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Yes, I agree with the information below. I would use the Obagi Nuderm in order starting with the face wash. After the last AM step (sunscreen) you can apply makeup or go about your day as usual but for full effectiveness of the system I would not wash your face again.
Typically I advise my patients to follow the steps in the morning indicated with the system (ie. washing your face and then applying the topical products). Once the application of products and sunscreen is complete, you can apply makeup if you wish and go about your day as usual. I typically won't have my patients wash their face again until the evening.
Hydroquinone is recommended to be used for max of 3 months continuously and then give a break of 3 months. Using it for too long can sometimes lead to exogenous ochronosis. During this time good skin care regimen including non hydroquinone products like Obagi Clear Fx or similar can be used...
If your acne is resistant to the Obagi Nuderm system you more than likely have a form of cystic acne which will require multimodal therapy. Seek the advice of a board certified dermatologist who has treated many acne patients. I hope this was helpful. Dr. B
This is difficult to answer without an in-person evaluation. I suggest seeing a cosmetic dermatologist to get you on a long term plan with microneedling/prp, Viva, Cosmelan, J Plasma, peels, sculptra,facials and skin care. Best, Dr. Emer.
Yes, this can be typical, but it's difficult to determine if this is the right skin care for your skin type. I suggest seeing a cosmetic dermatologist to get you on a long term plan with lasers, microneedling/prp, peels and skin care recommendations. Best, Dr. Emer.
Yes you can use another brand, but be sure to choose a medical grade sunscreen that provides full spectrum protection. Your skin will be especially sensitive when using Nu Derm so a high quality sunscreen is essential.
What strength tretinoin are you using and are you also using a moisturizer afterwards? Obagi makes one that comes in the normal/dry kits called Hydrate. You can use that over the tretinoin to combat the dry/irritated skin. However, it takes skin about 12-16 weeks to adjust fully to the Nu...
