
It is important to ascertain the level of melasma prior to peeling, as this will determine the success of this treatment. My clinical team & I use special instruments such as polarised dermatoscopes or skin microscopes to visually confirm the depth of pigmentation.
In some cases, I combine Cosmelan or Dermamelan with t.acid to further improve outcomes from novel peels. Once melasma is treated, we transition patients to a maintenance program that comprise of super gentle lasers or more cost-effective & less powerful chemical peels. The ideal treatment depends on your goals, skin type, downtime, & skin sensitivity.
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