What is Cosmelan®?

Cosmelan is clinical treatment designed to address all types of pigmentation concerns including melasma. It is suitable for all skin types, and will lighten and brighten the skin equalise skin tone and increase luminosity.

Cosmelan is currently one of the best products on the market to treat pigmentation concerns such as extensive sun damage and melasma.

What is Hyperpigmentation?

Hyperpigmentation is a common skin disorder which presents as brown skin patches, often found on the hands and face, leaving the skin blotchy and uneven. It can start at any age, even in the teenage years, and is often worse after pregnancy.

Hyperpigmentation can have a myriad of causes and is one of the most difficult dermatological conditions to understand and manage. Factors contributing to pigmentation changes include genetic predisposition (more common in darker skin types and Asian /Mediteranean skin), heat and sun exposure, skin inflammation such as acne and hormonal influences (such as pregnancy, the oral contraceptive pill, excessive oestrogen, thyroid conditions and high blood sugar). Often it is a combination of factors, but in our clinic sun exposure is a common driving force.

It’s important to note that Inappropriate heat treatments such as laser and IPL treatments can cause hyperpigmentation, We see a lot of this! If you are predisposed to get pigment changes, be very careful with any laser or IPL treatments and choose your provider wisely!

How does Cosmelan® Work?

Cosmelan® works by decreasing the production of melanin from melanocytes (the pigment producing cells of our skin). The predominant action of the peel is inhibition of tyrosinase, an enzyme which production of melanin. The peel works to stop pigment production and hence reduce the discolouration.

Unfortunately, it is not curative, so after the initial treatment, the tyrosinase function will slowly start again and melanin will start to be produced, particularly if there is sun exposure. Due to this, application of home care products must be used to maintain results and sin avoidance is crucial.

Advantages over other Depigmentation Treatments

Pigmentation is the most difficult dermatological condition to manage and there is still no cure. Clients often struggle with this for their whole adult lives and feel frustrated and disempowered at the lack of progress and effective treatments options. We have tried so many products, peels, lasers and cream and to date Cosmelan is the best we have seen. Advantages include:

  • Only one treatment required

  • It works quickly, with limited downtime

  • It is effective for ALL skin types and pigment, especially for those with melasma where we have limited options.

  • It is well tolerated

  • It can be used any time of the year YAY!

  • It is effective at managing iatrogenic pigmentation such as hyperpigmentation caused from lasers, waxing and chemical peels

  • As an added benefit, it gives the skin a beautiful dewy glow and induces collagen, improving skin firmness and texture.

We understand the impact that pigmentation can have on your life and we can’t wait to take the journey with you to finally removing it!


An initial consultation with our doctor may be required to exclude any underlying medical issues that may have resulted in pigmentation and to discuss issues such as contraception. If you would like to arrange this, or our staff think it is required, please do this prior to your treatment.

Procedure Time
30 minutes. Then ongoing home care which is provided as part of the package.

Recommended Plan

The Cosmelan® treatment is a 2 step programme: a medical peel and a post care home treatment programme.

  • Phase 1 involves an in-clinic treatment which takes about an 30 minutes and involves the application of the Cosmelan® mask. Once the mask is applied, you will be taken through the protocol carefully and you will be able to go home. You will be instructed to remove the mask after a specified period of time. It is better to book in the morning or lunch as the peel may bed to be left on for several hours.

  • Phase 2 consists of a 4 month home care maintenance programme, which is critical to the success of the treatment. You will be given careful instructions to follow to best maintain your result. It is vital to avoid sun exposure and skin inflammation (e.g. managing acne and avoid waxing in the treatment area.)

As hyperpigmentation is a chronic condition, the peel will not “treat” your condition and most clients return for a repeat treatment over time.

Depending on your work, it may be necessary to take time off and we do not recommend planning any social events in the few weeks following your treatment.

You can expect a vast majority of all pigmentation to be eliminated, however deep dermal pigmentation can be extremely difficult to treat. In this instance, we advise regular Q switch facials which are able to break up deeper pigment.

Downtime / Aftercare

  • Day 1-4: Your skin will be red and hot and a bit swollen. It may feel quite tight and dry.

Day 4-5: Peeling will generally start around this time, depending on your skin type and may last 7-10 days. It is very important NOT to pick or exfoliate the skin- allow it to shed itself. If you pick the skin, you may cause infection and increase the risk of scarring. Generally, the most shedding occurs on days 1 -2. Many clients have this treatment on a Thursday or a Friday so downtime can occur on the weekend.

If your work or personal life prevents you from taking time off, we strongly recommend that you consider alternative treatment options in the meantime to further prepare your skin, such as medical skin care, suncream, Q switch facials and regular less intensive peels.


$1, 200

This includes initial application of the Cosmelan® peel, as well as a 4 month take home treatment kit.


Results will be noticeable 2-3 weeks post treatment, after the peeling as stopped.

You will notice reduced pigmentation as well as clearer, brighter skin.

This should continue to slowly improve over time as long as you adhere to home care and reduce any triggers such as sun exposure and hormonal changes.

Special considerations

  • Not suitable if pregnant or breast feeding

  • Not suitable for those with poorly controlled rosacea

  • Not suitable if Roacutane (oral Tretinoin) is taken in the last 12 month

Before and Afters

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