Dermatologist Answers Online

Obagi Nu Derm

Question

Hello, This is my 7th week of using the Obagi Nu Derm, am-(1,2,3,4,6) and pm (1,2,3,5,trentinon 0.05%) as directed by my dermatologist. My skin has been red. flaky and dried for the entire period, however, my skin complexion and tone do get improved and all my brown spot are removed. I need to have some photos taken in 2 weeks and want to look normal and great instead of flaky and red, so my dermatologist asked me to stopping using 4,5, tretinon. I have stopped for 4 days already but my skin is still very red and flaky. I have dry skin but complexion in the T zone. Before Obagi, I used La Roche's Hydraphase Riche and it worked great. 1) Can I use La Roche's Hydraphase with the Obagi (1,2,3,6) as the moisturizer? 2) Can I stop using the whole line and resume 2 weeks later? If yes, can I use the La Roche products durig this time? 3) My dermatologist said that it's a 18 weeks' program, I just finished the first cycle (6 weeks) and got the results I want, can I stop here and go on the maintainence program? Any side effects if I stop here? What products do you recommend for the maintainence program? 5) I thought the peeling and flaking are to remove the old skin cells and expect that there will be less peeling and flaking with time. But it's not the case for me. Does it mean that the products are just a bit too aggressive for me but I just still have old skin cells that need to be removed?

Answer

You can definitely incorporate the La Roche-Posay moisturizer into this regimen to help with hydration and redness. I would not recommend discontinuing use of the regimen unless ok'd by your physician first. I would continue with the whole 18 week program as opposed to discontinuing. The regimen could be too aggressive for you, so I would recommend using the prescription products every other night or every third night to reduce irritation, flaking and redness. Please contact me with further questions.

Meagan, Esthetician

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2009-12-04