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POSTED UNDER Obagi Nu-Derm REVIEWS

Obagi Nu Derm and Vi Peel - Seattle, WA

ORIGINAL POST

Approximately 4 months ago I had a Vi Peel. It was...

Michelez
WORTH IT$460

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."

Michelez's provider

Rena S. Wong, MD (retired)

Rena S. Wong, MD (retired)

Board Certified Plastic Surgeon

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Replies (38)

March 5, 2012

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.

March 8, 2012
Thanks for the lovely compliment - at 54 it's nice to hear such a kind comment. As I stated my husband's partner is a wonderful plastic surgeon, but I want to age "gracefully," and thus far have not felt that I needed plastic surgery. I want to look like "me," but a better me without having the plastic surgery "look." That said, for some plastic surgery is the answer, and what ever works to make someone feel good is what it's all about. For me injectables, good skin care products, and peels have worked wonders. As I stated below I look younger, today, then I did 10 years ago. The best advice is take care of your skin, go to a reputable physician (not a spa), and do your research so that you are familiar with all the products that are available. Follow your heart, and mind, to be the most beautiful you you can be.
June 20, 2012
You. look. AMAZING! Cheers to women who defy age!
March 7, 2012
Hi, you really look amazing! I have many spots due to sun (I'm 42 and live in Italy) and before starting any chemical peeling I was wondering to try the obagi treatment. I really would like to see you progress, but I wonder if I can buy this treatment myself or it should prescribe by a dermatologist. I saw that it is not possible to buy this product in Italy. Do you have any suggestions. Thanks, My best wishes.
Gio
March 8, 2012
Given that I'm married to a doctor, and the physician that does my injectables, and sold me Obagi specifically warned me NOT to buy the Obagi line over the internet as there are many fake products being sold. So, to answer your question please buy it from a licensed physician. I will not allow anyone, but a physician to inject my face - no estheticians (although I'm sure some are very good). This is my face, and one mistake could affect me for the rest of my life. I think, in the case of cosmetic "procedures" of any kind you truly get what you pay for.

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.
March 8, 2012
Gio,
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...
March 9, 2012
Hi Michele

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?
March 10, 2012
I think you have the right idea by going to a doctor, but I don't think you've found the "right" doctor for you. I would definitely not go to a spa as I've seen too many women with horrific outcomes from spas, unless the spa has a physician doing the procedures. Injecting anything into your face, using prescription strength creams, and other invasive procedures, such as a laser peel are all serious medical procedures. With any medical procedure there is no guarantee, but going to a doctor that is reliable will give you the best chance for a good outcome. I would suggest going to a plastic surgeon that specializes in facial issues. My doctor is a plastic surgeon, and does laser treatments, injectables, and surgeries. Oftentimes dermatologists are great, but are not as focused on the aesthetic issues as a plastic surgeon.

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.
March 10, 2012
Sophia,
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!!!
March 12, 2012

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.

March 12, 2012
I am scheduled for a salytic acid peel this sunday. I started avoiding direct expo to the sun last year and I am going strong. I am going to start with a mini peel and advance in winter. You are right I am not a very patient person when I didnt see results with the prescription Hydroquinone I just toasted into a drawer. I had a initial visit with the doctor this sunday (its a spa with physician and nurses) and I was given RetineA and Mybody skin line. I am told its an excellent line for my age and that it is organinc. The docotor also had obagi product and said if I was not satisfied with the product that I could return it in two weeks.So I am giving a go :)
Thank you so much for your answers they helped me a lot specially in asking the right questions when I got there.
March 12, 2012
I am scheduled for a salytic acid peel this sunday. I started avoiding direct expo to the sun last year and I am going strong. I am going to start with a mini peel and advance in winter. You are right I am not a very patient person when I didnt see results with the prescription Hydroquinone I just toasted into a drawer. I had a initial visit with the doctor this sunday (its a spa with physician and nurses) and I was given RetineA and Mybody skin line. I am told its an excellent line for my age and that it is organinc. The docotor also had obagi product and said if I was not satisfied with the product that I could return it in two weeks.So I am giving a go :)
Thank you so much for your answers they helped me a lot specially in asking the right questions when I got there.
March 12, 2012
Michelez

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
March 16, 2012
Sophia,
Good luck, and thanks so much for your sweet comments.
May 2, 2012

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.

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March 12, 2012
Hi... thank you so much for your post! My situation is this...I'm 46 yo and have been a sun worshipper for much of my life. I'm very active out doors... live coastal and love the beach. I run outdoors, road bike and mountain bike, rollerblade along the beach, hike, paddle board, kayak and on and on. I go to Maui once a year and love the feeling of a tan... as I've grown older, I still enjoy the sun but, decided to start wearing some sunblock and to start taking care of my skin. I never planned to completely stay out of the sun but, just to keep it at a minimum. My skin wasn't horrible in anyway... I just started noticing some fine lines and I had one little dark brown spot near my nose about the size of the tip of a Q-tip. My sister ran across a groupon for a laser clinic in Irvine, Ca. They were running a special on IPLs. I thought, why not... it will smoothen out my skin and reduce the fine lines. What a huge mistake I made!!! I had 2 IPLs and started noticing some hyper pigmentation. I didn't realize that it was hyper pigmentation at the time... I just called them brown spots. My doctor explained to me that the spots were as a result of the sun damage coming to the surface and that I needed to have a laser peel. I forked out the money for the laser peel thinking that it would solve my problem. Wrong, wrong, wrong!!! The brown spots (I now know that it's hyper pigmentation), only got worse. He suggested a light touch up IPL explaining that that would take care of it... it didn't. My touch up IPL was about 7 weeks ago. My skin is horribly ruddy looking and completely blotchy. Now my doctor says that I need a pro fraction in conjunction with another IPL to get rid of the hyper pigmentation... he's now saying that I may even have melasma and that an imbalance of my hormones is what is causing it... I just love how his stories keep changing! He's offered to do this 1,500 treatment for free... I'm thinking... NO THANK YOU!!! By the way, I'm of central european decent... my skin tone is fair with slight olive undertones. He keeps saying that he has no idea why this has happened to me... I have the perfect skin tone for these types of treatments. I now have no idea what to do!!! I wear a gob of make-up everyday to hide the discoloration (you can still see it though through my make-up), and am terrified when the sun hits my face... knowing now that the sun will only darken my spots. I have an appointment with another dermatologist this week and am praying that she has some conservative answers for me. I've read another person mention that the Obagi Nu Derm worked for them as well. Can you please tell me what treatment you used? Thank you so much for your help!!! Peace & light
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March 12, 2012
By the way... you are absolutely beautiful!!!
March 16, 2012
Hi IPL - first off just breathe. The laser has caused your skin to lighten where there was no sun damage; thereby, making the areas with hyper-pigmentation even more pronounced. I've never used lasers on my face for this exact reason as I am of Italian descent, and my skin would do the same thing. I have a very fair skinned friend that had a deep laser peel, and her face has permanent "white areas" even though she has very fair skin. The laser peel that she had done did get rid of her wrinkles, etc., but left her with permanent white spots requiring make-up at all times.

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...
March 16, 2012
Hey IPL -
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.
UPDATED FROM Michelez

Quick update on Obagi, brown spots, skin texture...

Michelez
Quick update on Obagi, brown spots, skin texture and fine wrinkles. So, I started Obagi at the beginning of March and it's now the end of April. Initially I didn't think that my skin would peel that much, but it flaked and peeled a lot around my chin for quite some time. I've not had any serious peeling on my cheeks, or forehead, although brown spots have literally come off. I've now been on Obagi for about a month and 3 weeks. My brown spots are definitely fading, and the initial extreme dryness of my skin (from the Obagi creams) is getting better. On Real Self I read about many women that developed sores, cracks, etc., from Obagi - that would have been caused from the Tretinoin. When my skin got too sensitive/sore I backed off the Tretinoin for a day, or two, and then resumed using it. I found this common sense approach worked great and I never really had any raw areas of skin. My skin is still dryer than usual, but I do tend to have very dry post menopausal skin. The dry skin is a side-effect of using Retin A's, Tretinoin, etc., and will improve, and actually get much better when you complete the regime. So...here's my half way update to completion. Thus far, my skin despite the dryness looks much better - brown spots are fading, texture is improving and fine wrinkles are disappearing. I'll let you know when I complete the 12-18 weeks that it takes to finish this regime. Just remember beauty is from within...

Replies (21)

April 19, 2012
Leeloo3 -
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.
April 19, 2012
OMY GODDESSS HAWAII!I MY DREAM RETIREMENT AND OMY GODDESS MICHELE SEI PROPRIO SIMPATICA! thank you thank you thank you ...will wait till after summer to anything...and by then i will have saved enuf to see a doc about the v-peel...also what do you recommend while its peeling= creams? and a soft buff pad?
grazie mille,
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April 19, 2012
Hi Michele!!! I think that my face is getting better... I don't look at it too closely anymore. : ) I love Maui!!!... I go every year in Oct/Nov for a few weeks. This year will be the first year that I go and I'm not able to worship the sun... what am I gonna do???!!! I hope that you have a great time!!!... enjoy the warmth of that beautiful sun... bad girl! : ) I'm jealous!!! Peace light & love.
April 19, 2012

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!!

April 20, 2012
Do not use anything other than the items that come with the Vi Peel. The chemicals in the peel will do all the work for you. In fact, if you used a buff pad it might cause too much peeling, and potential problems. The one thing that I LOVE is the Clarisonic facial brush - it's super gentle, you don't apply any pressure it does all the work. I've been using it while on Obagi, and it gets rids of all the flaky skin so I can go out without looking like I have dandruff of the face - lol. The Vi Peel comes with all the moisturizers, etc., that you need for the peel so you don't need anything else. Hope that info helps...
April 20, 2012
thank youuuuuuuuuuuu Michelez...im definitely goint to take all your info and use it ...you are a light! have fun in Maui!
April 19, 2012
MICHELE LOOKS 35!
April 20, 2012
Love you!!!
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April 20, 2012
Leeloo3... she certainly does look 35... it's absolutely amazing! She's beautiful on the inside and on the out! I agree, she is a light... a light that has guided me through a difficult time... a true caring soul. Btw... I have a version of the Clarisonic facial brush and I LOVE it as well! It leaves your skin feeling incredibly smooth! When and if you do the Vi peel, please keep us posted... I'd love to know how it works for you. I would like to try the Vi peel on my chest and either the Obagi or Vi peel on my face. Unfortunately I need to wait a few more months before I can do anything... my face needs to heal from the damage that was caused by the lasers. Take care!!! Peace light & love
April 20, 2012
Megan I'm seeing Dr. Wong tomorrow so I will ask her. Unfortunately I'm sure of the price, but I will find out tomorrow and post before I go on my trip. I know this it's not cheap. It includes the following:
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.
April 20, 2012
Oops one more typo and clarification. She, not he, is a great surgeon. Lastly, you use the Tretinoin and blender only once a day before bedtime. Sorry for all the typo's, etc., I'm tired
April 20, 2012
Oops type - I'm NOT sure of the price...
May 20, 2012
I have been reading your post about the obagi. I had considered using it. I did notice that it has hydroquinone in it. I have very sensitive skin that reacts badly to glycolic acid and hydroquinon so I do not think I will be able to use it. I am in my early 20's and have melasma, sun damage and hyperpigmentation from old acne scars. My skin is a hot mess. Do you have any other suggestion?

Thanks
May 20, 2012
Hydroquinone is the only cream that I know of that actually helps melasma. In fact, certain types of laser (see above posts from Rhea) have actually caused melasma to worsen so be very careful. I, also, have very sensitive skin read my posts about starting out with the creams very slowly - every other day, or even every 2-3 days. Over time my skin became acclimated to the hydroquinone and glycolic acids. Obagi has improved my skin immensely, but it will still not completely get rid of all brown spots. I was just in Hawaii, and noticed that some that had faded started to come back even through I was still on Obagi, and using a high SPF sun screen. In other words, there is no miracle cure, but you can definitely get marked improvement - just expect perfection (and who'd want to be perfect, anyway - lol). Hope this information helps feel free to ask me any other questions. Good luck...
May 20, 2012
Oops - don't expect perfection...sorry for the typo.
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May 20, 2012
Hi natorade... I read your post and just want to advise you to please be very careful with whatever treatment you choose to use on your face. Careful with the lasers!!!... they can make your melasma worse! Over the years, I've spent a lot of time in the sun but, didn't have any signs of melasma until I had a laser treatment. I now need to stay out of the sun completely and wear sunscreen everyday... I'm a very outdoorsy person and I live coastal so, it's been very trying on me. I've been using the hydroquinone for a couple of months now and I see a very slight improvement... I've been told that it can take a long time... up to a year or longer before you see an obvious difference but, you need to be patient. : ) I wish you the best! Peace & light. Btw... Michelez is a sweetheart and has great information... you came to the right person!
UPDATED FROM Michelez

Please see most recent post as I explain my...

Michelez
Please see most recent post as I explain my feelings about Obagi. I've since changed my mind and it has made my skin look beautiful. BTW - I wrote this long review to 3 different women that asked me various questions about peels, Obagi and maintenance. Forgive the grammatical errors as I'm extremely tired and didn't proof read - lol.

Michele

Replies (5)

July 26, 2012
I'm sorry I've taken so long to respond to Syl, Worried and now Velvetee. I will answer the questions in order. Syl, if you look back at my posts I wasn't sure that I was very impressed with the Obagi system, but shortly after making that posts things really changed. It took about 3 months (one cycle of Obagi), and all of a sudden my skin's clarity improved, wrinkles appeared smaller, skin was smooth and soft (not like this since I was 20), and all my brown spots from sun damage were completely gone. In researching Obagi doctor's found that the "system" worked better as it had all the creams that are necessary to improving aging skin and its associated problems. Additionally, it "worked better" because it had all the necessary medications in one system: therefore female patients were more compliant in their usage as they didn't have to figure out how to make all these creams work, and what order in which to apply them. In summation, I think you should spend the money for the Obagi, forget about getting independent prescriptions, and see what you think. I bought my second round of Obagi on Tuesday (btw I use Tretinoin .05%), and the full package costs around $460.00 in Seattle. Honestly my skin looks better than it has in years. Warning, when you first start this program the Tretinoin and the Exfoderm Forte ( 6% glycolic acid and 4% lactic acid) along with the Tretinoin can cause sores, peelings, and general "ugliness." Please, please use common sense and if you're skin is having a hard time with the creams stop the Tretinoin and Exfoderm Forte for a few days to allow your sking to heal, and then resume. I had to do this quite a few times until my skin became acclimated to the product. I'm very happy with the results and my skin looks better than it has in years. My plastic/reconstructive doc told me to do a second 3 month round and then on the Obagi maintenance program - so that's what I'm doing - good luck

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
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July 26, 2012
Hello my dear Michele and beautiful ladies... I just read your post... you are so right on!... when it comes to laser treatments or peels... ladies PLEASE BE CAREFUL!!! I now have white spots on both sides of my face and I have to live with this for the rest of my life... all the result of a laser resurfacing treatment. Something very important that Michele mentioned... do not go for the coupons/groupons!!!... she's very right... if the price is so low, that it seems too good to be true, than it is! I fell for a groupon and after all was said and the damage was done, the doctor... which I found out wasn't really a doctor but an assistant, was offering me another $1,500 laser treatment for FREE to try to rectify the spotting that the first laser treatment had caused. I DID NOT accept this free treatment... that's how terrified of lasers I am! I will never let anyone touch me with a laser again! I do realize that some people have good outcomes... otherwise, the treatments would not exist. Sadly enough though, you have no idea if you're going to be the one who ends up with a good result or not. You'll only find out once it's too late and the damage has already been done. Ladies... Michele has been a true blessing to me!... she has taught me so much about how important it is to do your research and the information that she's shared with me has been priceless! Anyone who runs across her posts should find themselves very fortunate... she's a walking encyclopedia of beauty knowledge! Good luck ladies!

Peace & light
Rhea
July 26, 2012
BTW Ladies - Sorry for all the grammar errors I was beyond tired when I wrote last nights post, but I felt bad for being so tardy in my response to everyone. So...forgive me...

Michele
August 11, 2012
Hello Michelez,

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
July 27, 2012
Hi Michele,

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.