Serenity by Stephanie

Do you believe in
transformation?
You will with the Obagi
Nu-Derm system
UV Radiation
UV rays have several harmful
effects on the skin
•Cumulative
•All skin types are vulnerable
•Current SPF system incomplete
UVB rays impact the skin’s surface
•Primary cause of sunburn
UVA rays are longer; penetrate 30-40x deeper
•Heavily contribute to premature aging
Both UVA and UVB rays contribute to skin
cancer
15 years sun exposure through glass
UVA damage on left side
Goals of Obagi Nu-Derm
The Obagi Nu-Derm System triggers a
Therapeutic Cascade
• Normalizes cellular turnover rate &
exfoliation
• Reduces overactive melanocytes
• Repairs intracellular transcription of
keratinocytes
• Stimulates fibroblasts, increasing collagen
formation
Obagi Nu-Derm Study Results
In a 301-patient, multi-center study, Obagi Nu-Derm System was
 2X (100%) more effective than tretinoin at reducing wrinkles
and improving skin firmness (laxity)
 Almost 3X (150%) more effective than hydroquinone and
over 2X more effective than tretinoin at reducing mottled
hyperpigmentation and sallowness
Mean change from baseline analysis at 12 weeks
Obagi Nu-Derm - Key Ingredients
Correcting from Inside the Cell
Tretinoin 0.05% or 0.1% Rx (Retinoic Acid)
Tretinoin (Retin-A) and tazarotene (Tazorac and/or Avage) are
the only topical products proven to reverse the
effects of both extrinsic and intrinsic aging
 Stimulates increased cell production in the dermis
 Speeds up keratinocyte turnover and renewal
 Increases epidermal thickness
 Slows down natural thinning of the dermis
 Improves stratum corneum compaction
 Reduces collagen breakdown
Different from retinyl esters (retinols), which are
antioxidants – influence only from outside cell
Obagi Nu-Derm - Key Ingredients
Correcting from Inside the Cell
Hydroquinone – 4%
• Most effective inhibitor of melanogenesis
• Produces its depigmenting effect by selective action on
melanocyte metabolism
• Lightens areas of darkened skin such as freckles, age spots,
Post Inflammatory Hyperpigmentation and melasma
• Evidence of improvement is usually observed at 4-6 weeks
• Improvement continues for about 4 months
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Proven safe and effective by FDA for 50 years
2% Over-the-counter cosmetics
4% Gold standard prescription therapy for Obagi Products
Obagi Nu-Derm – Key Ingredients
Influencing & Protecting from Outside the Cell
Phytic Acid
Larger molecule
Less penetration = less irritation
Non-AHA gentle exfoliant
Plant-derived
Glycolic Acid
Benefits covered on an earlier slide
Lactic Acid
Large molecule = less exfoliation
Primarily used as a moisturizer
All three ingredients provide
Exfoliation
Enhance penetration
Smoother compact stratum corneum
Do you believe in
transformation?
You will with the Obagi
Nu-Derm system
Obagi NuDerm – Key Ingredients
Influencing & Protecting from Outside the Cell
Antioxidants (Obagi Professional-C Serums)
• Prepares and protects skin from free
radicals and ultimately oxidative stressors
Sunscreens
• Micronized Zinc Oxide - Z-Cote
• Octinoxate
• Benefits of sunscreen ingredients
covered on earlier slides
Do you believe in
transformation?
You will with the Obagi
Nu-Derm system
Obagi Nu-Derm’s 3-Cs
Condition
•
Cellular change and correction with all three cells:
keratinocyte, melanocyte and fibroblast
Concern
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•
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•
Moderate to severe wrinkles/laxity
Stubborn hyperpigmentation
Smoother looking skin
Acne where photoaging is the #1 concern
Commitment
•
Patient understands, she/he has photodamage and to
transform their skin it will take some time and perhaps some
mild irritation in the beginning
Nu-Derm System Products
#1
Gentle Cleanser/Foaming Gel
• Gentle Cleanser – Normal to dry skin
• Fragile, sensitive, menopausal skin
• Foaming Gel – Normal to oily skin
*Both cleansers remove dirt, oil and impurities from skin
#2
Toner
• Reduces pH of skin quickly
• Prepares skin for the penetration of active
ingredients
Nu-Derm System Products
#3 Clear, Hydroquinone, 4% USP
• AM and PM usage
• ½ gram applied evenly over entire face
• Upper epidermis pigment correction
#4 Exoderm/Exfoderm Forte (AM usage):
Exfoderm
• Phytic acid 3%
• Gentle exfoliation of stratum corneum
• ½ gram applied evenly over entire face
Exfoderm Forte
• Glycolic Acid 6% and Lactic Acid 4%
• Stronger exfoliation of stratum corneum
• ½ gram applied evenly over entire face
Nu-Derm System Products
#5 Blender, Hydroquinone 4%, USP
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•
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Standard protocol = ½ gram PM
Apply to entire face
Lower epidermal pigment correction
Always partner with tretinoin
Tretinoin cream - 0.1%, 0.05%
• ½ gram partnered with Blender in PM
• Reduce gram to ¼ or every other night if
irritation becomes an issue
Nu-Derm System Products
#6 Sunfader, Hydroquinone, 4% USP, SPF 15
• Chemical UV protection (primarily UVB)
• Extra sun protection with an added dose of HQ
#6 Healthy Skin Protection SPF 35
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Physical and chemical UVA and UVB protection
Micronized Zinc Oxide 9%
Octinoxate 7.5%
Recommended for daily use
#6 Physical UV Block – SPF 32
• Physical UVA and UVB protection
• Micronized Zinc Oxide 18.5%
• Recommended post-invasive procedures and outdoors
for skin types I-III
Compliance Products
Tolereen - 0.5% hydrocortisone
• Apply as needed to help reduce itching/burning
• Apply before HSP or Physical UV Block
• Use as needed only in areas of sensitivity
Action – Skin hydrator
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•
•
Apply as needed to help reduce dryness/peeling
Apply before HSP or Physical UV Block
Use as needed only in areas of sensitivity
Menopausal patients (pre/post) may use more frequently
Eye Cream – Skin hydrator
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•
•
•
Apply as needed to help reduce dryness/peeling
Apply before HSP or Physical UV Block
Use as needed only in areas of sensitivity
Menopausal patients (pre/post) may use more frequently
Obagi Nu-Derm System Usage
Usage – optimal results approximately 18-24 weeks
AM
#1 Foaming Gel or Gentle Cleanser
#2 Toner
Obagi Professional-C Serum (optional)
#3 Clear
#4 Exfoderm or Exfoderm Forte
#6 Sunfader (optional)
ELASTIderm Eye Cream or Gel (Optional)
Action or Eye Cream (Optional)
#6 HSP SPF 35 or Physical SPF 32
PM
#1 Foaming Gel or Gentle Cleanser
#2 Toner
#3 Clear
#5 Blender
Applied with Tretinoin .05% or 0.1%
ELASTIderm Eye Cream or Gel (Optional)
Action or Eye Cream (Optional)
Do you believe in
transformation?
You will with the Obagi
Nu-Derm system
Nu-Derm System Maintenance
Once skin transformation has been achieved
(approx 18-24 weeks on full System)
Look back to the patient’s skin condition before
they started the Nu-Derm system
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Large pores
Thin skin
Tendency towards hyperpigmentation
Acne
These factors will determine how often they’ll use
active products during the week
Maintaining Skin Health
Nu-Derm System
Patient always use products 1, 2 and 6 daily
#1 Foaming Gel or Gentle Cleanser
#2 Toner
#6 Sunscreen
Elastiderm Eye
Other products you will customize usage within the
week
#3 Clear
#4 Exfoderm (Forte)
#5 Blender with Tretinoin
Action and/or Eye Cream
Obagi Professional-C Serums
Do you believe in
transformation?
You will with the Obagi
Nu-Derm system
Maintaining Skin Health
Nu-Derm System
Continuous Program
Patient remains on an adjusted skin care program without
variance
Ideal for patients with problematic skin:
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•
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Acne
Oily skin &/or large pores
Tendency towards hyperpigmentation – PIH, melasma
Especially thin or thick skin
Products 1, 2 and 6 are used on a daily basis
Products 3, 4, 5 and tretinoin, control products, and
Professional-C Serums are used regularly within the week
Maintaining Skin Health
Nu-Derm System
Shock (“Booster”) Program
• Monitor skin closely for first few weeks on reduced program
• Pulling back too much will allow symptoms to return
• Adjust as needed
Patient uses an adjusted program with variance in the
regimen
After complete transformation, 6 weeks full system
using all the products, then 4 to 5 months on a
reduced program
Then back to 6 weeks on full system
Products 1, 2 and 6 used daily; other products used
less frequently within the week
Before and After
Obagi Nu-Derm
Baseline
18 weeks
Before and After
Obagi Nu-Derm
Baseline
14 weeks
Before and After
Obagi Nu-Derm
Before and After
Obagi Nu-Derm
Before and After
Obagi Nu-Derm
Before and After
Obagi Nu-Derm
Baseline
18 Weeks
Before and After
Obagi Nu-Derm
Baseline
18 Weeks
Before and After
Obagi Nu-Derm
Baseline
14 weeks
Before and After
Obagi Nu-Derm
Baseline
18 weeks
Skin Typing
Now let’s bring it all together
and skin type
to determine the
right Obagi System for
your patients
Let’s Skin Type Together
Classic Case of Melasma
Skin Color:
Fitzpatrick IV
Skin Thickness:
Thick Skin
Skin Oiliness:
Normal to Oily
Skin Laxity/Wrinkles:
Moderate Laxity
Jowling
Fragility
None
What System?
The condition indicates
Obagi Nu-Derm
Before and After
Obagi Nu-Derm
And her concerns and commitment
matched up to Obagi Nu-Derm as well
Skin Care Protocol
First 18 weeks
AM
Maintenance
AM
#1 Foaming Gel
#2 Toner
#3 Clear (M,W,F)
#4 Exfoderm Forte (T, Th)
#6 Sunfader
#1 Foaming Gel
#2 Toner
#3 Clear
#4 Exfoderm Forte
#6 Sunfader
Action or Eye Cream
(spring/summer only)
Action or Eye Cream
(when needed)
(when needed)
#6 HSP SPF 35
PM
#1 Foaming Gel
#2 Toner
#3 Clear
#5 Blender
Applied with tretinoin 0.1%
Action or Eye Cream
(when needed)
#6 HSP SPF 35
PM
#1 Foaming Gel
#2 Toner
#3 Clear (T, TH)
#5 Blender
Applied with tretinoin 0.1%
Action or Eye Cream
(when needed)
Skin Typing
Classic Case of Photodamage
Skin Color:
Fitzpatrick II
Melasma
Skin Thickness:
Thin skin
Skin Oiliness:
Normal/T-Zone
Mild Acne
Skin Laxity/Wrinkles:
Mild fine wrinkles
Fragility:
Mild
What System?
The condition indicates
Obagi Nu-Derm
Before and After
Obagi Nu-Derm
Baseline
10 weeks
And her concerns and commitment
matched up to Obagi Nu-Derm as well
Skin Care Protocol
First 18 weeks
AM
#1 Gentle Cleanser
#2 Toner
#3 Clear
#4 Exfoderm
Eye Cream (when needed)
#6 HSP SPF 35
Action was added 8 days into
protocol
PM
#1 Gentle Cleanser
#2 Toner
#3 Clear
#5 Blender
Applied with tretinoin 0.05%
Eye Cream (when needed)
Maintenance
AM
#1 Gentle Cleanser
#2 Toner
#3 Clear (T, Th)
#4 Exfoderm (M, W)
Eye Cream (when needed)
#6 HSP SPF 35
PM
#1 Gentle Cleanser
#2 Toner
#3 Clear (M,W)
#5 Blender (every other night)
Applied with tretinoin 0.05%
Action or Eye Cream
(when needed)
Skin Typing
Moderate Skin Discoloration/ Photodamage
Skin Color:
Fitzpatrick II or III
Moderate skin discoloration
Skin Thickness:
Medium
Skin Oiliness:
Normal to oily
Skin Laxity/Wrinkles:
Moderate
Wrinkles and jowling
Fragility:
None
What System?
The condition indicates
Obagi Nu-Derm
Before and After
Baseline
12 Weeks
However, her commitment did not match
up so she went on Obagi-C Rx
Skin Care Protocol
First 14 Weeks
AM
C-Cleansing Gel
C-Clarifying Serum
C-Exfoliating Day Lotion
C-SunGuard SPF 30
PM
C-Cleansing Gel
C-Therapy Night Cream
Maintenance
ONLY CHANGE
•
•
Pro-C 15%
C-Clarifying Serum
Every Other Day
Let’s Skin Type Together
Condition
•Color
•Thickness
•Oiliness
•Laxity
•Fragility
Concerns
What results are the
patient looking for?
Commitment
How badly do they
want skin
transformation?
VOLUNTEERS?
Obagi Systems
Utilize your knowledge of the 3 C’s and Skin
Typing to identify which Obagi System is
right for every one of your patients that walk
through your practice door!