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Reconstructive Surgery


Cosmelan® Peel
(Depigmenting Solution By Mesoestetic®)

the Cosmelan® Peel

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Skin hyperpigmentation is a condition that affects over 90% of individuals over age 50. Sun exposure, skin injuries and inflammation are only a few of the causes that lead to excess production of melanin, resulting in hyperpigmentation. Cosmelan® gets to the root of the issue by correcting existing hyperpigmentation and reducing the overproduction of melanin. Cosmelan® works for all stages of hyperpigmentation and has proven results for over one million patients.

The Cosmelan® treatment is applied in our office by our trained professionals. You then remove the mask at home following the guidelines supplied by your technicians. Parsa M.D. and associates are continually scanning the market for the most effective treatments available and are excited to offer Cosmelan to you. A consultation with Parsa M.D. and associates will determine whether Cosmelan is a solution for your hyperpigmentation concerns.

Eliminate or Reduce Dark Spots on Skin

Cosmelan is unique in that it incorporates both in-office and at-home treatment regimens and has been proven safe for all skin types. This four-step treatment begins with an intense depigmentation face mask, after which you will return home with instructions. It is important to avoid light and heat exposure both during and after the application of the treatment.

On of our highly trained Parsa M.D. and associates staff members will direct you on the proper removal of the mask, as well as the procedure moving forward. This distinctive treatment eliminates dark spots and controls the level of melanin being produced. This means that you can expect protection against the formation of new dark spots. The seven-month follow-up phase takes place in the comfort of your own home and will provide amazing results.

Cosmelan Results Are Worth the Effort

The time required for the treatment schedule may seem long, but the results are worth it. The complete four-step process can protect you from future occurrences. Hyperpigmentation can cause a heavy emotional strain and give you a negative self-image. Cosmelan can help you feel better about your appearance and make you look forward to showing off your skin.

While total results can be expected after several months, you can expect to see improvement in as few as two weeks. The experienced staff at Parsa M.D. and associates offers in-office consultations and can recommend the perfect treatment for you. Contact our office today to schedule your appointment today!

At-Home Cosmelan Application Guide

Before applying:

  • Please read through these instructions carefully before your virtual consultation. Ensure that you have all of your aftercare and application supplies in advance of your appointment. If you have any questions, contact the office.
  • For best results, you’ll need to keep Cosmelan on your skin like a mask for ONLY the amount of time told to you by the provider!
  • The provider supervising your virtual application will tell you how long to keep it on your skin. Don’t forget the timer!
  • Cosmelan can be applied over facial hair that is trimmed very short. If you would like to shave, please do it 24 hours in advance.
  • Do not do anything that will generate heat in the skin or cause sweating while wearing Cosmelan (i.e. exercising or cooking).
  • Take care not to disturb the Cosmelan mask once it’s applied. Carefully use a cotton swab in case you have an itch.
  • Apply the Cosmelan while wearing a button down shirt or a shirt with a large neck in case you need to change clothing.
  • Make sure you have some gauze sheets or cotton balls to prepare the treatment area with the degreasing solution (included in the kit) and a tongue depressor stick or disposable gloves to apply the Cosmelan peel.
  • If you’re applying it on areas of the body, it may help to have some plastic wrap and medical tape to cover the area afterward to avoid having the product rub off onto Clothing.

Application instructions:

  1. Open the box labeled Mesoestetic Cosmelan Pack and lay out the contents.
    • The box of Cosmelan contains a smaller jar labeled Cosmelan 1 Facial Mask, a larger jar labeled Cosmelan 2 Cream, a small bottle with a blue solution inside labeled Oil Removing Solution, and a white tube of cream labeled Hydra-Vital Factor K.
  2. Cleanse your skin with a gentle cleanser to remove any dirt, sunscreen, or makeup. Then use the Step 1 Preparing Solution. Take a gauze sheet or cotton ball, wet it with the solution and wipe down the entire area to be treated. Wipe in two different directions to ensure you remove all oil from the skin.
  3. Following the skin prep, open the jar labeled Cosmelan 1 Facial Mask.
  4. With a tongue depressor/spatula (or disposable gloves if applying to large areas of the body), apply Cosmelan 1 Facial Mask in a THICK layer over the entire treatment area. Spread the product like you’re frosting a cake, then make a “patting” motion with the spatula to ensure no areas are missed. You can leave a little extra product in the jar for touch ups on stubborn areas of pigmentation in three weeks.
    • If you’re applying it to the face, use the wooden tongue depressor and avoid applying it too close to the eyes or lips; you want to get as close as possible without touching the edge of the lips or going beyond the orbital rim (eye/cheek bones). Make sure you extend the application all of the way down the jaw line and up to the hair line.
    • If the area being treated is on the body, cover the treated areas with plastic wrap (the kind you use for food storage) and secure it with medical tape.
  5. To ensure the Cosmelan 1 Facial Mask was applied correctly, text or email high resolution photos to your provider. Send at least three photos: one from each side and one straight-on.
  6. Set a timer as instructed by your provider and remove the Cosmelan mask after the allotted time. Refer to the separate post-care instructions when removing the mask.
  7. Starting the following day after application, follow the additional aftercare instructions given to you by your provider t for 9-13 more days unless otherwise instructed.
  8. If you have any questions or concerns during the healing process, please contact your provider.

Post Cosmelan Skin Care Instructions:

  • Only leave on the Cosmelan mask for as long as your provider instructs. Set a timer to ensure it’s removed on time.
  • Suggested amounts of product in parenthesis apply to one treatment area (i.e. face).
  • Cosmelan 2 Cream advances the peel, which can cause skin sensitivity. If you feel very raw, dry, or uncomfortable, it is okay to skip an application of the Cosmelan 2 Cream. Resume as soon as your skin has rebounded.
  • Cosmelan 2 Cream is a cream and not a mask. Apply it in the thinnest layer possible and do not rinse. If the area being treated is on the body, do not wrap the skin.
  • After cleansing, do not rub skin with a towel; pat dry only to avoid irritation.
  • Avoid picking, rubbing, and scratching skin; do not physically remove flakes or scabs.
  • Always wash hands before touching treated skin; try to avoid unnecessary touching. Exercise caution around children and pets to avoid contact with treated skin. Change pillowcases regularly and use clean towels.
  • Avoid exercising, generating heat within the skin, and wearing makeup for 3 days after treatment.
  • Take caution by using daily SPF, minimizing sun exposure and wearing a hat when outdoors.
  • Your provider or skincare specialist will give you their recommendations.
  • Be realistic with your expectations; you are going to look worse before better as the natural healing process takes place. Redness and skin sensitivity are normal and can last for weeks.
  • Please do not hesitate to contact your provider or the office with your questions or concerns.

Reduce swelling and discomfort with the following recommendations:

  • Apply cold compresses as needed; frozen vegetable bags (such as peas) and soft gel packs work best. Always wrap them in a clean towel before applying to the skin.
  • Take an oral over-the-counter anti-inflammatory and/or antihistamine as instructed on the packaging in the event of swelling.
  • Sleep with your head elevated and sleep on your back as much as possible.
  • Avoid soaking your skin under hot water in the shower. Cool water works best for cleansing.

Day of Cosmelan:


  • After the designated time, remove Cosmelan mask with cool water and an old towel or cloth
  • Remove remaining residue with cleanser and gently massage skin for 30 seconds before rinsing with cool water; pat skin dry with a clean towel
  • Apply a VERY thin layer of Cosmelan 2 Cream to the entire treatment area

For the next 13 days, follow the Cosmelan post-care regimen:


  • Use cleanser and gently massage skin for 30 seconds before rinsing with cool water; pat skin dry with a clean towel
  • Apply Cosmelan 2 Cream (VERY thin layer)
  • Apply moisturizer
  • Apply SPF and reapply throughout the day; try to avoid direct sun exposure as much as possible and wear a hat


  • Use cleanser and gently massage skin for 30 seconds before rinsing with cool water; pat skin dry with a clean towel
  • Apply Cosmelan 2 Cream (VERY thin layer)
  • Apply moisturizer

After 14 days:

  • Follow your maintenance regimen as provided by your provider.
  • Continue to take care of your skin by using daily SPF and minimizing sun exposure.

Redness, swelling, stinging and sensitivity are all totally normal. If any of these are intolerable, please call the office for additional instructions.

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4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.