2. Your At-Home program will consist of active-ingredient products that you will use on a consistent basis to further improve pigmentation problems and prevent excess pigment formation. Your maintenance cream, Cosmelan II, will be used on a ongoing basis. This special pigment control cream contains ingredients such as Kojic Acid, Phytic Acid, Ascorbic Acid and a protective agent, Titanium Dioxide.
*Cosmelan is formulated without Hydroquinone. Active ingredients include azelaic acid, kojic acid, arbutine, phytic acid, ascorbic acid. Cosmelan® Depigmentation treatment action mechanism is based on the inhibition of tyrosinase, a basic enzyme in the melanin formation process. Several of the substances present in the Cosmelan formula act by blocking this enzyme.
- Photo Source Mesoestetics
- Treatment - Cosmelan
- Physician unspecified
- Not all patients receive similar results
Hyper-pigmentation is very difficult to conceal, even with heavy makeup or camouflage creams. Women who have previously had to resort to unnatural looking cover up makeup and concealers are generally able to use only a minimal amount of makeup once they have adopted the Cosmelan program.
Types of Hyper Pigmentation
Melasma or Chloasma: Skin coloration that appears as blotchy brown spots, often covering cheeks, forehead, or temples. This type of hyper-pigmentation can be hereditary, or triggered by hormonal changes such as pregnancy or menopause. Taking birth control pills can also trigger Melasma. In addition, some treatments may worsen the condition so be sure to consult a physician prior to having treatments meant to improve melasma.
Age Spots or "Liver" Spots: Smaller darkened patches usually on older adults who have been exposed to the sun for many years. These spots can be seen on the face, forearms and backs of hands.
Post-inflammatory Hyper-Pigmentation: This type of hyper-pigmentation results from any injury or trauma to the skin that causes inflammation. Typical causes of post-inflammatory hyper-pigmentation:
Acne – particularly cysts or nodules – often leaves brownish discoloration after a blemish heals. Persistent cystic acne can be minimized with Photodynamic Therapy.
Incorrect chemical peels, improperly performed laser hair removal, or poorly chosen laser treatment can cause hyper-pigmentation.
Rashes like psoriasis and eczema often darken the skin as well. Even leg waxing and electrolysis can cause the melanin cells to over-react.
Prolonged exposure to heat, whether from being in the sun or working over heat-producing appliances can also be a potential cause.
You must not use glycolic products for at least one week prior to your first Cosmelan treatment. You must not combine other topical treatments with Cosmelan. Dr. Sedgh will provide guidelines for home use products so they will work correctly with your Cosmelan products.
Other Treatments for Hyperpigmentation
From time to time additional measures are incorporated to further the results. Poor skin texture combined with pigmentation may respond best to Fractional Resurfacing, as will Melasma and Chloasma. Chemical peels may be used as an adjunctive in reducing sun damage-related pigmentation. IPL, for pigmentation that is not hormonally induced is good also for diffuse pigmentation from sun damage. PhotoDynamic Rejuvenation is a process for targeting damaged skin cells with a topical light activated solution.
During your office consultation you will be provided with a detailed plan of the treatments that will benefit you most. Initial Cosmetic Consultations are Complimentary.
Please contact us by phone or email with any questions you may have or request an appointment online for your complimentary consultation.