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Melasma or Chloasma, commonly known as mask of pregnancy and hyperpigmentation is a common skin condition resulting in brown patches on the face of adult women. Both sides of the face are usually affected but not necessarily symmetrically. The most common sites of involvement are the cheeks, bridge of nose, forehead, and upper lip. The precise cause of melasma is unknown. People with a family history of melasma or chloasma are more likely to develop this “mask of pregnancy” themselves. A change in hormonal status is very likely a cause, as well as pregnancy, birth control pills and hormone replacement therapy used after menopause.
Do you use Lasers to Treat Melasma?
Many of our patients ask for laser treatments to rid themselves of this common ailment. They are tired of having to wear pancake makeup to cover the blemishes. They have read that Fraxel® lasers and other fractional laser devices such as the Quanta Matisse and Sciton Profractional Lasers are effective in reducing the pigmentation of melasma. Although Fraxel®, Quanta, and Profractional Lasers have their places in the treatment of other conditions, we steer our melasma patients away from those procedures.
Cosmelan® is a far less expensive and more effective treatment for melasma, chloasma, mask or pregnancy and hyperpigmentation than using lasers. Cosmelan is a safe, depigmentation treatment that is painless and requires no downtime. It 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, or even by inverting the metabolic process of the transformation chain. Its principal action is the elimination of melanin patches on the face (melasma and chloasma).
?In 99% of the cases, the disappearance of the blemishes improves by 95%. One week after starting the Cosmelan® Depigmentation treatment, a noticeable significant improvement of the skin is observed! The reduction of the treated blemish is detected and the appearance of new luminous and rejuvenated skin is present. At the end of the Cosmelan® Depigmentation treatment, the blemishes start to disappear altogether, so that, although the patient may be able to “locate” the place where the spot was, the truth is that the pigmentation will have disappeared and nobody will be able to see it just by looking at it.
?The process consist of two parts: First stage is applied in our office. Dr. Gutman will evaluate your skin type and determine, then cleanse your face and degrease the area to be treated and apply the Cosmelan® 1 yellow mustard mask. The mask will be left on for a total of 4-8 hours depending on your skin type. You will go home with the mask on. After the action time has elapsed, you will remove the mask with water and a neutral cleanser, and then apply the Mesoestetic® Hydra-vital factor K cream.The second stage is the Home Maintenance. It consists of the daily application and continual use of the Cosmelan 2 cream. The cream is applied three times to the day, the first week following the application of the mask, twice a day the second week, and once a day the third week forward.
?No, a TCA peel uses trichloroacetic acids (which are stronger than glycolic acids and penetrate deeper into the skin) to destroy and remove outer layers of the skin. During the 10 to 15 minute procedure, the patient feels a burning sensation and local anesthesia may be recommended. There is moderate discomfort and swelling of the treated areas for about a week. Healing and toughening of the new skin takes place for a few weeks following a TCA peel, but most patients look presentable enough to return to their normal activities after about a week.
Ready to get started? Dr. Gutman requires an initial consultation to analyze your condition and determine if you’re a suitable candiate for Cosmelan. In the no obligation consultation, Dr. Gutman will listen to your needs and answer any questions you may have. Based on your goals, Dr. Gutman may offer you a combination of procedures to achieve your desires results at a price you can afford. Schedule a Free Consultation.
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