Obagi Nu Derm and Vi Peel - Seattle, WA
Approximately 4 months ago I had a Vi Peel. It was...
Approximately 4 months ago I had a Vi Peel. It was not painful, my skin peeled off all over my face, but I didn't notice any really marked improvement.
My husband is a physician, and his partner is a plastic surgeon. One of the surgeons in our practice recommended Obagi Nu Derm.
I have had really good results, thus far. Given that I had a Vi Peel not that long ago my skin has not, yet, started peeling, and may not peel due to the other recent Vi Peel. I've used non-prescription strength Retin A's for years, and wondered if Obagi would even work for me.
This is now day four, and I have slight redness, and no peeling. I also had Xeomin, and have been very pleased with the results. I will say that the Obagi system has already begun to fade my brown spots, and my skin feels incredibly soft. Given the short time I've been on Obagi Nu Derm, (Treinoin .05%), it seems to be working quite well. The Plastic Surgeon that recommended Obagi had severe melasma, and it was completely resolved with the use of Obagi, and her skin looked fantastic.
Given that I could get any plastic surgery I wanted for free I've chosen to avoid surgery at all cost. I have chosen to maintain my face through the use of injectables, one Vi Peel and good products with proven records such as Obagi. Of note, the injectables that I have used such as Radiesse, Botox, Restalyne. etc. - have all proved to be wonderful, and have kept me young looking. The only problem I had was that my skin was looking dull,had minor small wrinkles, and had a few brown spots. I hope this information has helped some of you to see that plastic surgery is not always the answer. Additionally, aging skin I believe, can be managed with minimally invasive procedures. I try at all costs to avoid any type of procedure that could scar my skin as I'm of Italian descent, and might not have good results with some types of lasers.
I'll post a pre-peel/Obagi picture, and will add a post after a six-eight week course of Obagi - only time will tell if this will really work as well as many have claimed. FYI - I'm 54 years old, and have avoided all sun exposure for 23 years after "frying" myself in my teens, and early twenties, in the sun. Good luck to all in the search for the "fountain of youth." P.S. Yoga has also helped me keep my figure, and young "attitude."
Replies (38)
Gio
It's now been just a little over week since I started Obagi, and my skin is already looking better. I've had a little peeling on my chin so I backed off on the Retin A product for one day, and that redness resolved. The rest of my skin is looking better and better everyday. Next week I will finish out my "annual" rejuvenation, and get some fillers in my cheeks, etc., then I'm done for the year. I've kept my young looks by maintaining my skin, and face on an annual basis. After using injectable for at least 10 years they have helped to re-build my collagen and I actually look younger, today, then I did 10 years ago. Lastly, I STAY OUT OF THE SUN - period. I will allow my body to lie in the sun with a high spf occasionally, but I never expose my face to the sun. Hope this helps - I'll try and post a better facial picture in the future. I do love the Obagi, and I'm usually very skeptical about "miracle" creams.
One other comment prior to starting Obagi I had a Vi Peel. It was a much more intense peel, and peeled all the skin off my face. It is not considered a deep chemical peel, but a more superficial one. That said, I'm also Italian, and deep chemical peels have usually been contraindicated for women with darker skin. Vi Peel is one of the first peels that can be done on women with darker skin without leaving "white spots", or other types of discolorations. I suggest you do a Vi Peel (be prepared to peel for about a week). Then wait 3-4 months, and start Obagi. This regime has worked very well for me, and in between the Vi Peel I was using over the counter Retin A's (not as strong as prescription Retin A). I then started Obagi, and so far my skin looks better than it's looked in over 20 years. Good luck...
I loved your direct answers and explanation, I recently moved to charlotte NC from France I am 28 and I am considering a chemical peel to get rid of mild pigmentation and some really fine wrinkles around my mouth. I have been tanning a lot in the past 15 years and have some sun spots in my face nothing dramatic. The reason I am writing you is that I went to 3 dermatologists in charlotte and they all say well your skin looks fine and they prescribed Fanesia and hydroxitone and Ziara, none of them worked after a month of use my skin is becoming so oily. Am I going to the wrong place should I try a spa instead of dermatologists?
In France it is the dermatologists that gives you a whole skin care routine and tells you if you need a peel or not is it different in the USA?
Obagi, the product I'm using, includes prescription strength alpha hydroxy acid (which peels the outer layers of the skin), and hydroquinone (the only known product that will actually fade brown "sun spots"). The Obabgi product is not cheap, and the combination of products produce quite a change in your skin. The benefit of Obagi is that it's a "system" that has every product you need to improve your skin, and its imperfections. The initial period can be hard to get through as you peel, your skin gets very dry, and you can even have small "sores." In using any products like these some common sense should be used - when my face became sore, or one area got too raw, I backed off using the product in that area for a day, or two, until my skin was able to tolerate it again. On this site I read about women that were using Obagi, and having a really rough time, but none of them stopped using it for a day, or two, and just kept applying the creams over inflamed skin.
Ask your physician about a Vi Peel (it's not a "miracle cure," but will produce a good result), and then consider using a hydroquinone product to fade your brown spots, and an alpha hydroxy product to rejuvenate your skin. Lastly, please, please, please keep your face out of the sun. I grew up in Southern California, and I stopped going in the sun over 23 years ago. You should see the difference between my skin, and my friends due to the fact that they kept going in the sun - the difference is dramatic. Also, be patient fading brown spots takes some time, and know that if you go in the sun again, after you have had them removed, they will come back again. Having nice skin, and looking your best is a commitment, and takes time. I hope my answer, although long, will help you in your quest for the most beautiful you.
One last thing - I bought a Clarisonic facial, and body brush, and it is wonderful. I use it once a day, and it helps with the removal of the peeling skin caused from the prescription strength alpha hydroxy product in the Obagi system. If you get one don't press hard, the brush does all the work - be gentle with your skin. Consider buying one, and check out the Vi Peel and Obagi - good luck!!!
hello.
i live in charlotte and go to linda and candace at dr. grapers. you can do a google search. they are wonderful. i hope this helps you.
Thank you so much for your answers they helped me a lot specially in asking the right questions when I got there.
Thank you so much for your answers they helped me a lot specially in asking the right questions when I got there.
I have the clarisonic Mia2 and I love it :) the product might be expensive but I rather be proactive now and have great skin latter than wait and have more invasive later on. I think you are my new idol :)
Again thank you for your help you have been great
Au revoir
Sophia,
I live in Charlotte and have been a patient of Dr. Rostan's at Charlotte Skin and Laser for six years. She is the top dermatologist in the area, and ranks as one of the top in the country. The entire staff is wonderful and knowledgeable. I highly recommend that you visit her if you have not already.
First things first - find a new doctor asap. Go to a board certified plastic surgeon that specializes in facial issues. Stop going to a dermatologist. Do not have any more laser treatments - period. My husband is a doctor that studied at USC and UCI. His partner is a double boarded physician in plastic/reconstructive surgery, and micro-surgery. I'm beyond familiar with all of the available treatment options as we own the medical practice. Do some research on the internet, and you will find that the only way to get rid of "brown spots" is hydroquinone - period. BTW - it takes a while for them to fade, and they will return if you go in the sun ever again. In the past I tried lasers on my brown spots and like you they became worse. I had a great deal of sun damage, but after years of zero sun exposure, use of hydroquinone, and alpha hydroxy products my skin is much better. All of these creams are not miracles, but they will help with time. Time, and the lack of sun exposure, are the two things that will help. You can no longer get your face in the sun (sorry I love the sun, also). Obagi is a prescription strength system that combines multiple products to help your face peel at the cellular level (see my prior post). It is a commitment - it dries out your skin, causes it to peel and look more wrinkled, initially. In the end, your skin will look much better, but it takes time, and a little bit of "looking ugly."
Additionally, there is a newer peel out called Vi Peel - the only chemical peel that can be used on darker skin (most chemical peels, and laser peels cause discoloration - like you've had - on anyone with "darker" skin then very, very white). If I were you I would find a doctor and have him assess my skin to see it you're a candidate for a Vi Peel - you would need a series of them - the recommended series is one every 3-4 months. They have a peel with an added ingredient that is "deeper" than the Vi Peel alone. I've never had the deeper peel - I just had the regular Vi Peel. The Vi Peel is, again, not a miracle cure (there is no miracle out there), but it will give you good results without causing more damage, or discoloration. Given your problems with your current doctor, and the laser peels I would try the original Vi Peel, first, before trying the one that is deeper. I tend to be very conservative. BTW - the other thing that I've had a lot of success with is injectables - that said, given in very conservative amounts.
The biggest thing you can do is find a good doctor, that is conservative, first, then see what they recommend. Do not ever let some "tech" inject you, and get second, or third opinions before having any more laser, or chemical peels. I am not a doctor so I can only tell you about my experiences - all of which have been good. Please know that laser peels, and deeper chemical peels are very serious business. These deep peels can cause permanent damage in the wrong hands so just be careful, and conservative. Good luck - I know things will get better...
I just saw your other posts (?) - did you get "burned" by the lasers? If so, definitely do NOT use any other products until you are seen by a specialist in the treatment of burns. If you think that you have been burned a dermatologist would not be the doctor you would see - you'd need to see a specialist that treats burn injuries. I'm so very sorry if this is what happened to you - the doctor that "burned" you should be held accountable as that is a very unacceptable outcome. Stop using any products until you have a definitive diagnosis. If you are near a university hospital that is where I would go as "teaching" hospitals tend to treat difficult situations. I wish you a speedy recovery, and pray that all turns out well for you.
Quick update on Obagi, brown spots, skin texture...
Replies (21)
Hey it's Michele I've been off the internet, but just saw your post. First piece of advice - do not do any type of prescription peel at home. If you read my earlier posts I'm married to a physician, and have been warned (strongly) that there are many "fake" products sold over the internet. The gentlest peel on the market, and the only one that a darker skinned person, such as Italians (you and me) can use is the Vi Peel. I know that they do the Vi Peel on the chest. There are two types of Vi Peels - the original which is not as "deep," and a newer version that penetrates more. I would never use the deeper peel first - I would start with the first one. If you read my earlier posts I did the original Vi Peel on my face. The peel doesn't hurt, but your skin peels off in sheets and you look fairly ugly for about a week. Some women have had allergic reactions so it would be wise to do a test spot, first, to make sure you can tolerate the product. Vi Peel has a site and you can learn more about it there, and also find doctors in NYC that do the peel. To get rid of age spots on your chest Vi Peel recommends a series of 4 over a year - every 3 months. I did only one peel on my face, and my skin looked better, but it did not get rid of the brown spots - they faded a bit, but then I only had one peel.
I've now been using Obagi (they also have a site) - the complete "system." I've been on it since the beginning of March and it's quite a commitment, and expensive. The reason I decided to use Obagi is that a female plastic surgeon that I know had terrible melasma, and now her face looks great after using Obagi. You should, again, not buy this over the internet, but only from a doctor's office. The creams are prescription strength and include hydroquinone, Retin A and Tretinoin .05%. These creams will cause your brown spots to fade, clear up the texture of your skin and smooth fine lines and wrinkles. Some women have had great results, and other's not so much. I've seen a marked improvement in my brown spots and skin texture, but it's a battle as it's very drying, and you have constantly flaking skin for quite some time. The recommended course is 12 to 18 weeks. I'm leaving for Hawaii on Monday, and I'm going to have to be very careful with my face as Tretinoin makes you susceptible to additional sun damage. Just know that there is no perfect fix, and that all these products take time to work. You will see marked improvement, but never perfect 20 y/o skin again (and hell I'd never want to be 20 again, anyway - lol). Megan's suggestion for prescription strength Retin A is great as they have a 1% cream as the skin is much "thicker" on your chest versus your face. It's a great place to start as opposed to the financial commitment that you have to make with the Obagi system.
PS Rhea how's it going - is your face getting better - hang in there, girl, I'll write you when I get back from Maui. BTW - I'm going to be "bad" and at least get a little tan on the old body - just not the face.
grazie mille,
Thanks for posting your 1/2 way mark update for the Obagi system. Do you happen to know what the system retails for at the offices its sold in? I'm guessing there are a few variances on what products are available, but if you happen to know the price point for the basic stuff, face wash, moisturizer, sunscreen, etc. I'd love to hear.
Have a fantastic time in Maui!!! With the little teaser amounts of sun that we've been having hear in Seattle I bet you can't wait to get to some truly gorgeous weather!!
Cleanser, Toner to return PH of skin, Clear - hydroquinone (4%), Exoderm Forte (prescription strength Retin A - 6% glycolic acid and 4% lactic acid) - used in the morning only), sunscreen (used in the morning) and a "blender" which is 4% hydroquinone and lastly you mix the blender with Tretinoin (.05%). There's the whole regime. They do offer a stronger version of the Tretinoin at .01%, but that's pretty strong if you've never used it. I found the .05% strong enough. The Retin A's and especially the Tretinoin make your skin very susceptible to sunburn, and additional hyperpigmentation so I may stop using in Hawaii, or continue, wear a very strong sunscreen and hat. My skin looks so much better, and I'd hate to start this whole process all over again as my skins finally stopped peeling, and is looking much, much better. I let you know the price tomorrow. BTW - Rena is an amazing plastic surgeon, and good soul. She sells the obagi at her office, and does many other procedures. I've known her for years and I can highly recommend her for anyone in the Seattle area. No fancy office, just a great surgeon, with "good hands." In fact, my spouse says he's one of the most meticulous surgeons he's ever seen.
Thanks
Please see most recent post as I explain my...
Michele
Replies (5)
Worried - I've been working with plastic/reconstructive surgeons for over 25 years and I've never heard about the Melanage Peel. Here's what I know about peels unless you are very, very fair skinned you can have permanent discoloring from chemical peels, burns, scarring, and on and on. The only peel that I would put on my face is the Vi Peel (the now have a strong Vi Peel and I'm even reluctant to use that). Vi Peel is the only peel that can be used on women with all skin colors. I did a Vi Peel (one), and my skin looked good, but it wasn't a miracle. It did not get rid of my sun damaged brown spots, wrinkles, large pores, etc. - it did make my skin smoother, softer and clearer - not as rough. Vi Peel recommends using their peel every 3 months for a year. It's so easy you can actually do this at home following the directions carefully. You will look like hell for about 7-10 days with sheets of skin peeling off your face. I liked the Vi Peel, but I've had way better results with Obagi. Additionally, the down time of one week was really annoying - you look really bad after this peel. Try Obagi, first, then if your're still not satisfied tried a Vi Peel. Given I've never heard of the Melanage peel I can't offer an opinion, but do know that the majority of peels can have severe complications in the wrong hands. A chemical peel should NEVER be administered by anyone other than a physician - not an esthetician!!!!!!! I wish you look - if you must do a peel start with the Vi Peels.
Lastly Velvetee, as stated above I'm going on my second round of Obagi - which will be a total of 6 months then their maintenance regime. I've used fillers - none permanent (like lip augmentations, etc.). I love Radiesse as it lasts a really long time - you must make sure the right filler is used in the right area of the body. For example one filler that is great for creating volume in your cheek area causes lumps in your lips if used there. Do your due diligence, and read about all the fillers on the market. I don't love Botox as it doesn't last long, and the results are never exact. That said I get Botow about twice a years. Radiesse has been the filler that I'm happiest with as it actually rebuilds your own collagen and you need to use less filler over time. I now only go once a year for filler's, and make sure I go to a Board Certified Plastic/Reconstructive surgeon. Additionally, my doctor is very conservative as I want a very natural look - I want to look good, but don't want trout pout, triangle face (Madonna), or a myriad of other problems. The two things I'm very afraid of due to their complication rates are lasers and chemical peels. I've seen some horrible permanent scarring from both these procedures, and as you read above I've only had ONE VI PEEL, and I wasn't that impressed. For another perspective on complications from laser peels read Rhea's post. Just remember plastic surgery, peels and laser treatments are serious procedures that in some case can disfigure you for life, and in the case of surgery cost you your life.
Obviously I'm not opposed to using a little help, but I really know the doctor's doing the work on me, I never go to medi "spas," I research extensively the procedure I'm going to have done, and I ask my doctor a million questions. Remember this is your face once the damage is done you can never go back. So...go slow, do your research, and go to the best doctor possible. Last, but far from least, if the price is so low it seems good to be true than it probably is - don't fall for specials, coupons - nothing. A doctor that does these things is not the doctor you want to see.
I hope I've answered all your questions, and have helped to educate you in this area.
Best Wishes Ladies...
Michele
Peace & light
Rhea
Michele
You are so informative!!! I am glad I came across this thread. I had a series of mild chemical peels. It was a total of 6. My dermatologist uses the Image skincare line. I had mild flaking. I have also done botox 8 units each side around the eyes about 4 or 5 times now.
At first I noticed my skin looked great for a couple of weeks and then it seemed to go back to what it was before the peel. It was recommended that I do the series to really see an improvement. My evenness improved however, I seem to have more creping and lines near my eyes (under eye area extending down to my cheeks) now.
I'm not sure if this is due to the peels or botox. I read that you use a filler to plump up your cheeks. I was wondering what you use and will it help with the lines and creping? Any help you can give I would REALLY appreciate!
Thanks,
Peg
It's great you're giving Obagi Nu Derm another go. I'm not entirely clear about maintenance as the clinic I attend was a little vague, so next week when I have my Radiance Blue Peel I'll check, but at the moment I'm cleansing and toning in the morning followed by Obagi Professional C Serum and the Sunscreen SPF 50.
In the evening I'm still using Clear every night but only on stubborn areas which are the sides of my face and chin and every other night I use Exfoderm or Tretinoin, I only mix the blender and Tretinoin on the stubborn areas.
The only issue I'm still having is the sides of my face aren't blending with the rest of my tone but I've found that's improving since I started removing the cleanser with a wet, warm Muslin cloth, seems to slough off the dead skin cells which won't budge easily. Also I started getting much lighter skin tone at the side of my eyes and temples so I'm now careful to avoid using the Hydroquinone products in those areas.
I've found it's been a lot of trial and error with finding what works best for my particular skintone with the products even though the clinic have provided advice, guess everyone is different and each skin will behave differently with Nu Derm.
I'm just glad I found Obagi as not only is my skin quite clear and line free but there has also been a lift, my Nasolabial folds are much less visible. I still have a slight line on my forehead so may try Baby Botox and once I've lost weight will have some kind of Hyaluronic Acid filler, I've tried Juvederm a few years ago but it only lasted a week so had to have it redone, but I know there are different strengths of Juvederm Ultra to suit individual requirements.
Keep us updated with your Obagi progress please Michele. I love to hear success stories.
Wow, you look amazing, period - but for 54, wow! Well done!! I recently just started avoiding sun/tanning beds. Following the same path you have laid out, retinoids, botox, perhaps fillers in the future. Thanks so much for sharing what you have tried with us! It is really helpful to hear from those who have been there/done that.