hello doc! i was on obagi for 3 weeks n took a gap for 2 weeks and now back, wondering if it works well for indians? i am on the 4th day now.. not bad peeling but there is some kind of peeling. my skin is sensitive n i am using tretin 0.05, should i start from 0.025? i am worried as the last time i used i had white spot which appeared in my 1st week, n my derm said it will become alright. and my skin would become that fair. i am reasonably fair. i am confused doc, wondering if i should continue
January 15, 2013
Answer: Modify Obagi Nuderm System in Indian Skin!
Hello Artiani,
Indian skin does not tolerate Retin A 0.05% well. The white spot that you developed may have been post inflammatory hypo pigmentation seen mostly in fair skinned north Indians. It is difficult to ascertain without an examination though.
The Obagi Nuderm System needs some modifications when used in Indians and other coloured skin individuals. A Tretinoin microsphere gel in 0.025% may be used. Sometimes Adapalene may be required instead of Tretinoin in individuals with sensitive skin. Also to keep the inflammation down, mild steroid cream may be suggested. This helps in preventing the post inflammatory dyspigmentation.
The 'V' shaped pigmentation that you have is an anatomical 'Pigmentary Demarcation Line'. These are known to be fairly resistant to treatment.
Keep looking Beautiful,
Dr Niketa Sonavane.
Helpful
January 15, 2013
Answer: Modify Obagi Nuderm System in Indian Skin!
Hello Artiani,
Indian skin does not tolerate Retin A 0.05% well. The white spot that you developed may have been post inflammatory hypo pigmentation seen mostly in fair skinned north Indians. It is difficult to ascertain without an examination though.
The Obagi Nuderm System needs some modifications when used in Indians and other coloured skin individuals. A Tretinoin microsphere gel in 0.025% may be used. Sometimes Adapalene may be required instead of Tretinoin in individuals with sensitive skin. Also to keep the inflammation down, mild steroid cream may be suggested. This helps in preventing the post inflammatory dyspigmentation.
The 'V' shaped pigmentation that you have is an anatomical 'Pigmentary Demarcation Line'. These are known to be fairly resistant to treatment.
Keep looking Beautiful,
Dr Niketa Sonavane.
Helpful
October 3, 2012
Answer: Obagi for Indian skin
Be careful with Obagi Nu Derm on your skin. Indian and middle eastern skin tones can develop a paradoxical darkening, particularly when you develope a lot of peeling and redness with Obagi. In your first picture you appear to be a little atopic as is evident around the eyes. This will make you very susceptible to getting a more aggressive reaction. Take it slow and easy. Also consider switching to the Obagi CRx System as this is a gentler system to lighten skin tones and even has products for those with dry skin.
Helpful
October 3, 2012
Answer: Obagi for Indian skin
Be careful with Obagi Nu Derm on your skin. Indian and middle eastern skin tones can develop a paradoxical darkening, particularly when you develope a lot of peeling and redness with Obagi. In your first picture you appear to be a little atopic as is evident around the eyes. This will make you very susceptible to getting a more aggressive reaction. Take it slow and easy. Also consider switching to the Obagi CRx System as this is a gentler system to lighten skin tones and even has products for those with dry skin.
Helpful