Congrats! You’ve taken a big step in improving your skin. We are excited for you! It is very important that you closely follow these instructions, unless otherwise discussed with your provider.

Pre Care for Cosmelan MD Peel:

  • Avoid any chemical peel, laser, microneedling or other skin procedures for 14 days prior to treatment with Cosmelan.
  • Refrain from waxing for 7 days prior to the treatment.
  • You should not use any hydroquinone containing products for 4 weeks before and 4 weeks after the Cosmelan MD Peel protocol.
  • Refrain from tanning beds and heavy sun exposure two weeks prior to your treatment -Discontinue any glycolic acid containing products 7 days prior to treatment.
  • Cosmelan is not recommended for Rosacea skin types, pregnant, or nursing women.

Day 1: 

  • Your Cosmelan MD Peel was applied at ______ am/pm.
  • Use a spray bottle with water to keep the mask moist if it begins to flake or feel dry.
  • Please remove your peel at ______am/pm.
  • Set an alarm reminder for yourself.
  • Use lots of cold water to remove the mask. Towel off and apply the Hydra-vital Factor K cream. You may feel some warmth/stinging/itchy sensations following removal of the peel. Cool air/fan will help to ease this discomfort. Use Hydra-vital Factor K cream as necessary over the first few days to relieve these symptoms.

Day 2:

  • Use a gentle cleanser to wash skin and then towel dry. 
  • Apply Hydravital Factor K cream am/pm and as needed.
  • Use Melan 130+ Mesoprotech SPF during the day. 

Day 3-30:

  • Use a gentle cleanser to wash skin and then towel dry.
  • It is ok to begin using Hydratonic when the skin is comfortable doing so if desired.
  • Start Cosmelan 2 cream (48 hours after initial treatment), pea size amount, three times a day.
  • Apply Hydravital Factor K cream 15 minutes after Cosmelan 2.
  • Use Melan 130+ Mesoprotech SPF during the day

Month 2:

  • Use a gentle cleanser to wash skin and then towel dry.
  • Hydratonic if desired.
  • Apply Cosmelan 2 twice a day, morning and evening.
  • Apply Hydravital Factor K cream 15 minutes after Cosmelan 2.
  • Use Melan 130+ Mesoprotech SPF during the day.

Month 3:

  • Use a gentle cleanser to wash skin and then towel dry.
  • Hydratonic if desired.
  • Use Hydravital Factor K in the morning followed by Melan 130+ Mesoprotech SPF during the day.
  • Apply Cosmelan 2 in the evening after cleansing and follow with Hydravital Factor K cream 15 minutes later.

The use of Cosmelan 2 cream can be adjusted for patient comfort. If skin is feeling sensitive, decrease use of Cosmelan 2 cream until you can tolerate it.

Post-Care for Cosmelan MD Peel:

  • Do NOT use any other active ingredients such as acids, retinols, or hydroquinone on your skin during your 3 month treatment with Cosmelan.
  • Do NOT do any sweaty exercise or swimming for at least 72 hours.
  • Do NOT use a hot tub, sauna or steam for 30 days following treatment.
  • Do NOT get another skin treatment or procedure on the treated area for 30 days following peel.
  • Do NOT use makeup for 3-5 days if possible.
  • Do NOT have botox or any dermal filler performed for 5 days after the initial Cosmelan mask application.
  • Avoid sun exposure as much as possible and use SPF everyday.
  • During maintenance on Cosmelan 2, discontinue it’s use for 3-5 days prior to waxing and do not start until 3 days after waxing.

You should book a follow up appointment on or around day 21. At this time, we will apply a touch-up layer of Cosmelan 1 to any stubborn areas of pigmentation that remain. We would also like to see you in the office on week 8 and week 12. There are no additional costs for these follow-up visits.

Please do not hesitate to call the office at 858-230-2876 if you have any questions about your Cosmelan MD peel.