Issues with Cosmelan treatment. Advice needed.
Hi guys, looking for some advice/reassurance about Cosmelan.
After having my oldest child 4 years ago, I developed a sudden increase in pigmentation, congestion, fine lines and texture issues. Most of the pigment is sun-related, with a small amount of melasma/PIH from pregnancy. Now that I’m no longer pregnant or breastfeeding, I finally decided to treat it and had the Cosmelan peel on 10 April 2026.
My initial response was textbook and I healed well, although my skin was very red for a while. I started Cosmelan 2 after a week as instructed (morning and night), but within days my skin became extremely dry, crepey, lined, congested and acne-prone. My clinician told me to stop until my barrier recovered.
At my 4.5 week review, I was told to restart it only 3 nights a week. My skin is tolerating it slightly better now, but honestly I’m not seeing much improvement in pigment, texture or congestion. If anything, my skin feels drier and more stressed overall.
I’m worried that using it only 3 nights a week isn’t enough to improve the pigment, but increasing it seems to wreck my skin barrier again. My clinician keeps telling me to “trust the process,” but I’m feeling doubtful because so much of this journey has just been trying to get my skin back to baseline.
I’m also going overseas in mid-August and was really hoping to see improvement by then. Part of me is considering stopping Cosmelan altogether and going back to microneedling/laser treatments at another clinic I trust.
Has anyone else had a similar experience with Cosmelan? Did things improve later on, especially if you had to reduce usage because of irritation? Would really appreciate any advice or experiences. Thanks!