Posts Tagged ‘Obagi’
The Obagi Blue Peel improves hyper pigmentation, fine lines, wrinkles, large pores, laxity, skin texture and acne scars.
The Obagi Blue Peel is a unique procedure designed to precisely control the depth of a TCA chemical peel. The Blue Peel uses Trichloroacetic acid (TCA) as the active ingredient and a patented Blue Base with built in safeguards. The TCA and blue peel solution is prepared at a fixed concentration and applied in a “coating system”. The Blue base gives the skin professional more control over the peel by slowing the penatratation of the TCA solution and making it easier to recognize desired endpoints. The coating system helps monitor and control the depth of the peel.
The Obagi Nu Derm system and Obagi Blue Peel are designed to work together. The Obagi Nu-Derm system is used before the peel to precondition skin and as a post treatment protocol. Pre-conditioning prepares skin by correcting and stimulating normal skin function to speed healing. The amount of time for preconditioning is determined by the skin type and condition, usually a minimum of 6 weeks. Post-treatment promotes shorter recovery time, aids in resolution of erythema (redness) and post- inflammatory hyperpigmentation. I will not do a Blue Peel on anyone who has not preconditioned, post treatment care is also not optional.
The Obagi Blue Peel is not something you just schedule and show up for, it requires a little planning and preparation. A consultation is required before scheduling a Blue Peel to determine the depth of the peel needed to achieve desired results. In some cases a Blue Peel may not be your best option or additional treatments may be needed, so other treatment possibilities may be discussed. You will also need to begin a skin care regimen with the Obagi Nu-Derm system, a minimum of 6 weeks prior to your peel. During the consultation you will discuss the length and amount of peeling to expect with your peel , so that you can plan your schedule accordingly. The price of the Blue Peel varies depending on the depth of the peel, however even in the deepest Blue Peel is only a fraction of the cost of many laser treatments. ( The Blue Peel is amazing when combined with fillers and Botox. Think Chemical Facelift!)
Depth of Obagi Blue Peel
The Obagi Blue Peel can be performed at different levels or depths, depending on the desired results. The Obagi Blue peel uses a coating system as a way of preparing and controlling the depth of the peel. People often get confused by the term “coat”. When we say coats we are not referring to how many times the peel is painted on the face, a coat refers to a specific volume of a prepared solution. The blue peel uses a 30% TCA and a patented blue base that is prepared in either a 15% or 20% solution. It is important to understand that 2 coats of a 15% solution is not the equivalent of 2 coats of a 20% solution. A Blue peel solution of 20% is also not the equivalent of a plain 20% TCA. When considering a Blue Peel try not to confuse your self with the coat system and the concentration of the prepared solution, instead focus on the depth of the peel needed to achieve specific results.
Light Exfoliation: Peeling is complete in 2-3 days.
This is commonly referred to as a 1 coat peel
– Penetrates the stratum corneum layer of the skin.
– Provide light exfoliation to freshen the skin
– Unclogs pores and reduces comedones
Deep Exfoliation: Peeling is complete in 4-7 days.
This is commonly referred to as a 2 coat peel.
– Penetrates to the basal layer of the skin.
– Temporary improvement of superficial hyper-pigmentation
– Enhances results of the Nu-derm system
Standard Blue Peel: Peeling is complete in 7-9 days.
This is commonly referred to as a three coat peel.
– Penetrates the papillary dermis layer of the skin.
– Treats hyper-pigmentation Brown spots and Melasma
– Improves skin texture, reducing roughness
– Tightens large pores
Designed Blue Peel: Peeling is complete in 9-14 days.
This is commonly referred to as a 4 coat peel.
– Penetrates to the reticular dermis layer of the skin.
– Treats hyper-pigmentation Brown spots and Melasma
– Improves skin texture, reducing roughness
– Tightens large pores
– Skin laxity, fine lines, “stretchable” wrinkles and scars.
*Immediate reticular dermis (IRD) is the area where the papillary dermis meets the upper reticular dermis.
Pre-conditioning before the Obagi Blue Peel
Skin should be conditioned before a Blue Peel, this is done by using the full Obagi Nu Derm system along with a topical tretinoin (Retin-A). Conditioning the skin prior to the peel will enhance results and reduce complications. Pre-conditioning prepares skin by correcting and stimulating normal skin function to speed healing. The Obagi Nu Derm is a complete system and should be used as such. It is not recommended to eliminate or substitute the skin products in the Obagi System. Your skin health professional will give you a specific protocol that is appropriate for your skin. You will be instructed when and how to use each product as well as how to measure the recommended amount of each product. You will also be shown how manage reactions and how to modify your protocol to fit your lifestyle.
Obagi Medical skin care products are prescription strength, and available only through a physician’s office.The products in this system should be used with the same respect and diligence as any prescribed drug. You should only use Obagi products that you have received directly from your skin care professional, under a doctors supervision. Products sold by unauthorized distributers or online may be counterfeit, expired or degraded in quality. This can lead to reduced results and complications. When you purchase Nu-derm products from anyone other than your personal skin care professional, they are unable to calculate if you are using your creams correctly or guarantee efficacy of the products, consequently the results of your treatment can not be assured.
Post- treatment after the Obagi Blue Peel
The Peel Stage
The peeling stage is 3-14 days depending on depth of peel.
The amount of peeling will depend on the level of peel. Skin will generally begin to darken on the 3rd day and peeling will begin on day 3 or 4, depending on depth of peel. Peeling begins around eyes, nose and mouth. With a standard or designed blue peel, days 4-6 will appear the worst. The peeling stage is not painful, but the skin will feel tight and dry. Follow all post treatment instructions. NO PICKING! It is extremely important that you do not assist the peel, treat the skin like you are trying to keep it on. Do not pick, pull or remove skin. Complications can occur if skin is peeled off prematurely.
During the peeling stage you will be instructed to follow specific post treatment instructions. This will include using a gentle cleanser and mild topical creams designed by Dr Obagi to be used after a Blue peel. If you have had a deeper peel you may be instructed to use an astringent solution compress. Sun exposure should be avoided after the peel. Chemical sunblocks and makeup can not be used, however you may be able to use an “approved” mineral makeup which will provide a little sun protection. I usually recommend Jane Iredale mineral makeup.
The recovery stage begins when peeling is complete and lasts 1-6 weeks, depending on depth of peel. When the peeling is complete, skin will look good and will continue to improve as it heels. Skin may look a little pink or red and it is not un usual to see an acne flare-up. After peeling is complete it is important to resume Obagi Nu-derm system as instructed to enhance results and reduce the probability of post inflammatory pigmentation.
Return to Normal
Skin will return to normal when the recovery stage is complete. Results of the procedure can be evaluated at this point and you will resume Obagi Nu-Derm system under the normal protocol. It is important to not discontinue Nu-Derm system prematurely. You will continue on a normal Obagi Nu Derm protocol until advised to begin a maintenance protocol, usually 6-12 weeks. This will depend on how aggressive your nu-derm protocol is, the condition of your skin and desired results.
When skin has been corrected and has returned to a normal healthy state a maintenance protocol will be designed to help you maintain your results. Your skin health professional will instruct you when to begin a maintenance protocol, this is usually.
The content provide in this post is intended to be informative and does not replace medical or professional treatment.
®© All Rights Reserved.
Melasma (chloasma) is hyperpigmentation or dark, irregular patches commonly found on the upper cheeks, nose, upper lip, and forehead. The patches can develop gradually over time or during pregnancy. Melasma can also develop when taking oral contraceptives or hormone replacement therapy medications. Melasma is thought to be stimulated by hormones, however exactly which hormones are involved has yet to be determined. The most important factor in the development of melasma is sun exposure,and without the strict avoidance of sun exposure, treatments for melasma are likely to be unsuccessful. Melasma can be permanent or disappear and reappear with each pregnancy.
Hyperpigmentation is the term used to describe any type of abnormal dark area of the skin, this includes melasma, freckles and sun spots. When we treat hyperpigmentation in the skin, it is important to understand that the melanocyte is not functioning properly, so it overproduces melanosomes and the excess melanin can not be evenly distributed among the keratinocytys. As the cells rise to the surface of the skin they cause over pigmented or dark spots. When the skin is exfoliated with AHA’s, chemical peels or microdermabrasion, the hyperpigmentation will appear lighter because some of the top layers of skin have been removed and the pigment is less dense (temporarily). The pigment is still there, it is just appears lighter and the melanocyte is still not functioning properlly, so in a few weeks as the top skin layers are replaced the pigment will appear dark again. Tanning will also further stimulate the melanocyte causing darker pigmentation to develop and Melasma will become worse. Hydroquinone works to suppress the melanocyte and is an excellent way to treat the pregnancy mask. For best results Hydroquinone can be used in conjunction with exfoliating treatments. I understand this description may be a little difficult to understand, so if I have lost you, you can come in for a consultation and I will use visual aids to better explain the cause and treatment for hyperpigmentation.
Melasma: My Personal Story
I have Melasma myself, on my upper cheeks and forehead. I first developed Melasma patches on my upper cheeks in my late twenties and later after giving birth to my second child I developed another large patch in the center of my forehead. I have successfully treated my Melasma, but I need to continue to maintain my skin so that it doesn’t come back. As a Medical Esthetician, I obviously have access to the best skin care products and treatments available. I can share both my professional and personal experience with treating Melasma. Using hydroquinone, and broad spectrum sunblock is absolutely necessary for treating and controlling Melasma. Even after successful correction of Melasma, the hyperpigmentation can reappear especially after sun exposure.
My Personal Skin Regimen
My personal skin regimen includes using the Obagi Nu-Derm system, with a 1/2 gram of Clear (4% hydroquinone) AM and PM. Initially I used a 1/2 gram of a .1% tretinoin ( Retin-A) every night, however I am now on a maintenance protocol and only use tretinoin occasionally. I also use a topical vitamin C and a broad spectrum sunblock containing Zinc oxide. I top it off with Jane Iredale mineral makeup SPF 20.
Professional Skin Treatments
I have had an Obagi Blue Peel, and Fraxel treatments. I personally felt I had better results with the Blue Peel. Fractional laser resurfacing and Blue Peels are ideal when treating deep or resistant Melasma.
Although I have corrected my Melasma, I still need to continue to maintain my skin to keep the Melasma under control. In addition to the topical products I previously mentioned, I try to have a light chemical peel every 4-6 weeks. The chemical peel I have found that gives me the best results treating pigmentation, is a custom chemical peel.
Obagi Nu-Derm System
This is correction after using the Obagi Nu-Derm System. This is a prescription strength skin system and is only available at medical skin clinics. Treatment protocols vary depending on skin type and condition.
Obagi Blue Peel
This is an example of deeply pigmented Melasma.
After treatment with Obagi Nu- Derm & Obagi Blue Peel
It is important to precondition with the Obagi Nu-Derm System and Retin-A before having a Blue Peel. I recommend preconditioning for a minimum of 6 weeks or longer depending on how aggressively Tretinoin is used. Patients that are better preconditioned get a better result. It is also necessary to continue to use the creams after peel to prevent Hyperpigmentation & to maintain healthy skin.
Custom Chemical Peel for Melasma
The Custom Chemical Peel I use is a light peel that can be repeated as often as every 4-6 weeks, compared to the Obagi Blue Peel which is a deeper peel necessary for treating deeper pigmentation. I have decided to not include details of my protocol for this custom peel. It is proprietary information that I don’t wish to share with others in the industry. If you would like to learn more, you can schedule a private consultation. I can tell you that with this peel, I will usually get light peeling for 2-3 days. The peeling is minimal and I would not consider there to be any “down-time”, you can still go about your regular routine. You just don’t want to schedule a peel less than a week before any major event like a wedding. I make it a point to work with my clients and their social calendar, so that they look their best for any events.
Get Professional Treatment For Melasma
If you have Melasma call to schedule a free consultation at
Paradise Valley Skin Klinic.
Answer these Questions to find out how much your habits and life style have aged your skin.
I wanted to share this quiz, compliments of Obagi Systems.
How old are you ?………………………………………………………………………………………………. _______
Do you have any permanent facial brown spots or broken blood vessels ?
( If yes, add 2)……………………………………………………………………………………………………. _______
Are there noticeable lines around your eyes or lips ?
( If yes, add 3)…………………………………………………………………………………………………….. _______
Do you have deep creases on forehead or cheeks ?
( If yes, add 5)……………………………………………………………………………………………………… _______
Have you or do you still tan at least twice a week ?
( If yes, with sunscreen add 5)
( If yes, without sunscreen add 10 )……………………………………………………………………….. _______
Has your face suffered at least 3 severe sunburns, complete with peeling ?
( If yes, add 5) ………………………………………………………………………………………………….. _______
Do you smoke ?
( If yes, add 3) …………………………………………………………………………………………………. _______
Do you drink at least 5 or more alcoholic beverages a week ?
( If yes, add 2) …………………………………………………………………………………………………… _______
Do you work out at least 3 times a week ?
( If yes, subtract 1) …………………………………………………………………………………………….. _______
Do you have at least three servings of fruit and vegetables a day ?
( If yes, subtract 1) ……………………………………………………………………………………………. _______
Do you use an SPF of 15 or more daily?
( If yes, subtract 4) ……………………………………………………………………………………………. _______
Do you use topical antioxidants as part of your daily routine?
( If yes, subtract 1) ……………………………………………………………………………………………. _______
Do you use prescription lotions (such as hydroquinone or tretinoin) at least once a week ?
( If yes, subtract 3 ) ……………………………………………………………………………………………… _______
The total is your skin’s age. …………………………………………………………………………………… _______
Best of Both Worlds AZ will continue to educate
and share tips, for healthier, younger skin.
After Obagi Most Women Go Naked
The Obagi Nu-Derm® system is the world’s #1 professional skincare program, used by more than 11,000 physicians throughout the world. It is the most effective treatment for skin health restoration, correcting complex problems such as acne, melasma (brown spots), fine lines, wrinkles, and scars.
The Obagi Nu-Derm System contains prescription-strength formulations that can only be sold through a licensed physician, such as a dermatologist or plastic surgeon.
*Take a moment to watch the Obagi video at the end of this post.
The goal of the Obagi Nu-Derm system is to create soft, radiant- looking skin, increase skin tolerance and restore normal skin functions. The problem is, it only works if you use it. It works even better when you use it correctly. Dr Zein Obagi created the Obagi Nu-Derm as a skin health restoration system, and the products are designed to be used together. Each of the products are good individually, but if you don’t use the full system, you will not see the amazing results that Obagi is famous for.
- Increase smoothness
– Reduce pore size
– Improve elasticity
– Normalize oil production
– Increase skins own ability to hold moisture
– Increase skin tolerance to all external factors
– Generate a balanced, even skin tone
– Reduce hyperpigmentation ( freckles, age spots, melasma, Post inflammatory hyperpigmentation )
I have worked professionally with the Obagi products for over 10 years, and have had “literally” thousands of clients on the Nu -Derm system. The results shown in the before and after photo’s are typical and common. If you use the Obagi system correctly you will experience skin transformation. Using a specific dose and frequency that’s recommended specifically by your skin care professional for your skin condition, the prescription-strength system exfoliates old skin leaving healthy, new skin that looks and acts younger and healthier. The products in the Nu-Derm System are clinically proven, prescription-strength, ingredients that work to improve your skin cell function, compared to retail products that contain more cosmetic-based ingredients.
Obagi System: Steps 1-6
All of the products are labeled AM, PM or both AM/PM and numbered 1-6 in the order you would use them. The lines between the letters in the word OBAGI are designed as a tool to measure product. For example from the O-A = 1/2 gram ( thick like toothpaste).
Step #1 Cleanser AM/PM
Foaming Gel – For Normal/Oily Skin or Gentle Cleanser – For Normal/Dry Skin
Proper cleansing is necessary
Step #2 Toner AM/PM
Adjusts the pH of the skin for increased penetration of the system ingredients.
Exfoderm® Forte – For Normal/Oily Skin
An alpha hydroxy acid (6% glycolic acid, 4% lactic acid) that removes old skin cells while promoting new skin cells for a lighter, brighter, firmer complexion for skin that needs deeper exfoliation.
Step #5 Bleander & Tretinoin PM (mixed as prescribed)
This step restores damage to the deeper layers of the skin. It restores skin elasticity by enhancing the production of collagen and elastin.
A topical prescription treatment that contains 4% hydroquinone to target hyperpigmented (discolored) areas of the skin and increase the penetration of the active ingredients of the system.
Tretinoin Cream 0.025%, .05% , or.1% (as prescribed)
A topical prescription, use as directed. *Do not wax skin that is treated with tretinoin.
Step #6 Healthy Skin Protection SPF 35 AM
A sunscreen with 9% micronized zinc oxide and 7.5% octinoxate that helps to protect newly transformed, younger looking skin and prevents further sun damage. This is a physical/chemical sunscreen with UVA/UVB protection.
If you just want to FEEL good you should get a spa treatment. If you want to LOOK good, then follow the recommended Obagi Nu Derm protocol. Generally, with a more aggressive protocol you will have more reaction, however you will also have more stimulation, see correction faster and build up tolerance more quickly. That doesn’t mean everyone should start out aggressively, individual system protocol is determined by skin type.
Reaction Phase: Out with the Old
Inital correction and stimulation phase
This is the time in which the damaged top layer of skin is replaced by a new layer of healthier cells. It takes about six weeks for ” newborn” cell to reach the surface of the skin and exfoliate.
You WILL experience one or more of the following symptoms:
– Dryness – Itching
– Burning – Redness
– Sensitive skin
– Exfoliation ( flaking and peeling)
These reactions are a sign the skin restoration is in process. The Nu- Derm system is accelerating the skin cell turnover to alter the rough top layer of the skin.
Tolerance Phase: In with the New
Correction and stimulation continues
Your skin has built tolerance , skin improvement is viable. The skin increases the production of collagen and elastin, to diminish wrinkles and reduce pore size.
Correction Phase: Healthy Glow
Finally, your skin enters the last stage and you are ready for a maintenance protocol. Skin tolerance is now complete.
“Begin with the end in mind.” – The 7 Habits of Highly Effective People
Peeling is more severe in the center of the face and around mucus membranes (eyes, nose and mouth). You can try focusing product use on the forehead and cheeks and blending them in toward the center of the face. Most people notice that the peeling reaction peeks late afternoon-early evening. It is okay to cleanse your face later in the day ( at least 4 or 5 hours later) and reapply sunscreen and makeup. Cleansing the skin can help slough off some of the loose peeling skin. If you have an social event and need to stop reactions, discontinue step 5, four days before event. Obagi Action and Tolereen are “control” products that can be used as needed to relieve surface tightness, itching and dryness. Control products should only be used temporarily, as they slow the skin restoration process. Be sure to discuss options for controlling your reactions with your skin care professional.
Obagi Nu-Derm Action
A moisturizing cream to be used as needed to soothe areas of dry, flaky skin.
Obagi Nu-Derm Tolereen
Contains 0.5% hydrocortisone for the temporary relief of itching and burning associated with minor skin irritations.
Find Obagi neer you. www.obagi.com
Do go to an experienced skin professional with a successful reputation.
Be sure that the Aesthetician or Physician is experienced with the type of peel you are having, and with your specific skin type.
Don’t attempt to do a chemical peel yourself.
If done incorrectly Chemical Peels can cause hyperpigmentation, hypopigmentation and scars. You can find just about anything on the internet these days, however just because you can do something, doesn’t mean you should. I can go to Home Depot and buy a bag of cement, that doesn’t make me qualified to pave your driveway.
Do precondition your skin.
If you are having a deeper peel, such as an Obagi Blue Peel or Zo controlled depth peel, you will likely be instructed to precondition in advance. Preconditioning often involves using Tretinoin (Retin-A) and hydroquinone along with a comprehensive skin care regimen, to restore skin health, enhance the results of the peel and reduce risk of complications. You may also be instructed to start antiviral medications a few days before deeper peels, skin trauma can cause herpe blisters (cold sores) on face and lips.
Don’t have a chemical peel if..
Don’t have a chemical peel if you are pregnant or on Accutane. Avoid deeper peels if you have active acne, superficial peels are generally recommended when treating skin with acne.
Don’t have exfoliating treatments or use exfoliating products until the recommended time, based on the depth of your peel. With deeper peels you may be instructed to wait up to 6 weeks before exfoliating.
Do follow post treatment instructions.
Use a gentle facial cleanser, and a mild moisturizer. A hydrocortisone cream and antiseptic compresses may also be recommended. An occlusive ointment, such as Aquaphor may be used around areas such as the mouth, to prevent cracking from deeper peels. With deeper peels a 4% hydroquinone may be recommended, after peeling has been completed to reduce the chance of post inflammatory hyper pigmentation. You may also be instructed to use tretinoin (Retin-A). Post treatment care varies depending on level of peel, skin condition and skin type. Always discuss appropriate post treatment care with your provider.
Don’t assist peeling.
Don’t pick, pull or prematurely remove peeling skin. Removing skin prematurely can cause complications including hyper and hypo pigmentation. Removing skin prematurely will also put you at increased risk for infection.
Do wait for skin to peel off on it’s own.
Treat the skin almost as if you are trying to keep the peeling skin on.
Don’t hesitate to call if you have questions or concerns.
If you are unclear about your post treatment instructions, or are concerned about your reactions contact your Aesthetician, Physician or skin care provider.
Do avoid cracking and trauma.
Minimize making facial expressions, sleep on your back and avoid letting the shower hit you in the face.
Don’t expose your skin to heat or UV rays.
Avoid sun exposure and heat, your skin will be photosensitive post peel and heat will increase skin inflammation and increase the risk of post inflammatory hyper pigmentation.
Do use a pure mineral SPF and a pure mineral powder with SPF.
It is generally recommended to avoid chemical sunscreens immediately post peel, as the can be irritating. A pure Physical (mineral sunscreen) will have Titanium Dioxide and Zinc Oxide as the only active ingredients. Epionce Daily Shield Lotion Tinted SPF 50 is a great option.
Most cosmetics are contraindicated to cosmetic procedures, however a pure mineral makeup can be used immediately after most cosmetic procedure. Mineral makeup such Jane Iredale or Color Science have an SPF protection and are not irritating. They also do not contain talc, that can increase skin dryness while peeling. Cosmetic marketing and labeling can be misleading, be careful that you do not use a mineral based make-up, it needs to be a pure mineral.
Avoid strenuous exercise until peeling is complete.
The old skin that is preparing to peel off acts kind of like an occlusive barrier, trapping sweat underneath. The sweat can bead up underneath and may even look similar to a blister, this can cause the dead skin to separate prematurely and may lead to complications.
Do make sure you understand what to expect
Some peels are very superficial with little to no peeling, while others may have more significant peeling and down time. The terms used to describe the depth of chemical peels are not generally agreed upon, which can cause some confusion, in terms of a peel being considered light, medium depth or deep. It helps if your provider can give you an idea how much peeling can be expected and for how many days. They may be able to tell you, which layer of the skin the peel generally reaches and what is achieved by a peel at that level. Deeper peels offer more correction, but also inherently come with more risk.
Don’t forget to follow up with skin care professional
Your Aesthetician or skin care provider can recommend products and follow up treatments to help enhance and maintain results. If you suspect any complications, contact your aesthetician or skin care provider immediately.
Do have realistic expectations.
If you are having a superficial peel, you would not expect the same results as you would with a deep peel. Even a deep peel can not replace a surgical procedure, botox or fillers. All aesthetic treatments have their place and limitations, a comprehensive approach will always provide the best results. It is the patients responsibility to follow post treatment instructions, non compliant patients can expect complications. Unless you are having a very light peel, you should obviously expect to peel.
My teenage son actually asked me to buy him Proactive to treat his breakouts. I almost, fell over. I reminded him of my profession and pointed out that I have access to the best skin care products available. Why did he want Proactive? Marketing: with endorsements like P-Diddy and Jessica Simpson, it’s no surprise that people would be influenced to try it. So, I asked him if he would rather use a medical product that was dispensed by a physician or something sold in a vending machine in the mall. For a teenager that is better reasoning than any scientific explanation.
Obagi Clenziderm M.D. is a 3- step physician dispensed acne treatment. Step #1 is a Foaming cleanser with 2% salicylic acid, to remove excess sebum and cleans skin. Step #2 is Pore Therapy with 2% salicylic acid to help unclog pores, and menthol to remove surface bacteria. Step #3 Serum gel is a 5% solubilized benzoyl peroxide to reduce P. acne bacteria.
Obagi Clenziderm M.D. is unique because it is the only prescription strength acne treatment that contains a patented solubilized form of 5% benzoyl peroxide BPO, to penetrate deep into follicle and treat acne deep where it start. The BPO in the Clenziderm M.D. system is in a liquid form with macro-sized BPO crystals size that is one tenth the size of other BPO products. Average size of BPO crystals are larger than the size of the skin follicle, so they sit on skins surface.
It is important to see a physician or medical esthetician to set up a treatment protocol. For some patients additional products and treatments may be recommended to enhance results. There are also skin care products,medications and treatments that can be contraindicated with this acne therapy. As with any skin treatment, compliance is key. You can schedule a free consultation at Paradise Valley Skin Klinic, Shapiro Plastic
Paradise Valley Skin Klinic offers a wide variety acne treatments and carries Obagi Products .
Call to schedule a treatment or consultation. 480 421-1701
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