Obagi Condition & Enhance Systems

The Everyday Procedure between

Every Procedure

Objectives

• Review the 4-Cornerstones• Benefits to incorporating the Obagi

Condition & Enhance Systems with your facial procedures

• Complementing Nonsurgical Procedures– Obagi Condition & Enhance Treatment Protocols

• Complementing Surgical Procedures– Obagi Condition & Enhance Treatment Protocols

Cornerstone #1 Complement Your Procedures

Surgical (Invasive Procedures)

Treat with Obagi Condition & Enhance (with tretinoin)

• Face Lifts – Brow lift, blepharoplasty, rhinoplasty, rhytidectomy

• Implants• Liposuction• Chemical Peels – Jessners, TCA,

Baker-Gordon, Phenol• Lasers – Co2, Yags, Ruby• Dermabrasion/dermasanding• Contour Thread Lift

Nonsurgical (Non-Invasive Procedures):

Treat with Obagi Condition & Enhance (with tretinoin)

• Botox• Fillers (Restylane, Hylaform,

collagen)• Microdermabrasion• Intense Photo Light Therapy (IPL)• Chemical Peels – AHAs, BHAs and

other superficial peels• Facial treatments• Fractional procedures• Thermage

Cornerstone #2 Patients with Premature Aging

Patients with Premature AgingTreat with Obagi Nu-Derm System (with tretinoin)

Transform at the cellular level:– Melasma– Hyperpigmentation and/or PIH– Skin laxity and fragility– Sun damage– Fine lines and wrinkles

Cornerstone #3 Patients with Acne

Treat with Obagi CLENZIderm M.D. – Normal to Dry– Normal to Oily

The 3-steps in each of the Systems are specially formulated to provide optimal results– Better pore penetration– Rapid P. acnes bacteria reduction– Fast and visible acne reduction in as

early as 2 weeks

Cornerstone #4 Patients with minimal fine lines, uneven skin tone, mild

hyperpigmentation

Treat with Obagi-C RxThe early intervention system

• Corrects hyperpigmentation• Accelerates skin cell turnover• Minimizes future skin cell damage by neutralizing

free radicals and protecting skin from UVA & UVB rays

Establish Office Protocols/Packages

Bundle Obagi Systems and procedures together to build your

4-Cornerstones

Your Obagi Sales Representative can help you establish these

protocols/packages

Package Example

Acne Package

• CLENZIderm M.D. System – (Normal to Oily or Normal to Dry)

• Levulan Blu-U (3)• Glo Mineral Make-up• Vitalize Salicylic Acid Peel (Series of 5)Price at discount discretionary to each practice

Package Example

Skin Wrinkles/Laxity Package

• Obagi Condition & Enhance System (incl. Tretinoin and C-Serums)

• ELASTIderm Eye Cream or Gel• One Syringe of Restylane or Radiesse• 50 units Botox Cosmetic (Forehead, Frown Lines, Crow’s

Feet/Eye lift)

Price discretionary for each practice

Package Example

Photodamage Package(Brown Spots/Red Spots/Sun Damage)

• Obagi Condition & Enhance System – (incl. Tretinoin and Obagi Professional-C)

• IPL Photofacial (3) $500/treatment

• Jane Iredale Mineral Make-upPrice discretionary to each practice

The Benefits of Obagi®Condition & Enhance System

The Everyday Procedure Between Every Procedures

Obagi Condition & Enhance Systems The everyday procedure between your procedures

Your patients have high expectations to improve their appearance

Obagi Condition & Enhance is:The single skincare system that’s clinically proven to complement your procedure… to lighten, tighten, firm and turn your skin cells over on a daily basis, making your overall aesthetic appearance even better

Obagi® Condition & Enhance System

Correct hyperpigmentation, skin tone, fine lines and wrinkles

Enhance procedure results and help to prevent future skin damage

Transform the quality of the skin by lightening, tightening, firming and turning skin cells over on a daily basis

Clinically Proven To:

:

Pre-Treatment prepares skin for procedural penetration by promoting faster exfoliation of dead skin cells and cellular turnover of healthy skin cells

Prescription-strength ingredients

Formulated system utilizes patented Penetrating Therapeutics™ to provide enhanced penetration of active ingredients and promote skin cell transformation

Why it Works

Obagi® Condition & Enhance System

The Condition & Enhance Systems Your Patients

Patient Goals:

• Promotes and maintains the overall health of their skin• Achieves greater overall improved facial appearance than

with procedure alone• Reinforces the importance of a comprehensive anti-aging

skincare regimen• Inhibits future skin damage for longer-lasting results• Clinically proven to achieve a higher level of patient

satisfaction *based on new IPL study

Obagi Condition & Enhance System and Your Practice

Practice Goals

• Promotes new treatment strategy to exceed your patients’ expectations*clinically proven in new IPL study

• Brings incremental value to your procedures

• Drives patient retention and referrals

• Creates a long-term practice relationship with your patients

The Benefits of Condition & Enhance Systems

Procedures (Nonsurgical/Surgical)

• Tend to treat specific areas or concerns of the face

• Do not address the patients’ total facial appearance

• Condition & Enhance provides total facial skin transformation by addressing:– Hyperpigmentation– Fine lines and wrinkles– Tactile skin roughness– Laxity– Sallowness

Ablative Procedures• Generally remove the epidermis

and a portion of the dermis, increasing the opportunity for post-procedural complications

• Condition & Enhance Systems helps to:– Normal cellular turnover of

healthy skin cells– Promote faster exfoliation of

dead skin cells– Reduce the likelihood of post-

inflammatory hyperpigmentation

– Stimulate collagen production

Nonsurgical (Minimally Invasive)

Procedures

Nonsurgical Procedures

• IPL (Intense Pulse Light)• Hair• Vascular• Pigment

• Fractional procedures• Non-invasive peels

• Obagi Blue Peel– Epidermis

• TCA (30% or less)

• Jessner’s• Alpha Hydroxy Acid• Beta Hydroxy Acid

• Dermaplaning• Microdermabrasion• Botox• Fillers• RF/Infra-red Tightening

Procedures:

Determining the Right Protocol

What should you consider when setting protocols for conditioning and/or enhancing:

Procedure• Non-ablative, semi-ablative

Device• Always check with vendor for their recommended protocol

Patient Skin Type (condition & concern)

Patient Compliance (commitment)

Procedures:Botox, fillers, dermaplaning, AHA/BHA peels, micro-dermabrasionLength of time for conditioning will depend on procedure and patientConditioning will vary:Conditioning is not required for Botox and/or fillersSystem can begin day of procedure or shortly thereafter

Products: Obagi Condition & Enhance Nonsurgical System, .05% or .1% tretinoin creamStop “active” products 2 to 3 days prior to the procedurePatient should continue to cleanse/tone and protect with HSP up to day of procedure

Conditioning and Enhancing the skin for nonsurgical procedures:

Enhancing after Peel:Immediately following procedure:

Home care should be based on recommendations from vendor of device/agent used during recoveryAction and Tolereen may be used

Return to Obagi Condition & Enhance or NuDerm:After skin has re-epithelialized (minimal downtime)Begin cleansing/toning and using the sunscreens as soon as skin permitsSlowly re-introducing actives – Blender/Tretinoin, Clear, Exfoderm/Exfoderm ForteSkin Types IV, V, VI, = More prone to PIH; HQ’s back into protocol as soon as skin permits

Procedures:IPLs, Photodynamic Therapy, Thermage, Fractional procedures, Obagi Blue Peel (epidermal)Controlled injury in dermis/deeper – epidermis remains intactConditioning for treatment:Onset of home care program will depend on procedure6 weeks of conditioning for Blue Peel6 weeks of conditioning for moderately and + photodamaged skin for photodynamic therapy6 weeks conditioning for is ideal for fractional and RF therapies on Fitzpatrick Skin Types III+Products: Obagi Condition & Enhance Nonsurgical SystemStop “active” products 3 to 4 days prior to the procedure for fractional and RF proceduresPatient should continue to cleanse/tone and protect with HSP up to day of procedureEnhancing:Home care should be based on recommendations from vendor of device/agent usedAction and Tolereen may be usedReturn to Obagi Condition & Enhance or NuDerm:

After skin sensitivity to injury has resolved, products may be introducedUsually two or three days after procedureBegin cleansing/toning and using appropriate sunscreen as soon as skin permitsReintroduce Blender/Tretinoin, then Clear, then Exfoderm at 3 day intervalsSkin Types IV, V, VI, introduce HQ’s into protocol as soon as skin permits

Conditioning and Enhancing for nonsurgical procedures:

Without Condition & Enhance System IPL only

Suggested Protocol for Total Skin Transformation

Conditioning• Condition & Enhance Nonsurgical System

– Condition for 2 weeks with entire System

– Tretinoin at 0.05%– Monitor patient in first two weeks and

adjust protocol if patient is experiencing too much irritation

– Stop products 3, 4, 5 and tretinoin 3 days prior to procedure

– Continuing using products 1, 2 and HSP up to day of procedure

– NOTE: Choice of what size System (full or introductory) should be based on package programs that the office offers to patients

Enhancing• Immediately following procedure follow homecare

instructions of IPL• Once skin has recovered from the procedure (two or

three days), patient continues with Condition & Enhance System

– Products 1, 2 and HSP– Slowly introducing back into the System

• First, Blender/tretinoin• Then Clear• Then Exfoderm

– Watch for any potential irritation when re- introducing System again

• Go slow• Add in ELASTIderm Cream or Gel once patient is

back on all products

• Repeat protocol throughout series of IPLs• After series of IPL’s are complete and patient uses all

the product in the Condition & Enhance System, patient is put on a Obagi Nu-Derm maintenance program

Without Condition & Enhance System Botox only

Suggested Protocols for Total Skin Transformation

Condition & Enhance Nonsurgical System– Standard Protocol (using all products as directed everyday)– Patient uses product 1 and 2 on evening of injection– Patient uses entire System starting on day two– ELASTIderm Cream or Gel added morning and evening on day two

*Monitor patient in first two weeks and adjust protocol if patient is experiencing too much irritation

Botox with Obagi Condition & Enhance System Total Skin Transformation

Total Skin Transformation

Protocol:Condition & Enhance Nonsurgical System(she received a 15% discount on her next Botox treatment)

– Standard Protocol (using all products as directed everyday)– Patient used product 1 and 2 on evening of injection– Patient used entire System starting on day two– ELASTIderm Gel added to System morning and evening, day two

Patient was monitored in first two weeks for any irritation– Minor adjust was made to protocol at day 7

• Reduced Blender/tretinoin down to ¼ gram each for two weeks to give skin time to acclimate to System

• Added in Action for excessively dry areas• Week 3 patient increased Blender/tretinoin back to ½ gram each

Surgical(Ablative)

Procedures

Surgical Procedures

Procedures:Dermabrasion

• DermasandingResurfacing Lasers

• CO2• Erbium Yag, Nd: Yag

Invasive Chemical Peels• Phenol• Baker-Gordon• TCA 35% or higher• Combinations

Facial Surgeries

Determining the Right Protocol

Surgical procedureDevice

• Always check with vendor for their recommended protocol

Patient Skin Type (condition & concern)

Patient Compliance (commitment)

Conditioning the skin for surgical procedures:

Procedures:Resurfacing Lasers, Fractional Lasers, TCA 35%, Dermabrasion, Surgeries, Obagi Blue Peel

(standard and designed) Controlled injury in the epidermis and dermisConditioning will depend on procedure:At least 4 to 6 weeks conditioning is recommendedProducts: Obagi Condition & Enhance Surgical System, .05% or .1% tretinoin creamStop “active” products 3 to 4 days prior to the procedurePatient should continue to cleanse/tone and protect with Healthy Skin Protection SPF 35 up to

day of procedure

Immediately following procedure:Home care should be based on recommendations from vendor of device/agent usedAction and Tolereen may be used

Enhancing: Obagi Condition and Enhance or NuDermAfter skin has re-epithelializedBegin cleansing/toning and using appropriate sunscreen as soon as skin permits (Physical UV Sunblock, SPF 32)Slowly re-introducing actives – one by one, Blender/Tretinoin, Clear, Exfoderm

Skin Types IV, V, VI, = HQ’s back into protocol as soon as skin permits

Procedure: Dermabrasion only

Reference: Facial Skin Resurfacing, Thomas J. Baker, et al.

Suggested Protocol for Total Skin Transformation

Conditioning• Condition & Enhance Surgical

(Introductory/Travel) System– Condition for 6 weeks with entire

System– Tretinoin at 0.05%– Monitor patient in first two weeks

for excessive irritation• Adjust protocol if necessary

– Stop products 3, 4, 5 and tretinoin 3 days prior to procedure

– Continuing using products 1, 2 and HSP up to day of procedure

Enhancing• Immediately following procedure follow

homecare instructions of procedure• Once skin has recovered from the

procedure, patient begins Condition & Enhance (full size) Surgical System

– Products 1, 2 and Physical UV Block– Slowly introducing back into the

System• First, products 5 and tretinoin• Then Clear• Then Exfoderm • Eventually back on HSP, SPF 35

– Watch for any potential irritation when re-introducing System again

• Go slow• After patient uses all the product

in the full size Condition & Enhance System, patient is put on a Obagi Nu-Derm maintenance program

Obagi Blue Peel with Condition & Enhance System Total Skin Transformation

Protocol for Total Skin Transformation

Conditioning• Condition & Enhance Surgical

(Introductory/Travel) System– Conditioning for 6 weeks with entire

System– Tretinoin at 0.05%– Patient was monitored in first two

weeks for excessive irritation• No adjust to protocol was

necessary– Stopped products 3, 4, 5 and

tretinoin 3 days prior to procedure– Continued using products 1, 2 and

HSP, SPF 35 up to day of procedure

Enhancing• Immediately following procedure

patient followed homecare instructions of TCA peel

• Once skin had recovered from the procedure (day 16), patient began using Condition & Enhance System

– Products 1, 2 and Physical UV Block– Slowly add back into the System

• First, Blender/tretinoin• Then Clear• Then Exfoderm • Eventually HSP, SPF 35Watch for any potential irritation while re-

introducing the System • There was no irritation• After all products were back on

the skin ELASTIderm Cream was added into her homecare protocol

• Patient finishes System and goes on a Obagi Nu-Derm maintenance program