training slides sept 2009 antiaging
TRANSCRIPT
CosMedical TechnologiesAnti-Aging & Acne Regimens
Loretta Ciraldo, M.D., F.A.A.D.
Founder and CEO,
CosMedical Technologies, Inc.
CosMedical Technologies, Inc.
1. Dermatologist owned and guided since 19932. Dr. Ciraldo personally formulates every product to
support and enhance the results of cosmetic treatments she uses such as laser, peels, and injectables.
3. She uses these products on her own patients whether or not they also have procedures. Patients achieve great clinical results, which of course means they keep coming back!
CosMedical TechnologiesAnti-Aging Regimens
1. Promote
2. Prevent
3. Protect
CosMedical Technologies,Inc.
Anti-Aging Philosophy
1. Promote “barrier repair”/healthy skin 2. Prevent visible signs of aging & further skin
damage3. Protect skin from environmental insults
such as UVA & UVB rays, nitrogen & oxygen free radicals,
Promote Barrier RepairHealthy Skin Texture, Function
“Barrier Repair” refers to improving the health and appearance of the stratum corneum, the skin’s surface
Healthy barrier function prevents water loss, improves tolerance to potential irritating procedures and products.
Promotes healing, protects against bacterial and other infections
Promoting barrier repair refers to maintenance and repair of surface stratum corneum (SC) & follicular SC
Skin Barrier: Not Just Dead Cells…
1. Lipids (inter-cellular)
2. Natural Moisturizing Factor (intra-cellular)
The Skin Barrier: Anatomy
Benefits to Promoting Healthy Barrier
Everyone needs this, to improve one or more of the following:
1. Dryness & roughness2. Redness3. Irritation4. Acne 5. Rosacea & facial flushing6. Fine lines 7. Uneven skin tone.
CosMedical Technology Products to Promote Barrier Repair
1. All CosMedical Cleansers
2. Lipid Drops and Vita Soothe
3. Nutra Fill
Obagi Regimen….
Rash on day 2, 7 of Obagi regimen….
www.yestheyrefake.net/obagi_marianne.htmwww.yestheyrefake.net/obagi_marianne.htm
All CosMedical Cleansers:
1. are all SLS-free
2. leave a deposition of beneficial ingredients after wash off
CosMedical CleansersPromote Barrier Repair
Dermatologic Therapyhighlights irritation caused by SLS
Vol 17, 2004Vol 17, 2004
Cleanser Selection
Use Salicylic Face and Body Wash on most patients,
BUT: Use Chamomile Facial Cleanser on: pregnant women, people with irritation from products or
procedures, scaly skin rosacea with redness
Lipid Replacement Promotes Barrier Repair
Lipid Replacement promotes barrier repair in two ways:
1. Traps in water
2. Promotes tolerance to skin insults from both environmental insults as well as medical grade skincare
Why We Use Lipid Drops & Vita Soothe Lipid Drops and Vita Soothe both promote
barrier repair, which is necessary since:
1. Aging depletes Lipid and Vitamin levels in skin
2. Many topicals containing retinoids, AHA’s, Hydroquinone and other anti-aging ingredients inevitably trigger breakdown of skin barrier
Before/After 2 Weeks: Chamomile Facial Cleanser/Lipids (VitaSoothe)
Lipid Drops
Lipid Drops promote barrier repair because its made with bio-identical intercellular stratum corneum lipids – the same type of lipids that are found in healthy skin
When Lipid Drops are applied to the skin, they have very good penetration due to microfluidization of the formula to guarantee rapid absorption
CosMedical Techologies Vita Soothe Corrective Serum
Use after cleansing and before moisturizer to promote a healthy skin barrier and infuse antioxidants Vitamin E and F (linoleic acid)
Why Vita Soothe Works Vita Soothe promotes barrier repair because its made with bio-
identical intercellular stratum corneum lipids – the same type of lipids that are found in healthy skin – it’s also packed with antioxidants Vitamin E and F (linoleic acid aka, omega 3 fatty acid) that are essential to younger, healthier looking skin.
Also note that in preliminary studies, linoleic acid has been shown to be deficient in most skin types, but markedly in acneic patients. By repairing the barrier function, Vita Soothe normalizes the skin thus preventing and healing the follicular plug.
In addition, Vita Soothe has visible anti-inflammatory results so important to skin health and radiance
Tazarac vs. Vita-Sooth Acne patients*
Tazarac x 3days VitaSoothe x 5 days
*5 Day Comparison*5 Day Comparison
Clinical Results
Vita Soothe & Lipid Drops clinical testing results: Increase skin smoothness by 55% Increase hydration by 47% Steady state hydration for a full 6-8 hours after one
application
The patients cleanse with a CosMedical Cleanser, apply Vita Soothe and then they will move on to the next step and PREVENT environmental damage and aging of the skin.
NutraFillFor Intra-Cellular Barrier Repair
Replacing the Natural Moisturizing Factor of the intra-cellular content of the Stratum Corneum will help to give skin a rejuvenated and healthier look
Specifically, skin will look plumped and there will be correction of fine lines, creases and even shadows cast by creases when using NutraFill
NMF Plumps SC CellsSmoothes Skin Texture
NMF binds water within the corneocytes to keep them plumper
Nutra Fill Ingredients
Urea: A humectant that draws moisture into our dehydrated skin surface and plumps and softens skin.
Lactic Acid: A gentle exfoliator that promotes smooth, healthy skin.
Magnesium, Potassium and Sodium: Minerals that help to restore normal electrolyte balance to skin, reducing inflammation and oxygenating tissue.
Calcium Pantothenate: (Vitamin B5): An essential nutrient to calm skin and decrease appearance of pores
THESE INGREDIENTS ARE THE MAIN COMPONENTS OF NATURAL MOISTURIZING FACTOR (NMF)
Benefits of NutraFill
Replaces Natural Moisturizing Factor (NMF), a mixture of low-molecular-weight, water-soluble compounds first formed within the corneocytes by degradation of the histidine-rich protein known as filaggrin
Components of NutraFill hold up to 4,000 times their weight in water (4 times more than hyaluronic acid)
Application of NutraFill can plump skin appearance and lessen the appearance of lines, wrinkles and sometimes creases after as little as one use!
NutraFillBefore and After one use!
Nutra Fill Provides Same Day Wrinkle Improvement
Nutra Fill: NMF Booster
Directions: Apply a film of gel to entire face and leave on for 15 to 30 minutes and then wash off. Can also sleep with product on top of other evening skincare productsMany people use product twice a day
2. CosMedical Technologies
Prevent Step
In a landmark study published by Haywood in the Journal of Investigative Dermatology (JID) in 2002, results showed that full spectrum sunscreens only prevent 55% of UV-induced free radicals
For optimal prevention of environmental aging and other damaging cutaneous reactions, patients need both sunscreen and antioxidant formula during the day.
Prevent with Ultra Benefits: The Most Complete Antioxidant
Our newest moisturizer, Ultra Benefits,
is a next-generation antioxidant and skin rejuvenator since it provides 3 main benefits all of which come from our trademarked ABF ComplexTM
UltraBenefitsReactive Nitrogen Shield
The Ultimate Antioxidant Moisturizer …with Trademarked ABF ComplexTM
A: Antioxidant superiority (prevent oxidative changes)
B: Brightening and lightening (prevent skin darkening)
F: Firming (prevent wrinkles)
Ultra BenefitsMost Complete Antioxidant
Superior in Four Ways:1. 11 times the antioxidant power of the leading
antioxidant – idebenone (on lipid peroxidation assay)
2. Ranks higher in Antioxidant activity than: Vitamin C, Vitamin E, Rosemary, Grape seed, Green tea, Black tea, Honeybush, Sage
3. Excellent stability compared to Vitamin C4. This is the first formula in the industry created to
prevent formation of nitrogen as well as oxygen free radicals
Prevent Skin Darkening
ABFTM incorporates a soy derivative for skin lightening and brightening:
1. This compound is uniquely photoprotective. So instead of patients being more sensitive to the sun when they use it (as with Hydroquinone and kojic acid), Ultra Benefits actually protects you from the sun to address the 45% of free radical damage not covered by sunscreens
2. It is 50% more effective in clinical testing than kojic at skin lightening/melanocyte inhibition.
3. Ultra Benefits does not break down in the sun, as do other fade ingredients, so your patients get maximum melanocyte inhibition.
Prevent Wrinkles
3 different anti-wrinkle peptides decrease fine lines:
• blocking collagen breakdown, • enhancing synthesis • strengthening fibrils.
Prevent StepCosMedical Night Cremes
Use UltraBenefits in the morning.
At bedtime,some patients will prefer to use either
Multicomplex Night Crème
OR
UltraFirming Marine
Protect StepDaily Replenishing SPF 30+
This product is the gold standard for high efficacy and safety.
It is a totally chemical free, physical block for full spectrum UVA/UVB protection.
7.5% transparent zinc oxide & 2.4% micronized titanium dioxide.
This eliminates the risk of irritating skin or any possibly untoward reactions to chemical UV absorbers
Benefits of Daily Replenishing SPF 30+
Water-Proof: protects up to 80 minutes in water as seen in clinical testing
Its packed with 2 types of MMPI peptides to firm skin and Beta Carotene to provide antioxidant support
It quickly absorbs into skin, and leaves a matte finish for effective oil control
Non-comedogenic: Safe for all skin types