Cosmelan is a mask that is applied into the office for removing stubborn dark spots from sun damage, skin trauma and aging. It works very well for melasma, a condition of patchy hyperpigmentation more commmon in women and associated with hormone changes. This procedure requires use of a Cosmelan 2 cream at home for 6 months. It works extremely well but because hyperpigmenation tends to recur, you must follow instructions regarding skin care post Cosmelan. We use the MD formulations in our office and are seeing great results. Give us a call and set up your consultation to see if Cosmelan is for you.