At about age 35, your hands begin to make you look older. Then, wham! Wrinkles, age spots, loss of elasticity, protruding veins.
In fact, 68% of women claim that their hands make them look at least 10 years older (if you’re in the 32%, you don’t need to read any further).
So why do most hand lotions fall short?
Tip: As we get older, the skin on our hands begins to thin. Because there’s so little fat and muscle in our hands, the bones, wrinkles, veins all begin to show. You need to thicken the skin on your hands—and retinol is the best ingredient for that. Retinol is the only ingredient proven to work on intrinsic (not environmental) damage. So why don’t most companies put in retinol? It’s expensive.
Tip: Your hands are covered with up to 30 layers of dead skin—called the stratum corneum. Occasionally you need to exfoliate all of this dead skin so that the active ingredients can penetrate the epidermis, and to make your hands soft and smooth. At least once a week use a good scrub to polish your hands. Try the ZO Skin Health™ Oraser™ Microderm Hand Renewal, or mix sea salts in an acidic base (like lemon juice).
Tip: Fragrances like “peppermint kiss” may be nice for your nose, but don’t do a darn thing for your hands. Look for ingredients that really mean something—like:
- Shea butter (it moisturizes and protects, and is particularly beneficial for sun-exposed skin).
- Retinol (it boosts cellular turnover and reduces the appearance of lines and wrinkles, plus it reduces hyperpigmentation—aka sun spots)
- Sunscreen with an SPF15+. UV rays are your skin’s worst enemy. Wear it every day!
That’s what we mean by “no frou-frou skin care.” Our anti-aging hand lotions aren’t loaded with the namby-pamby stuff. Just high concentrations of active ingredients.
One woman that I spoke with told me that she doesn’t worry about how old her hands look—she just sits on them! She meant to be funny, but hands that make you look older are no joke.
Hi,
I am 41 years old and for years have been spending a fortune on skincare that mostly does not work. I am currently using skinceuticals and remergent and am happy with both of these. Remergent has not been sold to estee lauder so I now need to replace it with something else.
What would you recommend that I use from your range and can I see use skinceuticals C & E before your range. I have fine lines around my eyes no deep wrinkles yet. I live in Ireland can I get samples to try?
Thanks Gillian
Hi, Gillian: Thanks for asking about Remergent. In fact, I worked with Dan Yarosh (the guy who developed Remergent) and I’m convinced that he’s the reason that Estee Lauder bought Remergent–rumor has it that he is now VP, R&D of Estee Lauder.
I developed the ZO Skin Health Daily Power Defense with the benefit of Dr. Yarosh’s hindsight–it was developed several years after Remergent. While Remergent and Daily Power Defense share the same DNA repair technology, in the same concentration, the ZO Daily Power Defense formula has some other key ingredients that enhance results. With Matrixyl 3000 and retinol, we’ve increased activity and created conditions conducive to cell and matrix turnover. The retinol is in a delivery system which specifically allows for its use during the day as it protects the retinol from photodegradation. Additionally, two different ingredients strengthen the barrier and reduce the appearance of wrinkles and fine lines. With more active cells, and an environment primed for skin repair, we’ve set the stage to get enhanced results.
So to make a long story short, Daily Power Defense represents a new category of DNA repair products which works to not only provide DNA repair but address barrier function, skin thickness, and the visible signs of aging. Let us know if you’d like to get a sample of it (send an email to smunz@zoskinhealth.com)
As for Skinceuticals C&E: Stick with what works for you! Absolutely, there’s no problem with compatibility between the lines.
Hi Dr Obagi
Since my previous email to you, i have bought your entire line apart from the radical night repair which is being reformulated.
Can I use the eye cream on my eye lids as I find them very dry at times.
The other question I have is, do you agree with hydration and deep cleansing masks or do we actually need to use them.
Thanks Gillian
Hi, Gillian:
I have no problem with your using the eye cream on your eye lids–just be careful not to rub it into your eyes. That being said, I have never heard a complaint about the eye cream irritating the eyes, but as physicians, we’re trained to be careful.
Occasional hydrating masks and deep cleaning masks are sometimes desirable. Some of the procedures and ingredients can give you a very favorable result. They can’t take the place of daily, at-home skin care, though. So just be sure to use them in addition to at-home care, and not instead of.
Thanks for asking.
Zein Obagi, MD
Dear Sir
I’m in my late thirties and have been using Dr Hauska products. So far, I have been having good skin, with no skin breakouts since young. I was very proud of my skin.
Lately, I have the following complaints that my current skincare cannot address:
1. open pores around nose and cheek areas
2. blackheads
3. fine lines around my forehead
4. deeper furrows when I smile
I have heard a lot about Dr Obagi ZO products and would like to switch my current skin care to ZO products. Please advise what I should get to address the problems and if it would be possible to have “baby” skin again.
Thanks.
Hi, Trisa:
Your description sounds like classic symptoms of oily skin–with coarse and enlarged pores, proclivity to blackheads, and overactive sebaceous glands. These signs are typical of adolescence, but can happen at any age. The good news is that your skin type is generally slow to show advanced signs of aging.
So here are a few suggestions.
First, cleansing is important. Although cleansing with super hot water is generally not recommended, it may be necessary for you to get a thorough and deep cleansing. Don’t use a harsh cleanser, though. If you strip your skin of its natural oils, your glands may react by working overtime to recover, thus defeating the purpose, or even exacerbating the condition. You can consider ZO Exfoliating Cleanser (or try another brand).
Second, exfoliation is critical. You’ll need and want something pretty aggressive, so that you remove the dead skin cells from the upper levels of the stratum corneum. It will also help with the blackheads. Use ZO Skin Health Exfoliating Polish–generally it’s recommended only 2x per week, but there’s nothing wrong with using it every day. It’s a good and effective scrub with rounded magnesium crystals, to reduce the possibility of cutting your skin.
Third, you should try ZO Skin Health Te pads. There are fifty pads, hydrated in salicylic acid–which is particularly effective for treating pores and oily skin. My whole family has oily skin–my wife and the kids–and we use it daily. It can take several weeks before you see improvement.
Four, you may want to try a weekly facial mask. A clay mask will help clean out the pores in your T-zone. Are you getting occasional facials? Steam can really help with the blackheads, or you can try a treatment at home.
Now as for the wrinkles. Welcome to your late-30′s!!! That’s the time when your skin cells begin to slow down, get lazy, and stop producing the collagen and elastin that your skin needs to stay firm and tight. All of the products described above will help your skin stay super-clean, but none will awaken the skin cells. For that you need retinol and a DNA Repair complex (try Ossential Daily Power Defense). It’s generally recommended in the day but can also be used in the evening. Please, please, use a sunscreen. You’ll appreciate it years from now!!
And one more thing: have you considered facial exercises? It will take a month or two, but they can be great at firming and toning your skin (I’m thinking about the furrows when you smile). Facial muscles are connected to your facial skin, so you can see improvement by strengthening the muscles. It will take some patience and persistence, but they’re worth the effort. And they’re free.
It’s curious that you ask about ‘baby’ skin. I have long been a proponent of believing that you can have perfect skin at any age. You may require medical treatments, but it’s my best guess that at your age, if you begin taking good care of your skin, you can enjoy healthy skin. Let me know how it works!
what is the best anti ageing product foe a 54 year old with sun damage
Denise, this may not be the answer that you’re looking for, but if you want only one anti-aging product, please, make it a sunscreen with an SPF of 30+. I don’t like to recommend anything higher than that because an SPF 60 only gives something like 2% greater protection–and it gives people a false sense of security that the sunscreen doesn’t need to be reapplied. Even in sunny southern CA, where some people spend way too much time and money on their appearances, too many of them neglect to wear sunscreen every day–reserving it only for the days when they’re outside. Please, wear sunscreen when you’re in the car or working near an office window (UVB rays don’t penetrate but UVA rays do). And of course during the winter, and even on cloudy days. I like to think that the Oclipse sunscreen may be the first sunscreen that people actually like to wear every day. And if I can convince people to do that, I could ask for nothing better.
Now, if you can tell me that you’re doing that; great! Let’s talk again, and we can discuss some other great anti-aging products (or technologies).
DearDr Obagi,I did stop getting sun on my face about 2 yrs ago and i do use neutrogena sunscreen,but as you can imagen I have 52 yrs of sun damage,I use retinol at night,i am looking for a good day cream for my face,eyes and lips
Hi, Denise:
You’re off to the right start–doing what is most important–sun protection.
Now, for the next best thing: As you can tell from one of my blog posts, I recommend ZO Skin Health’s Daily Power Defense to work in tandem with sunscreen. While sunscreen protects against future damage, the DNA Repair Enzymes in Daily Power Defense repair previous damage.
As for your eyes–a good eye cream is generally more emollient than a facial lotion–and contains added ingredients to deal with puffiness, etc. Most don’t contain retinol–I added a little retinol to Olluminate Intense Eye Repair because it’s the best topical anti-aging ingredient–and eyes are usually the first area to show lines and wrinkles.
As for lips–I don’t know of any product that successfully reduces the vertical lines commonly known as “smokers lines”–although non-smokers get them as well. Tretinoin and chemical peels can help, but honestly I don’t know of an effective over-the-counter product that I would recommend you.
If you find anything, let me know!
Zein Obagi, MD
I have adult acne which cleared up a few years ago. I started using the following items 3 days back. However I have been hving some breakout. Is this normal?
Exfoliating cleanser
Exfoliating Polish
Radical Night Repair
Daily Power Defense
Sunscreen
Also are the products safe for nursing women considering the retinol content?
Hi, Mei: Breaking out and peeling are both the natural way for the skin to expel previous damage. Believe it or not, it’s a good thing. Contaminants that had been trapped underneath the stratum corneum will surface. This process is caused “purging”, and it caused by the retinol. It generally takes a few days for the skin to recover, and after 4-6 weeks (one complete cycle of skin renewal), the skin will completely recover.
I am not an obstetrician (although I practiced OB/GYN as a resident), so I can only speak to you as a dermatologist. And while I have no reason to suspect any danger or untoward side effect, neither have we tested the products on pregnant/lactating/nursing women. There’s nothing more important that the health of your baby, and your own peace of mind! So just to be on the safe side, women who are expecting may choose to not use the Radical Night Repair (because of the concentration of retinol). The other products will be just fine.
Thanks for asking.
Zein Obagi, MD
Hi -
I recently bought some of the ZO skin care products. While, I think the formulations have some exciting ingredients, retinol, beta-glucan, peptides, magnesium ascorbyl phosphate, etc. I notice many of the formulations have fragrance, allergens, and counter-irritants. The Radical Night Repair contains limonene, linalool, and citronellol which are allergens and can cause contact dermatitis. It also contains fragrance. The Daily Power Defense, has peppermint and orange extracts that cause skin inflammation over time. It also contains limonene. I was suprised to find such a well formulated line (and by a physician no doubt) to contain these irritants. My skin is some-what sensitive and irritated by heavy perfumes and irritants. I was wondering, is it possible for you to remove these ingredients from your formulations as they have no real benefit? Unfortunately, I had to return most of the products, except for the Occlipse SPF30 primer, which is formulated beautifully and without irritants or fragrance.
Thank you for your consideration.
Regards,
Yvette
Yvette, these are very good and legitimate questions. I appreciate that you read the labels.
First let me say that I don’t think there is such a thing as a universal, one-size-fits-all skin care product. Not one that works, and that people would use, anyhow. So if your definition of a perfect skin care product is one that is completely free of irritants, fragrances, allergens, that people enjoy and that really works… I don’t think that product has been invented yet.
Generally there are good reasons why we (and many other companies) use some of these ingredients. So while I realize that wasn’t your question, exactly, let me try to explain.
Some active ingredients that are used in skincare products have an offensive odor, so the fragrance that is added is only intended to mask the objectionable odor. Amino acids smell like protein shakes, and retinol has a chemical odor. In the tube, or in the package, a retinol product may not be offensive, but when applied to the face, it’s nasty. So fragrances are not added to make the product cosmetically elegant, so much as cosmetically acceptable. So yes, we could remove the fragrance. But then, would anybody apply the product?
Now, admittedly, some times we add fragrance for aesthetic purposes. Especially with rinse off products (cleansers, etc.), because people use products that they enjoy. Fresh and clean not only feels good, it smells good.
2. As for limonene and linalool– neither of these two are added as synthetic ingredients, in fact, they’re natural derivatives of essential oils. Limonene is a natural constituent of lemon oil/pine trees/mints, and linalool is a constituent of lavender oil/coriander. According to the Journal of Occupational Health (11/06), neither of these ingredients present any risk if used in minuscule amounts—and they are of absolutely very, very small concentrations in ZO products. Many cosmetic products that are sold in the US contain these two ingredients, however the ingredients are not listed on the label. How does that happen??? If they are derivatives, and not synthetic additives, they don’t have to be listed. So why does ZO list them? Since ZO products are sold in both Europe and the US, (and it’s the EU that requires the listing), so we list it on the label so that our packaging is universally compliant. My point is: these two ingredients are probably in a lot more products than you realize.
The order in which the ingredients are listed, by the way, are not necessarily an indication of the concentration. Cosmetic labelling requirements indicate that any ingredient with a concentration of less than 1% can be listed in random order. So whether it’s high on the list—or low on list—doesn’t necessarily mean anything.
3. There have been some studies questioning the safety of topically applied limonene. But these studies were done under grossly aggravated conditions, on laboratory mice. We use very low concentrations of these ingredients, which generally are added because they have anti-inflammatory properties. Clinical testing on allergens done on laboratory mice is a whole other matter, because the testing is generally not standardized.
We do conduct safety assessments on all products (these are done by independent labs) to measure skin irritation, sensitivity, etc. No one (and you’re right—especially an ethical doctor-brand) wants to produce a product that is going to put a consumer at risk.
Yvette, I appreciate your questions and interest (and I’m happy that you like Oclipse!) and I offer this information not as an attempt to convince you otherwise, nor to try to change your regimen, but to help you understand… Because I’m sure sometimes consumers must question and wonder, why in the heck manufacturers use ingredients that may seem unnecessary or unsafe.
Thanks for the questions and comments.
Zein Obagi, MD
Hi Dr. Obagi,
Thank you for a very informed response. It's evident you care about your patients and the consumer by your note.
I've found I can tolerate the Night Renewal Cream but not the Radical Repair. Yeah! As I mentioned, I love the Occlipse sunscreen and primer. Great formulation!!! Very nice to have a light SPF that works very well with makeup. My makeup stays on all day.
By chance, will you be making the TE exfoliating pads in a more gentle formulation for sensitive and delicate skin? I'm unable to use products with glycolic, but my skin can handle salicylic. A milder formulation would be very ideal for those of us concerned with occassional blemishes/blackheads/pores but that have more sensitive skin.
Many thanks again!!
Regards,
Yvette
Yvette, thanks for your feedback. I like constructive criticism, but have to admit that at this time we have no plans to reformulate the TE pads. Even though the ZO line is relatively new, I developed the TE pads many years ago, so we have more longtime, loyal customers for TE pads than any other product. Have you tried reducing usage of the TE pads to once a day? Another tip: are you applying a toner before the TE pads? I don’t know what regimen you’re on, but it may not be necessary… consider either waiting for a few minutes after you apply the toner, or eliminating the toner entirely.
Zein Obagi, MD
hello Dr Obagi,
I've been long time (9years) user of Obagi Nuderm products. it is the most wonderful products i've ever used and it really cleared my melasma. i am still using it diligently.
I found out about ZO products in our Newspaper and keen to know if i need to switch from Nuderm to ZO. If yes, what products are for me?
can i get some relevant samples to try out since they are not available till april 09 in Singapore.Thanks you.
Yours sincerly,
Lynn Ling
Hi, Lynn:
Thanks for your nice comments.
I’m glad that you’ve had great results with NuDerm, but must ask, have you switched to the “maintenance” portion of the regimen? Are you still seeing a professional regularly?
No, you don’t “need” to switch from NuDerm to ZO Skin Health, but you may choose to. ZO Skin Health products complete what I call the “circle of health”, which is a lifetime program for healthy skin. Not knowing what products you are using now, I can only suggest–You may want to try the Exfoliating Polish, The Ossential Growth Factor Serum, and the Oclipse sunscreen.
Unfortunately, it’s prohibitively expensive for us to ship samples to Singapore, but I know that ZO will be available at some of the better stores on Orchard Road in Singapore, and I’m sure they’ll take good care of you! Thanks for your inquiry.
Zein Obagi, MD
—– Original Message —
Hi Dr Obagi,
Just a quick note to tell you how much I'm enjoying the ZO line. I purchased the jumpstart kit in Nordstroms a few weeks back and as with your C-RX system, it didn't take long for my skin to start responding. It's such a pleasure to use skincare products that actually WORK! I used the C System last year when I had grown frustrated with the IPL treatments and chemical peels that didn't do much to clear up my melasma and sun damage. Your products were the only thing that repaired the damage – and at a fraction of the cost that I paid for the in-office procedures. I have two questions regarding the ZO line: First, I've heard that Vitamin A and it's derivatives (retin-a, retinol, etc) are inactivated by light, which is why they are used primarily at night. If that is true, what are the benefits of using retinol during the day in a product like Power Defense? Second, are you working on any new additions to the line? Just curious. I love the Oclipse and the Night Repair. Perhaps someday you'll pay a visit to Nordstroms here in Burlington, MA. They represent your line very well. Cheers, Heidi
Hi, Heidi: Great news that you’re liking ZO and already seeing results, and happy with the Obagi C System products as well.
You’re right that most retinol products are photo-sensitive, that’s why they’re commonly used in nighttime products. Simply put, the retinol degrades when exposed to UV rays. However the retinol that is used in Daily Power Defense is entrapped in a liposomal delivery system to reduce photodegradation. That’s why is both safe and effective to use during the day. Use the Oclipse on top of it, though! It has mineral actives in it which reflect the light and further protect the retinol.
Yes, I’m ALWAYS working on hew additions to the line! I love new product development, especially addressing new concerns and incorporating new technologies.
Glad that you’re happy with the folks at Nordstrom. I hope that they take good care of you!
Zein Obagi, MD
I am 36 and have oily tzone (black heads) with acne scars. Would the Night repair and Daily Defense be suitable as they seem to be more for fine lines and wrinkles, which i think would be drier skin? Can I use the Night Repair alone ie no moisturiser after that?
Hi, Chris: Sometimes I wish I had a quick and easy answer but it doesn’t always work that way. You started off by mentioning some specific problems/concerns. Are you looking for a product(s) to address those? Because neither the Night Repair for the Daily Power Defense were formulated to specifically address comedones (blackheads), oily skin or acne scars, although they may be very acceptable for your skin type.
In answer to your specific question, though, yes, it’s perfectly OK to not use a moisturizer after applying Ossential Radical Night Repair. I’m not a fan of moisturizers one bit!
Zein Obagi, MD
Dear Dr. Obagi, I would like to ask you 2 questions: Do your products help to reduce the size of pores? and Do your products help in prevention of Acne ? Please, take into consideration that I have a little Rosacea an a sensitive skin but and lightly oily , but i don’t have any problem with the regimen that you can see below, but i have an irritation problem with Exfoliating cleanser:
Offects Hydrating Cleanser (only night)
Offects Exfoliating Polish (only 1 a week)
Ossential Daily Power Defense (morning)
Ossential Radical Night Repair (night)
Ossential Growth Factor Serum (night)
Ommerse Daily Renewal Crème (morning)
Ommerse Overnight Recovery Crème (night)
Oclipse Sunscreen + Primer SPF 30 (morning)
Olluminate Intense Eye Repair
Thanks in advance for your help.
Dear Dr. Obagi
I would like to carry on from Angela Cieza’s question above, as I also suffer from large pores which cover most of my face, I use all of your products and love them, especially the joy of the whole process each morning and evening – fantastic! However, whilst I’ve noticed an improvement in the texture of my skin, my pores still remain and are quite prominent, more so when I smile (around the corners of my mouth). I have only been using your products since December 08, however I was wondering if there any additional products to use (already use TE pads), like masks or similar to help this issue? If so, which product/brands do you recommend as I don’t want to use oil based or moisturing ones as to lessen the effects of your ZO products. Also when going for facials (not been since using your products), what should I ask for? Don’t most facials moisturise? If so, won’t that lessen the effect of your products?
Thanks in advance for your help and for providing such wonderful products.
Yours gratefully
Jane
Jane–I haven’t forgotten you, or your question. I am speaking with some of the nurses on my staff to get their opinions and recommendations–I also learn a great deal from some of my patients. So as soon as I have a good answer for you, I shall respond. Thanks for your patience.
Zein Obagi, MD
Jane–Thanks for your nice comments. It’s difficult (if not impossible!) for me to give you meaningful opinions about your personal condition without meeting you. So let me speak generally–large pores may be caused by genetics (your parents’ skin type, and/or your ethnicity), improper skin care, hormonal influences, or sun damage. All of that being said, improper cleansing is frequently the cause. So it’s important to cleanse your skin properly and religiously. You don’t mention if you’re using the Exfoliating Polish. It’s excellent at deep cleansing, removing pore-clogging dead skin cells. Think of it like an at-home microdermabrasion–with micro-crystals that exfoliate and cleanse the skin. The exfoliation will not only reduce the size of the pores, but the appearance of wrinkles. Generally we recommend using it 2-3 times a week, but there’s nothing wrong with using it more frequently. If you’re still not getting the results that you want, meet with a physician. He/she may want to suggest laser resurfacing.
As for other treatments–using products that moisturize your skin are not necessarily bad, but people have become over-dependent on moisturizers, and sometimes use them to the exclusion of products that activate the skin. There’s no problem having a facial that moisturizes–you’ll enjoy it, the skin will benefit for several days. An aesthetician can also perform extractions, as necessary. In my own clinic, we use the HydraFacial–a combination of cleansing, exfoliation, extraction and moisturization. We’ve seen good results in the reduction of lines and wrinkles, with a noticeable decrease of congested, enlarged pores. But remember, it’s daily skin care that’s really critical.
So between a possible medical treatment, a facial, some exfoliating polish–I hope that something works for you!
Zein Obagi, MD
Hi, Angela:
Has your skin always been oily? I’m wondering if it is the nature of your skin, or just the present condition of your skin. Pore size also typically increases with age (because as we get older, our skin loses elasticity, so skin doesn’t appear as tight)
If you have a history of oily skin (and it doesn’t sound like it is real serious), acne can be treated with Accutane, exfoliation and Fraxel treatments. But that wouldn’t be my first course of treatment.
If the problem is just recent, occasional or hormonal, it may be that your skin would respond to deep and thorough cleansing. Pores become enlarged when they’re clogged. Stick with the hydrating cleanser, but use the exfoliating polish more frequently (every day), because you need to slough off the superficial dead skin cells. Use my Te pads–they’re soaked in salicylic acid which seeps into the sebum-packed pores. The combination of these two exfoliants–mechanical and chemical–should reduce the problem. It’s not a permanent fix, though, so you’ll probably want to make it a habit.
Hope that works for you!
Zein Obagi, MD
I just started using the Zoskin Hand Kit and I love it. I am 59, and have very old looking hands. I have large pores, sun spots and huge veins. I absolutely love how the Oraser hand renewal cream made my hands look and feel. I highly recommend these products to anyone that cares what his/her hands look like! I am anxious to see how my hands improve over time. Zoskin can’t actually do anything for the large veins, can they? I have always had them (Not just since aging)
Hi, Mary Anne:
You’re not old, so you shouldn’t have old-looking hands!!! Luckily, the Oraser products should help with the sun spots. The combination of retinol, plus some lighteners and brighteners, will help. Use the AM sunscreen every day for the UV protection. That’s what has caused the sun spots. As for the large veins–the retinol will help thicken and strengthen your skin. Our hands have little to no fat layer, so as we age, the skin on our hands gets thinner. When that happens the veins on our hands get more prominent. Since you’ve always had that problem, though–do you use your hands a lot? I’ve noticed that people (like pianists, gardeners and athletes who use the muscles in their hands, also have more prominent veins. Sorry, I wish I had a better solution!
Zein Obagi, MD
Dr. Obagi,
Wondering if you can explain the difference between your Nu-Derm line and the Zo line. I’ve talked to a skincare professional about starting your products, but have concerns about the stories I hear of the extreme dryness, redness and peeling with the Nu-Derm system. I’m 50 and moved to a hotter, dryer climate three years ago and have noticed the typical onset of aging skin….loss of elasticity, enlarged pore size, paler/ashy skin tone, a few sun spots and a few lines and wrinkles. I’ve tried several high end skin lines with only minimal results. I understand topical products have to penetrate to be effective. What would you recommend? Thank you.
Karen–First, I haven’t had the opportunity to observe your condition, or hear your concerns, so I’ll speak generally about the products, and hope that you can relate to them.
You’re right, NuDerm does cause all of the symptoms you describe—that’s now it works—by both accelerating cellular turnover, and by exfoliating the damaged, hyperpigmented skin. The course of treatment does involve redness and peeling—especially for the first six weeks. Generally NuDerm involves an 18-week course of treatment, and during the first six weeks, skin will be irritated, dry, and peeling. There are products that can be used to help relieve the symptoms, and if the regimen is too aggressive, the frequency of application can be reduced. Different people have different reactions and levels of tolerance.
We can’t repair and rejuvenate the skin without a combination of activating and stimulating the skin cells to produce collagen/elastin, and causing new, healthy skin cells to surface. NuDerm products contain retinoic acid and/or hydroquinone, both of which are prescription-strength ingredients. It will help with all of the conditions that you desribe—improve tone, reduce pigmentation, wrinkles, firmness, elasticity. You’re right, it’s the skin cells in the dermis that need to be stimulated. Products that sit on the surface of the skin, or that can’t penetrate the epidermis, may feel good, they may smell nice, but they’re medically useless.
ZO Skin Health products also work by activating and stimulating the skin cells, however they’re don’t contain prescription-strength ingredients, and are not as aggressive as NuDerm. After people complete their course of treatment with NuDerm, I generally recommend ZO products so that they can maintain their new, healthy, beautiful skin. I am always disheartened when I see someone (and I see it frequently!) who loves their new skin, and then doesn’t bother to maintain it. You need to care for your skin, or the conditions that you mention will recur.
ZO products are also recommended for people who don’t have a medical condition (and would like to prevent advanced signs of aging). So ZO and NuDerm products can be used in conjunction with one another, or independently.
So, Karen, first I think you and your physician need to determine if your skin requires medical treatment; your symptoms sound typical of aging—and it happens to the best of us. Living in the sunbelt (US) or a hot, dry climate will exacerbate the condition. Are you using sunscreen daily and reapplying frequently?
Finally, a high end skin line doesn’t necessarily equate to results. Some of the ingredients that are contained in these expensive products (dare I say caviar and diamond dust?) are a complete waste of time. At the end of the day, at the end of the year, the only thing that really matters is this—did the products activate and stimulate the skin???
Without meeting you, I’m sorry that I can’t give you a specific product recommendation, but hope this helps.
Zein Obagi, MD
Dear Dr. Obagi,
Congratulations! Your products are soooo amazing! I purchased the condition and enhance system and my skin has thanked me ever since. Where do I go from here? I like the results and want to maintain my glow. Should I go for the Blue peel now or go for the ZO line?
Cathy—Thanks, I’m glad that you’re delighted with Obagi products, or more importantly, delighted with your skin. And thanks for asking about “maintenance”–because it’s a very important part of care. Skin care is like healthy eating—you can’t diet, and then just revert to your old habits, or the weight will come back. If you have renewed and transformed your skin, and then don’t take care of it, the problems will recur. So let’s talk about maintenance.
Not knowing how old you are, or what your skin condition or concerns are, I can’t know if you need a Blue Peel. You may want to ask your dermatologist or plastic surgeon. I have a Blue Peel every 3-4 years, to keep my skin firm and tight.
ZO Skin Health products do complete what I call the “circle of health”–enabling you to maintain your skin health after the completion of an Obagi regimen. Let me know if you need some specific product recommendations, and tell me what products you are currently using. It may be that you would want to combine some of the Obagi products and some of the ZO products. Occasionally, once every 3-6 months, you may want to “shock” your skin by briefly resuming the original Obagi regimen.
Sorry, I don’t mean to answer your question by asking you even more questions, but I don’t think I can give you a meaningful product recommendation without knowing more about you. Thanks for your interest.
Zein Obagi, MD
Dear Dr. Obagi,
I do admire u that u really hv doctor spirit since u do care ur patients.
May i bother u by asking only 1 question?
I hv very oily skin and my pores are so large.
I am considering of trying whether Obagi-Nu Derm or C-RX but once i hv found ur ZOSkinhealth by accident just 1 hour ago through google, i am now really interested in ur product.
I am an Asian who is 30 yrs old.
Thank you very much in advance and All the best!
JM
In another post, I mentioned “genetics” as being a factor in pore size–and many Asians and Mediterraneans have large pores, which frequently result in uneven skin tone and acne. But there’s good news as well: your skin type is less predisposed to wrinkles. Now, as for treatment– neither the Obagi NuDerm, C-Rx nor ZO Skin Health products were developed specifically for the treatment of oily skin and pores, although ZO Skin Health does have products that are recommended for oily skin. You may want to consider the Exfoliating Cleanser (cleansers like this, that are designed for oily skin, generally have a little more detergent that strips away surface oil), Exfoliating Polish, and Te pads. Together, they give your pores a deep and thorough cleansing, reduce oiliness and sebum production, prevent breakouts, and improve skin texture. 30 is a great age to begin a serious skin care regimen!
Zein Obagi, MD
Dr. Obagi,
I’m 37 years old with, relatively, good skin. I’m prone to getting millas, and would sometimes get rashes with some skin care products. So I’m very careful with what I put on my face. I’ve gotten used to the “cleanse, tone, and moisturize” routine.
I came across ZO Skin Health and I bought the Jumpstart kit last March 4. Since this is my first time to use products with retinol, I have been using the products every other day. I broke out on the first week, but I continued with it and so far, I’ve loved the results! Yesterday I bought the overnight creme and the day creme.
I have to mention that I sometimes use a different cleanser. When I do use a different cleanser, do I have to use a toner before applying the Ossential products? Also, there might be days when I just want to use the overnight creme or day creme, without the Ossential products. Is this okay? Should I use a toner before applying the cremes?
Thank you, Dr. Obagi! I hope to hear from you soon!
Best regards,
Ohanna
Thanks, Ohanna, I’m happy that the ZO products are working well for you. You don’t tell me your skin type, so I’m going to base my answer on the assumption that you have normal skin (not too oily, not too dry).
As for the toner–the purpose of a good toner is to remove any residual trace of make-up, oil or dirt, or to help reduce pore size. If your cleanser is doing a good job, if you’re rinsing well with lukewarm water, and if you’re using a good make up remover as needed, you shouldn’t need a toner. Some toners are highly astringent (they have a high percentage of alcohol), so will dry your skin. Unfortunately, sometimes these very astringent toners can also have the reverse effect–by removing natural oils from your skin, your skin can overcompensate for this loss, and increase its natural oil production. So my question for you is this: do you really need the toner?
It’s not good to use the Ommerse products to the exclusion of the Ossential products. It’s important to keep your skin active–all day, every day. It’s like all good routines–brushing your teeth, taking vitamins, etc., a daily routine is best. And all that being said, if occasionally you just want to take a break from the Ossential, and alternate with the Ommerse, that’s OK. Doctors, therapists and consultants all like to make rules, but sometimes you just need to use your good judgement!
Keep up the good work!
Zein Obagi, MD
Dear Dr. Obagi,
Thank you so much for your prompt response! I have a follow-up question.
My skin-type used to be dry on the cheek area, normal on my chin and forehead, and my nose tends to be oily sometimes. I’m on my 3rd week in using Zo Skin Health and my skin is looking and feeling great! It has really improved!
I do notice slight redness on my cheeks and forehead. This has happened to me before with some products I’ve used. I would stop using that product and the redness would eventually go away. With Zo Skin Health, sometimes the redness is there, and sometimes it’s not. My question is, would my skin go redder if I continue this line? If yes, would the redness go away eventually?
Thank you so much, Dr. Obagi! I look forward to hearing from you soon.
More power to you!
Best regards,
Ohanna
Hi, Ohanna: After you complimented me for my “prompt response”, I’m sorry that I am so delinquent responding to this one!
Without being able to see pictures or examine your skin, it’s tough to know what could be causing the redness. Generally inflammation is a sign of a reaction–which isn’t necessarily a bad thing. Of course, that’s the way that Retin A and Renova work. After all, you want the Ossential products to work, and they do that by stimulating the cells. Sometimes that causes the skin to feel a little tight, and some people experience redness or peeling. From what you describe, I don’t think that it’s anything to be concerned about. However, if you are bothered or discomforted by the redness, cut back the frequency of application, and then gradually build-up to the recommended application.
If you think that the redness may be caused by an allergic reaction to one of the products, then I would recommend you stop using the product. The redness should clear up quickly.
Please let me know how you’re doing, and again, I apologize for the delay.
Zein Obagi, MD
Dr. Obagi,
I have been using your Nu Derm line for 2 years now and it was recommended by a friend and loved the results. I’ve got a lot of compliments on my 54 year soon 55 skin. The first time I used it, I didn’t get red or peel that much. I don’t know if I was using a small amount or because I had several dermabrasions before I started. I was told to just use it at night for maintenance (1,2,3 and 5 and retinA once a week), but another friend of mine has been using it for 6 years and said she still use it night and day but just the 2, 3 during the day and 2,3 and 5 with retin a at night. She has a beautiful skin and she’s 60y/o. I’m confused who to follow. The skin under my eyes is darker in color and with fine lines since I was avoiding the eye area but she told me to use #3 around the eyes so with the blender with retin A and tried to use it and the skin around my eyes got inflamed so I had to stop for 2 weeks then tried again and the same thing happened. I wanted to even out the color of my entire face including the eye area. My question is, do I have to use nuderm under my eyes or have to use an eye cream instead? For maintenance, which ones do I have to use? DO I have to change to ZO products since it’s anti aging? Would it be better for maintenance? What’s the correct amt. to use on the nuderm 3,4,5,6, pea size or the more the better? My biggest problem is the darker color under my eyes and fine lines, the rest of my face is great except there’s some pinkish area on the cheekbone and the bridge of my nose, I’m just afraid it might turn brown, so I keep using blender night and day everyday. Is this too much since it has hydroquinone?
Thank you and hope to hear from you soon.
Hi, Rose Marie
First, it’s great that you and friend are getting great results. I hope that you are getting professional guidance, as the products you are using are prescription strength, and the dosage and frequency and duration of use should be monitored. While I appreciate your asking me these questions, I haven’t had the opportunity to meet or examine you, so I am reticent to second-guess your physician. Let me speak in generic terms.
NuDerm is generally recommended for 18 weeks; after that time, the frequency of application should be reduced. It was never intended to be used on a continuous basis. You need to give your skin a break.
As for proximity to the eyes, the NuDerm products can be applied right up to the eyes. Another eye cream can be applied, however it won’t have the lightening/brightening effect that NuDerm has. The redness and peeling that you are experiencing are normal, and consistent with the way in which NuDerm works. It causes inflammation, dryness, and exfoliation/peeling to correct sun damage (wrinkles) and uneven pigmentation. So you have to expect that. If you feel you simply can’t tolerate the redness, begin with using the Clear, (#2), RetinA and Blender (#5) only 2-3 times a week, and gradually build up to five times a week.
As for dosage, I definitely do not recommend “the more the better”. For your entire face, for Clear or Blender, for example, use only about 1/2 gram (when dispensed from the container, it’s about the length from the first joint to the tip of your pinky finger). For the eye area, only a little will be required—a pea sized amount.
After 18 weeks, NuDerm users should go into the “maintenance” mode (unless instructed otherwise by your physician). This is a good guideline:
Mornings
Cleanse: Use one that’s right for your skin type—either NuDerm or ZO Skin Health—7X/week
Activate: ZO Skin Health Exfoliating Polish (2-3X/week)
Correct: NuDerm Clear (2-3X/week)
Stimulate: ZO Skin Health Growth Factor Serum—7X/week
Calm and Nourish: Ommerse Daily Renewal Crème (optional)
Protect: Oclipse SPF 30 Sunscreen or NuDerm Healthy Skin SPF 35 (whichever you prefer)—7X/week
Evening
Cleanse: Use one that’s right for your skin type—either NuDerm or ZO Skin Health—7X/week
Stimulate: Retin-A/Blender combination—2-3X/week
Calm and Nourish: Ommerse Daily Renewal Crème (optional)
I do not know what would cause the pink on your cheeks, but do recommend that you cut back on the hydroquinone (which is contained in both Clear and Blender). Once pigment has been suppressed, you don’t need to maintain the same amount.
One more thing, frequently I recommend that people resume the NuDerm regimen for 6 weeks, to “shock” their skin. However, we can discuss that after you’ve been on maintenance for several months!
Hope that helps.
Zein Obagi, MD
Dr. Obagi,
Sorry for the delay to thank you for your reply to my questions. I have started using the Zo eye renewal and makes a big difference. I got some sample of the sunscreen when I ordered the eye cream and I like it very much. I don’t need to wear mineral powder with the sunscreen. I ordered some of the Zo products that you recommended. Do I have to apply the eye cream last or before the sunscreen in the morning? The nuderm clear 2- 3 x/week, and the blender 2-3x /week, does it have to be the same day or alternate days?
Rose Marie
Hi, Rose Marie:
The sunscreen should be the last item that you apply in the morning.
As for the NuDerm Clear and Blender. The Blender is typically used in combination with tretinoin (aka retinoic acid), as it increases the penetration. It can, however, also be used in combination with Clear. I don’t know what regimen your physician has recommended for you, but definitely, Blender is designed to be “blended” with another product, so is used on the same day, at the same time, for best results.
Blender, when used in combination with Clear, is applied in the morning. Blender, when used in combination with retinoic acid, is applied in the evening.
Hope that helps.
Zein Obagi, MD
Thanks Dr Obagi for your advice
How long does it take when using your full range does it take to see a difference in your skin.
gillian
Hi, Gillian:
You have asked a simple question, and I wish that I could give you a simple answer. Results will vary depending on a couple of different factors:
Skin type: If pores are clogged due to oily skin or excess sebum production, you need to deep cleanse the skin and remove blackheads, whiteheads, etc.
Condition: If skin is already healthy, vital and functioning normally, skin health may be optimized. The same of course, applies to other body parts–your heart health, muscle tone, etc. Once you reach an optimum state, you can’t always continue to improve.
If however, the skin cells have gotten lazy (due to age or poor or improper skin care), your skin will be quicker to register a noticeable change. Obviously there’s more room for improvement.
Skin Care: A lifetime regimen of skin care that contain vitamin A (retinol, retinoic acid) is critical. If you have already been applying these products (with my ZO Skin Health line, NuDerm line, or Retin A, etc.), you’ve taken a big step. People who are using retinol as a new user are more likely to see dramatic improvement. But improvement with retinol happens over a period of time–2-3 months is not at all unusual.
Age: This is a significant factor. Normally, healthy skin cells turn over every 30 days, which means that dead or damaged skin cells are replaced with new and healthier ones about once a month. To see a significant improvement, you need to go through at least one cycle (which may be longer, depending on your age) . That’s because as we age, cellular turnover slows, renewal and regeneration slows. So you can expect to see moderate improvement within the first 30 days, continued improvement after another 30 days, etc.
I understand your impatience. But cells damaged by age, intrinsic and environmental factors were compromised over a long period of time, and the body can’t quickly or completely recover from that damage.
Concerns: Depending on your age, skin type, etc., you should see significant improvement and get softer, smoother skin within several days. Obviously deep wrinkles, pigmentation, etc., can take much longer to correct, and may require medical intervention.
That’s a long-winded answer for a short question, but I hope that it helps you understand that there is no easy formula, Gillian.
Dr Obaigi
As I’ve said previously I started using your product about 6 weeks ago, last week for the first time ever my mother told me that my skin looked great and that the lines around my eyes were not as prominent as usual.
I want to thank you for creating this great skincare range and taking the time to answer my questions.
Gillian
That’s a great compliment from your mother on Mother’s Day!! Thanks for relaying it.
Zein Obagi, MD
Dear Dr Zein,
I am an Asian and would like to know if your products are suitable for us? We have different skin texture from Westeners and i have had some reactions in the past when i tried some anti aging products made in the US.
Thanks.
Aishah:
Thanks for your inquiry. Asians do generally have sensitive skin, and it is more reactive than Caucasians. That being said, my products have a tremendous following throughout Asia, at least partially because so many people there are in quest for a perfectly flawless complexion. There are now thousands of people who use ZO Skin Health products in Asia, and I am aware of only two who have complained of redness, itchiness, etc. In both cases I have advised the women to cease use of the products. No one in the US (that I am aware of) has complained of having an allergy to any of the ingredients, and my products do generally work by increasing the cellular activity.
AS for the difference in the products, many Asian products focus on lightening/brightening, and as such feature ingredients such as pitera, vitamin C, Kojic acid, etc. In the US, most products focus on anti-aging properties, so yes, the products are formulated differently.
Hope that helps. If you want to try just one product, I would recommend the Oclipse sunscreen, which seems to be universally popular.
Zein Obagi, MD
hello I´ve read about your products, I,m using tretinoin for a couple of years with good results and good looking skin and of couse sunscreen. I´d like to Know where I could test yours in Spain or get some samples. I congratulate you and I´d like to Know why are you not very Known in Europe, and if you plan to develop you range of products here, soon.
Guiomar: ZO Skin Health products are available from Beauty Cube in Spain–are you familiar with that store? I’m sure that they will be happy to give you some samples of the products.
You’re right that my brands are probably not as well known In Europe as they are in other parts of the world. I’m pleased, though, that ZO products are now being introduced in Europe.
Stick with the tretinoin–products high in retinol/retinoic acid will keep your skin active.
All the best,
Zein Obagi, MD
Hi, Dr.Obagi,
I have heard of Zo Health products and would like to try using them,Would it be available in the UAE,like Abu Dhabi?I have used Obagi products and found them very good for my skin.I have combination skin.Thanks,Janis
Dear Dr. Obagi,
I had the pleasure and honour of meeting you in person when you were in Malaysia to launch the ZO Skin Health products. I have been using the products since and I am really happy with the results. However, I have finished the exfoliating cleanser and am unable to replenish as the counters in Malaysia do not have stock and have not been able to inform me when stock will be available.
Please advise when stock will be available in Malaysia and also whether I can get the products in Singapore. Alternatively, please advise on an alternative cleanser. I am also using the exfoliating polish but find I can’t use it on a daily basis.
Many thanks for your kind attention and look forward to hearing from you.
Best regards,
patz
So glad to hear of your positive experience with ZO Skin Health. I am the EVP at ZO Skin Health. I was in Malaysia for the launch and was with Dr. Obagi for the Malaysia Launch.
The Exfoliating Cleansers have come back in stock and we have recently made a shipment to our distributor. Please do contact the following at Lux Asia so that they can notify you on the Exfoliating Cleansers availability and for good measure, I will be contacting them amd let them know of you query as well:
Lee Yoke May:
yokemaylee@luxasia.com.my
t: +603-2287 8899
Should you have further questions, please do contact me, JuE Wong at jwong@zoskinhealth.com
Hi Dr Obagi
1.Do I need to take a break from ZO products after or before going for treatments like IPL, RF or microdermabration?
2. I have been using products containing Ascorbic Acid to lighten pigmentation and had found it to be quite effective, but have stopped since started ZO. The pigments are more visible now…Do you advise it be used together or under Radical Night Repair?
Hi, Joanne:
1. ZO Skin Health products should not cause any kind of complication used in conjunction with Laser treatments, photo-facials and microdermabrasion.. Just stay off of the Exfoliating Polish until your skin has completely recovered.
2. Absorbic Acid is an effective lightener, and if you were successful using it before, it’s perfectly OK to add it to your regimen in combination with ZO products. It should be applied after the cleanser, and before any of the treatment products.
Thanks.
Zein Obagi, MD
Dear Dr Obagi
Thanks for the prompt reply..
Best Regards
Joanne
Hi Dr,
Hope you are doing well, your blog is really informative. I would like to know how old or young can a person start using the ZO suncreen? My child is 15 years old and tans very easily (just one day in sun and he will turn few shades darker). Would the ZO products can be suitable for him?
Thank you.
Sincerely,
Sandy
Sandy:
Today would be a good day to start! Seriously, your child is never too young to begin wearing sunscreen. The Oclipse sunscreen, though, is really intended as a facial sunscreen. Assuming like your son is an all-American kid who will spend a lot of time outdoors, make sure that you use a sunscreen for all exposed areas.
Happy summer.
Zein Obagi, MD
Dear Dr Obagi
It is tough to apply radical night repair due to it’s separation problem. The cream just won’t stay on the skin.. drop all over. Is it advisable if mix it with a small amount of Daily Power Defense for easier application.
Regards
Hi, Joanne:
First, I apologize for the delay in responding to you.
I am better at repairing damaged skin than I am at repairing damaged product. Skin–I can treat. Skin reacts it predictable ways. Skin responds to activation and stimulation. With proper attention, skin improves.
But not products. Some of the Radical Night Repair separated. But none (that I was aware of) behaved as you described. That’s why I’m diligantly reformulating the product–to not only make it more stable, but to make it even more effective.
In the meantime, I’m sorry, I don’t have a “fix” for your problem. If you purchased the product from our website, I suggest that you return it for a credit to your account–or if you wish, we’ll replace it with other products. Contact our Customer Service Department (smunz@zoskinhealth) for resolution.
You’ve may have seen (or read) that I say–”I don’t compromise. You shouldn’t either.”
Zein Obagi, MD
Dr. Obagi,
I am in the 40s and the sun damage began to surface on my face about 2 years ago. I was using Tri-Luma to clear the big brown spots on my face. It worked however, when I stopped the spots come back again. A few weeks ago, I began to use a pigmentation cream called Meladerm. It lighten the spot a little but not completely. I also began to use the Zo Skin product about week and half and skin is smoother. However I began to have breakouts on my face after using the ZO Skin Product (I don’t have this problem before).
I have 2 questions: 1) Is is safe to use Meladerm with ZO Skin product and will Zo skin product help get rid of the brown spot? 2) Will I continue to have breakouts when using the ZO Skin Product or do I need to change my regiment?
I use the following products and my skin is normal.
Morning
Offects Hydrating/Exfoliating Cleanser
Ossential Daily Power Defense
Oclipse SPF 30 Sunscreen
Olluminate Intense Eye Repair
Evening
Offects Hydrating/Exfoliating Cleanser
Ossential Radical Night Repair
Ossential Growth Factor Serum
Ommerse Overnight Recovery Crème
Olluminate Intense Eye Repair
Thanks,
Loretta
Hi, Loretta.
Yes, it’s certainly safe to use Meladerm with ZO Skin Health products, but probably superfluous. Meladerm contains bearberry, mulberry and licorice extracts, and ZO products contain over-the counter lighteners as well.
Curiously, on their “official website”, it is written that “Melanin pigment is synthesized in specialized cytoplasmic organelles called melanosomes Within the melanosome, the enzymatic conversion of the amino acid tyrosine to melanin is catalyzed by the enzyme tyrosinase.”
So, let’s try English. The most effective ingredient for skin lightening is hydroquinone–and that’s found in my original skincare line, Obagi NuDerm. Hydroquinone works by blocking the production of new melanin (the agent which causes skin coloration) and breaking down existing melanin, so your sun spots, melasma, scar tissue, etc. gets lighter. Obagi uses concentrations of 4%; more than that would be irritating. Less than that is usually not effective.
There are other ingredients that cause lightening–kojic acid, glycolic acid, retinol, licorice extract, bearberry extract, etc., and these will create moderate lightening.
So that’s how lighteners work.
Will they get rid of the brown spot? I don’t know, but they will improve it. Obagi NuDerm is another option.
2. Believe it or not, breakouts are a good thing. I know, some times it’s difficult to convince yourself of that. The reaction that you’re experiencing is caused “purging” and is the natural way for the skin to free itself from previous damage. Retinol will expel to the skin’s surface the dirt and bacteria that was sitting under the stratum corneum. It can take anywhere from 2-6 weeks for this whole cycle.
Hope that answers your questions; pls stay in touch.
Zein Obagi, MD
Dr. Obagi,
Thanks for your quick respond. With regards to my brown spot, I was using Tri-Luma which has 4% Hydroquinone. It helped lightening my brown spot. However, when I stopped using it (my doctor said I need to take a break after 2 months), the brown spot became darker than before.
Will Obagi NuDerm help get rid of the brown spot? Which of the NuDerm products do you recomend me to try?
Thanks,
Loretta
Hi, Loretta:
Were you wearing sunscreen after terminating the Tri-Luma? Wearing sunscreen is always important, but especially important to prevent pigmentation from recurring.
NuDerm is recommended to be used up to 18 (or maybe 24) weeks on a daily basis. After that, ZO Skin Health products should be introduced to the regimen.
Loretta, without seeing you, I am hesitant to give you professional advice about the use of NuDerm. I can tell you that NuDerm very effectively corrects pigmentation caused by melasma, UV damage, acne scars, etc. It works by reducing the production of new melanin, and breaking down existing excess melanin. I believe that is the most effective lightening compound available today.
I hope this helps, and while I would like to help you further, I trust that your physician can give you more information and specific product recommendations.
Zein Obagi, MD
Dr. Obagi,
Thanks for the information. Yes, I do use sunscreen daily. However, it is hard to re-apply every 2 hours (especially with makeup). I consulted with a professional regarding my sun spot and she suggested that I start of with Obagi NuDerm Clear and Blender and Tretinoin. I asked if I can continue with the ZO products but she is not sure all the ingredients in the ZO products so she said I can continue with the ZO cleanser, night cream and sunscreen but stop all other active ingredient products.
Dr. Obagi – since you know the ingredients in both products, do you think I can combine all or part of both products or I should I stop using the ZO products until I finish with the Obagi Clear and Bender?
Thanks,
Loretta
Hi, Loretta:
I agree with your physician’s recommendation. It’s OK to use the ones she has recommended while you are using the Obagi NuDerm Clear and Blender. You may also appreciate the Exfoliating Polish because it clears off the dull, dead skin cells that the Retin A is generating. Use it once a day, when you can tolerate it. You’ll love the way your skin looks… even though it’s only for a few hours… then the peeling will start all over again!
Zein Obagi, MD
Dr. Obagi,
Based on your recommendation, I have used the Obagi Clear and Bender in the evening for over 6 weeks but have not seem much improvement in my skin. My brown spot is still pretty visible and my skin is not peeling as you mentioned. Is that mean these 2 products do not work for me?
Thanks,
Loretta
Hi, Loretta:
I have reviewed our previous communications. You may not have understood that Obagi NuDerm is designed as a program. The number of products that you use, the amount of product that you apply, the time of day that it is applied, the sequence in which it is applied, the frequency of application, the concentration of tretinoin, the amount of UV exposure, all will influence results. While I realize that the e-commerce sites are a popular way of buying product, buying NuDerm without a physician’s recommendation is not such a good idea. Your post here is a good case in point. You may have wasted six weeks (and the products that you were applying).
If you are using only Clear and Blender, that could be an important part of the problem. There are several products that cause the peeling–tretinoin (aka Retin A) and Exfoderm. Are you using them? The Blender is so called because about 1/2 gram (about the distance between the tip of your pinky, and the first joint) is designed to be blended with the tretinoin in the evening. The two work in combination to stimulate the skin, produce collagen and elastin, and repair damage to the deeper layers of the skin (which includes freckles, age spots, hyperpigmentation).
The Exfoderm Forte is typically used after Clear in the morning. By helping to clear off the dead surface layer of the skin, it enhances the penetration of the active ingredients.
So my concern is that you were using only a partial regimen. Loretta, I appreciate your asking for my opinion, but it’s difficult for me to understand your skin needs, and recommend a specific regimen without seeing you. There is a system, and you will get the best results if you follow the complete regimen.
Zein Obagi, MD
hi dr.Obagi
im 36 years and living in singapore.i have sensitive combination skin which goes red on the cheeks sometimes without any itchiness.i bought ommerse daily renewal cream yesterday….but because of it having retinol am hesitant to use it as a moisturizer….afraid it might make my cheeks go further red.also tell me iv been adviced by the lady at the counter to use a facial antioxidant on top of any moisturizer i use….will it make my skin smoother.
thaks
looking forward to hearing from you.
Hi Aysha,
The Ommerse Daily Renewal Creme contains Oat, Oat Kernel, and Willowherb extracts which act as anti-inflammatory, anti-irritation, and redness reducing ingredients. The retinol included in the Daily Renewal Cream is in a liposomal entrapment system which protects it from photodegredation and keeps it from being overly irritating. I don’t believe you will find that the product makes you more red, though to be on the safe side you could start out using it every other day for a week or two to see if there is difference between days it is used and days it is not used.
Use of a topical antioxidant over a moisturizer can be helpful. Which antioxidant were you recommended?
I hope this helps.
Best regards,
Justin Morgan
VP – R&D
ZO Skin Health, Inc.
Dr. Obagi:
I am 49 and have been using Obagi Nuderm for over 10 years. I don’t seem to be getting the same results that I had noticed for several years. I have recently been asked if I had heard about the new ZO products. I had not, but am very interested in trying them. Do you have samples or do I have to buy the full size product? Also, what product is best for the neck area?
I’m not sure what your regimen is—but yes, staying on the NuDerm regimen indefinitely is a little like staying on the same diet or exercise program indefinitely. Occasionally you need to shake it up, and wake it up!
Presumably now you are on a maintenance regimen, and using products like Clear and Blender only 3-4 times a week.
If so, now is the time to “shock” your skin, and revert to a treatment regimen (daily use) for several weeks. When you get the results you expect, you can then revert to the maintenance regimen that combines Obagi NuDerm and ZO Skin Health products.
Yes, we do offer free samples, contact our Customer Svc Dept at smunz@zoskinhealth.com. You may want to consider purchasing the DNA Repair kit—it combines many of the products that are included in the maintenance regimen, and represents a better value than buying the products individually.
Zein Obagi, MD