During the treatment cleansing the skin will be prepped with an oil removing solution to allow even penetration of the peel. Tingling and a strong smell are expected.

The thick, clay colored mask will be applied and must be left on at home for a period of 5-12 hours. The duration will be dependent on Fitzpatrick type and skin condition. While the mask is on, a water mist, will need to be used to keep the product moist (not wet) to ensure it does not dry out.

Once the mask has been left on for the desired time, it will need to be completely but gently removed at home using room temperature water, gently pat dried and post care routine would commence.

Immediately after removing your mask at home, moderate erythema and heat is to be expected.

What to expect (Individual reactions may vary):

• 24 Hours: Start your after care routine. Moderate erythema, strong heat and moderate swelling.
• 48 Hours: Strong erythema, moderate heat, swelling and itching, mild flaking.
• 72 Hours: Mild erythema and heat, strong itching and flaking.
• 1-8 Weeks Mild erythema, moderate itching and flaking.

Expect to purchase additional aftercare products. Recommended weekly LED treatments in clinic.

Hydrate: for seven days prior, moisturize your skin in the morning & evening.

Be gentle on your skin. As you prepare for the Melasma peel, you will need to refrain from waxing your skin or using chemical depilatory (hair removal) treatments for at least 14 days before treatment.

Stop all topical acids (like glycolic, alpha, or beta hydroxyl acids), retinol, Retin-A, or other like products 14 days prior to treatment.

Pause Hydroquinone 3 months before treatment

Refrain from any other chemical peels. In the two weeks leading up to a chemical peel, it is imperative that you refrain from having any other chemical peel treatments. If it has been less than two weeks since your last chemical peel, you should wait until at least 14 days have passed.

Avoid microdermabrasion treatments. Microdermabrasion treatments work similar to chemical peels, except this treatment uses a gentle abrasive tool to peel off the outer layer of skin. If you are planning on having a chemical peel performed, you should avoid having a microdermabrasion treatment for at least 14 days before the procedure.

Avoid tanning beds or prolonged exposure to the sun 14 days prior to treatment.  Always use a zinc oxide sunscreen with SPF 30+.

Avoid self-tanning topical products for two weeks before your chemical peel

Men should avoid shaving 2-3 days before treatment.

• Avoid cosmetic treatments within two weeks of your peel such as neurotoxins, fillers, resurfacing treatments, lasers.
• Take antiviral medication as needed. Some people preparing for a chemical peel will not need to take antiviral medication. However, if you have a history of herpes infections on or around your mouth, your doctor may prescribe an antiviral medication for you to take before and after the treatment.

• Pregnancy or nursing
• Hydroquinone use in the past 3 months on treatment area
• Allergies to any of the components of the formulation
• Treatment with topical or oral prescription strength acne medication in the past 6 months
• A history of diseases stimulated, such as recurrent Herpes Simplex in the treatment area or active facial or oral herpes infection
• History of drugs with photosensitizing potential
• Facial cancers, especially facial melanoma
• Any active condition in the treatment area, such as sores, psoriasis, eczema and rash as well as excessively/freshly tanned skin
• History of skin disorders such as keloid scarring, abnormal wound healing, as well as very dry and fragile skin
• Any medical condition that might impair skin healing
• Any surgical, invasive, ablative procedure in the treatment area in the last 3 months or before complete healing
• Cosmetic treatments including neurotoxins, filler, threads, Sculptra will need to be evaluated for healing and possible contraindications. Skin must be healed before treatment.
• Use of Isotretinoin (Accutane®) within 12 months prior to treatment due to the increased risk of scaring (to be reviewed in consultation)
• Currently taking antibiotics
• Any surgical procedure in the treatment area within the last three months or before complete healing
• Treating over tattoo or permanent makeup
• Excessively tanned skin from sun, tanning beds or tanning creams and sprays within the last two weeks
• Uncontrolled diabetes
• Uncooperative patient (patient is careless about sun exposure or application of medicine)
• Patient with unrealistic expectations

Day 1

1. (Day of Initial treatment) Gently remove mesoestetic® cosmelan® 1 mask after recommended time on tissue with cold water using Gentle Cream Cleanser and pat dry entire skin with a clean face towel.
2. Dispense a generous amount of mesoestetic® melan recovery and massage on skin until fully absorbed.
3. Finalize by applying a nickel size amount of mesoestetic® melan 130+ pigment control mesoprotech® onto hands and apply on entire face until fully absorbed (during the day).

Day 2

1. Cleanse the skin with Gentle Cream Cleanser using circular motions and remove with lukewarm water.
2. Dispense a generous amount of mesoestetic® melan recovery and massage on skin until fully absorbed.
3. Finalize by applying a nickel sized amount of mesoestetic® melan 130+ pigment control mesoprotech® onto hands and apply on entire face until fully absorbed (during the day).

Day 3+

1. Cleanse the skin with Gentle Cream Cleanser using circular motions and remove with lukewarm water (morning & night).
2. Gently apply a pea sized amount of mesoestetic® cosmelan® 2 cream on entire face (only at night).
3. Dispense a generous amount of mesoestetic® melan recovery on entire face and massage until fully absorbed (3 times a day).
4. Finalize by applying a nickel sized amount of mesoestetic® melan 130+ pigment control mesoprotech® onto hands and apply on entire face until fully absorbed (during the day).

Additional Soothing /Calming/Hydration:

1. Cleanse with the Gentle Cream Cleanser
2. Tone with the Calming Flower Mist
3. Boost with post care serums: (PRP Serum, Phyto Calm Aloe Drops, EGF Drops, Antistress CBD, HA Revive Hydrator Dops, Daily Hydration Drops). For any significant cracking, drying or irritation you may apply a rice grain amount of Barrier Balm over compromise skin. For excessive itching or redness the Remedy Gel is recommended.
4. Apply Cosmelan 2 (While 3 times a day is recommended, you may scale back to skin tolerance)
5. Apply mesoestetic melan recovery
6. Moisturize with the Phyto Calm Hydrator or Vita E Moisturizing Cream
7. Apply SPF

Additional Post Care Advisories:

• Avoid rigorous exercise with sweating while skin is peeling
• Saunas/use jacuzzi or sweating until the Cosmelan 2 protocol is being used as heat can overstimulate the skin
• Avoid direct UV exposure (sunbathing and tanning) for at least 4 weeks after your peel. Something to consider if you have holidays planned. Stay out of direct sunlight until the skin is completely healed. Apply SPF religiously, you don’t want to do more damage.
• Avoid the use of abrasive or exfoliation sponges and scrubs.
• Do not pick or pull at your shedding skin, this can lead to pigmentation. It is recommended that the skin be left to shed on its own. To remove large pieces of hanging skin you may opt to use a clean, small cuticle scissor to trim the exfoliating skin.
• Do not use any other active ingredients on skin treatment area while doing the Cosmelan 2 treatment protocol.
• Do not book any cosmetic treatments for at least 2 weeks post-treatment or until after skin has stopped shedding.
• Keep your face moisturized and reach out to your practitioner if you are concerned about any adverse effects. Moisturize the treated area intensively until dryness is gone.
• Remedy Gel can be used to minimize redness or itching.
• Dark spots can appear darker during the peeling process. Inform the office if you have any persistent redness or brown discoloration or irritation.
• Do not use any additional Retin-A while completing the Cosmelan peel treatment protocol.
• Do not have laser hair removal in the treated area for at least one month (30 days) after peel. Your at home Cosmelan at home serum will need to be paused 7-14  days and skin must not be compromised for laser hair removal.
• Do not wax or pluck the treated area for two weeks (14 days). Your at home Cosmelan at home serum will need to be paused 7-14  days, skin must not be compromised.
• You may start wearing make up once your skin has healed.
• Products are for topical use only not for ingestion.
• Avoid direct contact with eyes mucus membranes neck jawline and the event of contact runs thoroughly with water.
• Store products in cool dry place. Close lids tightly to avoid product drying out or oxidizing prematurely.
• Expected downtime can vary depending on treatment settings and may be up to 14 days. The expected healing sequence and expected treatment side effects include redness, swelling, light discomfort, and skin peeling.
• During the healing process keeping the items in contact with treatment areas clean. This may include: clean pillow cases, linens, wiping down cell phones  or any accessories coming in contact with treated skin.
• Contact the office if you have any concerns about how your skin is responding to treatment or is healing.
• Avoid direct contact with eyes mucus membranes neck jawline and the event of contact runs thoroughly with water.
• Store products in cool dry place.

The Melasma Peel is specifically designed to treat the face. For body and intimate brightening, we have options. See consultant for evaluation.

This treatment is also anti-ageing, as your second part of the at home treatment is the Cosmelan 2 cream, which contains retinol. This is one of the best anti-ageing and resurfacing ingredients, which will also help prevent future breakouts.