Free Cosmetic Consult Certificate
Cosmelan MD is a new, multi ingredient prescription-only,
power-level treatment program for reduction and control of brown
spots, skin discoloration and hyperpigmentation. This new product
contains RX levels of hydroquinone with 8% in the Mask plus 6% in
the Cosmelan 2 support products - plus retinoic acid to
produce quick results.
"I love the difference! I feel more confident, even without makeup on. I am
so glad I came to Dr. Pilest's office and had this procedure."
Chandra Krout (Cosmelan Advanced)
Clarification: The *Advanced Cosmelan Protocol
we offer is only incorporated with regular Cosmelan -
Dr. Pilest advises that preparatory peels or manual exfoliation
would be too harsh in combination with Cosmelan MD. ( Cosmelan Advanced treatment will include Super Prep which adds a
full pass microdermabrasion and application of a 20% SaliPeel. These
extra steps are performed prior to the application of the Cosmelan
mask which is left on for 10 to 12 hours )
Cosmelan
MD®
and Cosmelan (without hydroquinone or retinoic acid)Depigmentation treatments
are very effective in the improvement of
dark patches and brown skin blemishes with a very high safety
margin. Cosmelan MD is for patients with persistent or
particularly resistant pigmentation problems.
Cosmelan MD® Depigmentation treatment’s actions
are based on the prevention, reduction and blending of melanin patches on the face
(melasma and chloasma). RX levels of hydroquinone in both the mask
and the home products deter the
development of melanin production. Retinoic acid accelerates cell
turnover, "pushing" present pigment cells to the surface where they
are sloughed off.
Cosmelan MD® Depigmentation treatments are individually adapted to the
needs of each patient. You may want to discuss how
aggressively you wish to treat your skin discoloration and you may
choose from either Cosmelan without the RX ingredients or the
Cosmelan MD.
Cosmelan MD will cause noticeable peeling and redness in the
first 3 to 5 days. We recommend beginning your treatment near the
end of the week so the major peeling is experienced over the weekend
when you will not be in school or at work. You MUST protect your
skin from sun exposure to get the full benefits of this program. A
full spectrum sunblock will maximize your treatment success and help
prevent pigmentation return.
Cosmelan MD ® Depigmentation
• Very efficient in all types of melasma and pigmentation
problems
• Improvement can be seen in some in as little as two weeks
• Compatible with light and dark skin types (Fitzpatrick I – VI)
• Peeling accelerates pigmentation blending
• Treatment can begin and be used all year round
• Very effective for acne patients
• Variable levels of hydroquinone
• Includes retinoic acid for cell turnover and renewal
• High safety margin
Degreasing
Solution
Aqua, Acetone
CosmelanMD® 1 - Cream (10g)
Hydroquinone, Retinoic Acid,
Azelaic Acid, Kojic Acid, Phytic Acid, Ascorbic Acid, Arbutine,
Licorice Extract, Salicylic Acid, Retinol Palmitate, Ascorbic Acid,
Tocopherol, Bisabolol, Allantoin, Nicotonomide, Alo Babadensis,
Titanium Dioxide
CosmelanMD® 2 – Maintenance Cream (30g)
Hydroquinone,
Titanium Dioxide, Kojic Acid, Phytic Acid, Ascorbic Acid
mesoestetic® Hydra Vital Factor K Cream (50ml)
Hydro nutritional cream for face and neck. Hydroviton, VItamin K,
Vitamin E, Amniotic fluid, Glycerine, Silicone oil.
Important: If you have undergone any previous treatments,
especially with glycolic acid, these treatments must be completely
stopped at least one week prior to using Cosmelan MD® Depigmentation
treatment.
The CosmelanMD® Depigmentation treatment is only
administered in a medical
office and support products must be continued at home, on a daily basis, according to the
guidelines indicated.
The treatment must not be interrupted under any circumstances,
during the whole time prescribed. As melanin production is being
suppressed, failure to maintain proper use of sunscreen and your
support products may allow reactivation of pigment production
cycles.
Cosmelan MD® Depigmentation is NOT TO BE COMBINED with any other depigmentation
treatments.
Follow up visits are recommended 15 days after the beginning of
treatment, and 30 days after, and a follow up treatment are revisit
every month thereafter.

Application of Degreasing Solution
• Clean skin with water and neutral cleanser.
• Apply Degreasing solution to the whole area to be treated. It
will eliminate all impurities and oil from the skin to achieve
optimum penetration of Cosmelan® 1 - Cream
Application of Cosmelan® 1 – Cream
• Evenly distribute the cream to form a facemask, applying a
thicker layer over blemishes gradually thinning out over the rest of
the face.
• The patient goes home with the mask applied based on the
Fitzpatrick photo type classification suggested below:
• After the action time has elapsed, the patient must remove
the mask with water and a neutral cleanser.
• Following, the patient will immediately apply a layer of mesoestetic® Hydra
Vital Factor K Cream over the whole surface treated.

First and Second day
• During the first three to five days of the treatment,
the skin will peel and be red.
• If the skin is very sensitive, the patient may experience an
itching feeling.
• Slight burning and tightening of the skin is also absolutely
normal, especially during the first few hours right after starting
the treatment.
• To relieve these problems, it is advisable to apply the
mesoestetic® Hydra-vital factor K whenever necessary.
Reddening of the Skin
The reddening that occurs on the face after applying the
mesoestetic® Cosmelan MD is expected and is normal.
Flaking and Peeling
Flaking and peeling will occur on all skin types (and more intensely in photo
types I and II) between the second and third day. In this case it is
advisable to apply the mesoestetic® Hydra-vital factor K cream,
repeating this every two hours on the day when the flaking is most
intense.
Fifth and Sixth day
After the fifth or sixth day, your skin will be calmer and you
should notice some initial fading of pigmentation. When peeling is
complete you will notice much smoother skin.
• Clean Face completely, every time mesoestetic® Cosmelan 2 is
applied.
• Apply a thin layer of mesoestetic® Cosmelan 2 all over face mask
style, with a light, circular movement.
• Apply mesoestetic® Hydra-vital factor K to the face and neck
with a light, circular motion 15 minutes after applying mesoestetic®
Cosmelan 2. Use daily.

For best results, continue the daily application of
mesoestetic® Cosmelan 2 up to one year after treatment…
2010 © Total Dermatology is one of Southern California's top laser
dermatology centers offering
laser treatments
for
sundamage,
pigmentation,
acne and acne scars
and
Fraxel CO2 laser for 3 in 1 skin rejuvenation.
A Nonsurgical Nose Job is possible with simple injections of
Radiesse.
Dr. Pilest, a Board Certified dermatologist and one of Orange
County's most popular cosmetic dermatology specialists, offers
patients in Orange County a wide variety of
wrinkle fillers
such as
Restylane,
Juvederm,
Cosmoderm and Cosmoplast,
Radiesse (also known as Radiance),
and
Sculptra.
Dr. Pilest treats patients from the
Newport Beach, Irvine, Laguna Beach, Laguna Hills, Tustin, Mission
Viejo and Orange County area as well as cities throughout
California, the United States and abroad. He is recognized as a
master level injection specialist and is a national teaching faculty
member for Bioform Medical. Dr. Pilest is well known for his expert
treatments in managing
Rosacea,
acne, and
hyperpigmentation.
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