I got a photofacial treatment to treat my melasma, and I now have new brown spots. Will Cosmelan treat this side effect?

I have an new brown spot after the super photofacial treatment for two times. Would Cosmelan work, or will it worsen the brown spot?

Answers from doctors (2)


Jeffrey A. Sweat, MD

Published on Oct 30, 2017

Hi there, great question and sorry you got the opposite results you were looking for. At our practice we recommend our patients prep their skin before any advanced treatments. We use SkinMedica products and have great results in treating hyper-pigmentation when a home care routine of Lytera Pigment Correction Serum, Brightening Cream, Retinol and SPF are used for at least 4 weeks prior to treatment and resumed after healing. We have 3 different levels of advanced peels that specifically target dark spots as well as laser and IPL. Pre-treating the skin and continued use of products will result in the most optimal results.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8497_1506110871.jpg
Answered by Jeffrey A. Sweat, MD

Hi there, great question and sorry you got the opposite results you were looking for. At our practice we recommend our patients prep their skin before any advanced treatments. We use SkinMedica products and have great results in treating hyper-pigmentation when a home care routine of Lytera Pigment Correction Serum, Brightening Cream, Retinol and SPF are used for at least 4 weeks prior to treatment and resumed after healing. We have 3 different levels of advanced peels that specifically target dark spots as well as laser and IPL. Pre-treating the skin and continued use of products will result in the most optimal results.

Published on Jul 11, 2012


Celibre Medical Corporation

Published on Oct 30, 2009

The first problem is that IPL treatments will make Melasma worse.
Melasma is a dermal skin condition (deep skin tissue) and for this
reason, an IPL is not a device that would be appropriate to treat it
because it can only address epidermal (upper skin) pigment. The bottom
line is that with the current laser (and IPL) technology and current
research, we would suggest using Cosmelan or another topical treatment
program rather than lasers. You will very likely get worse with lasers
and at least with Cosmelan you have a very good chance of getting
better. If the brown spots are sun damage, they may have just gotten
darker after treatment because this is normally what happens. If they
are additional markers for Melasma that was caused by the IPL
treatments, you may need Cosmelan to get rid of them.

Regards,

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7233_14244688661.jpg
Answered by Celibre Medical Corporation

The first problem is that IPL treatments will make Melasma worse.
Melasma is a dermal skin condition (deep skin tissue) and for this
reason, an IPL is not a device that would be appropriate to treat it
because it can only address epidermal (upper skin) pigment. The bottom
line is that with the current laser (and IPL) technology and current
research, we would suggest using Cosmelan or another topical treatment
program rather than lasers. You will very likely get worse with lasers
and at least with Cosmelan you have a very good chance of getting
better. If the brown spots are sun damage, they may have just gotten
darker after treatment because this is normally what happens. If they
are additional markers for Melasma that was caused by the IPL
treatments, you may need Cosmelan to get rid of them.

Regards,

Published on Jul 11, 2012


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