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Cosmelan Peel

A multi-step chemical peel for the
treatment of hyperpigmentation

What is a Cosmelan Peel

The Cosmelan Peel is a multi-step treatment program used to treat resistant hyperpigmentation skin conditions like brown patches, or Melasma. From the in-office mask peel application to the at-home aftercare products, this treatment system uses powerful formulas containing a variety of medicated ingredients that help fight stubborn pigmentation conditions to even out the skin’s tone and coloration.

Cosmelan Peel For resistant Melasma

Cosmelan peels are great for the treatment of resistant and recurring brown patches often referred to as Melasma. As we age, the sun’s UV light can cause pigmentation-producing cells called melanocytes to over-produce pigmentation, leading to splotches of dark brown discoloration. Melasma, although worsened by the sun’s IV light, mostly is under the influence of multiple stimuli such as hormonal changes 

(during/after pregnancy for women) and/or genetic predispositions. The Cosmelan peel treatment provides a great way to treat these stubborn types of melasma, which can otherwise be difficult to treat. Cosmelan Peels generally include two primary steps: an in-office appointment and at-home aftercare. The office appointment with Dr. Brandish first includes Vibradermabrasion to clear any obstructions or barriers on the skin for effective absorption of the Cosmelan mask (Cosmelan 1). Cosmelan 1 is a mask applied following Vibradermabrasion. This mask uses the power of different acids to provide a gentle but effective facial peel that helps remove the melasma pigmentation molecules from the skin as it peels away. The at-home Cosmelan 2 Cream product is then applied daily to maintain the results from Cosmelan 1, ensuring that the skin is staying clear of the excessive melanocytes (brown melasma spots) over time. Although hormones and genetics can contribute to the future production of these melasma patches, the Cosmelan Peel regimen provides a persistent solution to this persistent condition, keeping your skin tone even and beautifully radiant over time.

How long do results last?

Results from the Cosmelan Peel can be very effective and long-lasting. Alleviation of melasma pigmentation spots should last many months to years on average with continued maintenance therapy and a good sun protection regimen. Due to the hormonal and genetic nature of resistant hyperpigmentation or melasma, the formation of new melasma spots may continue with aging. Follow-up treatment may be required to maximize results as is long-term maintenance therapy to inhibit excessive melanin production.

What should I expect with the treatment?

To start, you and Dr. Brandish will develop an individualized treatment plan to determine if the Cosmelan Peel is the best tool for the desired result.

At the appointment, the skin will be cleaned and prepped for the procedure. Vibradermabrasion will be used to clear any barriers to absorption of the Cosmelan products for best results. The product mask will then be applied to the concerned areas of the skin.  The patient may now head home, continuing to keep this mask on for 4-8 hours depending on the severity of hyperpigmentation.

After an appropriate time, the patient will wash the mask off and apply a series of topicals to the treatment areas, including anti-inflammatory medicated ointments, healing creams, growth factors, etc. There can then be no sun exposure for 24 hours after, and the patient may start using cosmelan 2 after 36-48 hrs of mask application. The at-home treatment (Cosmelan 2) can be applied once or twice per day depending on the melasma severity.

The skin will peel and be mildly red for 1-2 weeks on average while it is healing. When it is fully healed, the skin will be revitalized and have a more clear complexion!

A follow-up appointment will be needed 4-6 weeks after the initial treatment. Cosmelan II usage may be recommended for 6-12 months thereafter for maintenance therapy.

Further treatments may be required some months later to maximize the outcome in severe cases.

Are there side effects to be aware of with Cosmelan Peel?

Side effects with Cosmelan Peel are rare. The most common side effects are as follows:

– Redness or swelling
– Tightness and/or itchiness
– Peeling of skin
– Stinging or burning

These side effects tend to be mild and should dissipate on their own in the week following the procedure.

Cosmelan Peel Summary

The Cosmelan Peel is a cutting-edge pigmentation-fighting treatment regimen, utilizing both a peeling mask applied by your medical professional, as well as an aftercare product to maintain an even skin tone for months to come. With this two-step treatment system, you can successfully restore your skin’s complexion to its youthful clarity and do away with cosmetically-troublesome melasma related to hormones and genetic predispositions. The Cosmelan Peel is a safe peel treatment with relatively little downtime, and the result is radiant and healthy skin that stands the test of time.

How do I get started?

If you’re interested in hearing more or in scheduling an appointment, contact our office at

and we’ll take care of you. We offer free consultation appointments as well if you’d like to simply go over any problem areas and see if Cosmelan Peel or other treatment options may be the most effective solution.