Melasma, or facial pigmentation, is a complex condition caused by a combination of sensitive skin, hormones, and sun exposure. Melanin, the primary determinant of skin and hair color, is what causes pigmentation in your skin. If your body produces too much melanin in a given area, the result is a brown spot on your skin and hyper-pigmentation.
The Cosmelan® Mask is a professional-grade cream that is applied by board certified dermatologist Dr. Michele S. Green in her practice on the Upper East Side. The mask is left in place for a number of hours (depending on the degree of pigmentation and skin type). The cream is easily removed at home by the patient several hours later. Cosmelan® will produce an initial “peeling” of the skin, which will leave the skin smooth and dramatically decrease the signs of facial pigmentation. Cosmelan® is a simple and safe treatment with minimal down time. The patient returns three weeks later for a touch-up of Cosmelan® in order to treat any residual pigmentation.
A series of creams including kojic acid, azelaic acid, and Vitamin K creams are used at home after the mask to maintain the effects of the procedure and keep the skin clear and pigment-free. Strict sun avoidance must be maintained throughout the procedure and afterwards in order to avoid pigmentation recurrence.
Dr. Michele S. Green is one of the only dermatologists in New York City to offer this treatment. Originally developed in Spain, Cosmelan® is both safe and effective on all skin types. The mask treatment has been proven to be more effective than laser treatments on darker skin types — such as Asian, Mediterranean, and Latin.
Dr. Michele Green has treated thousands of cases of melasma, or hyper-pigmentation, and she will custom design a treatment protocol for you that may include Clear and Brilliant® Laser, Fraxel® Laser, chemical peels, or a combination of cosmeceuticals.