Retinoids -
Obagi Medical is a big Retinoid (Retrieve RetinA Stieva A) fan, because it actually works to remodel skin at the cellular level.

“To my knowledge, this is the only drug for which there has beencrystal-clear demonstration that it works on the molecular level,” said Dr. John J. Voorhees, the chairman of the dermatology department at the medical school of the University of Michigan.

...But Not all retinoids are equal: Tretinoin ( Retin A Stieva A Retrieve) should not be confused with non prescription retinols that require conversion to tretinoin. Unfortunately during the conversion these retinols loose much of their potency
Prescription Retin-A first became popular more than 20 years ago as an acne treatment. But doctors and patients soon noticed another benefit, one with enormous impact on those who were looking for a way to keep skin vibrant and smooth.

Retin-A users reported improvements in skin texture, including diminished wrinkles and brown spots. Early studies soon confirmed its anti-aging effects.

In 1988, Dr. Voorhees and his colleagues at Michigan published the first double-blind study of Retin-A’s effect on photodamaged skin and found that all 30 patients who completed the 16-week study showed statistically significant improvement.

What are the essential tips for correctly using Retinoids in your skin care routine?

Tip #1: The action of Retinoids is enhanced by combination with the NU-Derm System

Tip #2: Retinoids goes on at night.
Tretinoin is light sensitive so apply it at night before retiring. Wash it off in the morning then apply your other skin care products.

Tip #3: Some ingredients will interfere with Retinoids .
Don’t mix glycolic acid, vitamin C, benzoyl peroxide, or salicylic acid with tretinoin cream.

You can still use these ingredients but apply them in the morning after removing the tretinoin you applied the night before.

Tip #4: Skin has to be totally dry before you apply Retinoids .
Apply compatible products first, one right after the other, then wait 15 minutes or more before applying tretinoin. This lets the excess surface water evaporated from your skin, and that seems to matter for minimizing tretinoin-induced skin irritation. It means that if you are using products those products are applied right after washing. Wait 15 or more minutes, then apply the tretinoin. I recommend keeping tretinoin on the bedside table and applying it right before going to sleep

Tip #5: Retinoids-treated skin must be sun protected every day.
Tretinoin makes skin more sun sensitive. If you’re going to use it for all the good things you get from tretinoin treatment then you need to be committed to using broad spectrum sunscreen and a hat when you’re in the sun. I

Tip #6: Work your way up to the highest Retinoid level your skin can tolerate.
Your skin has to be trained to tolerate retinoid, and more is better meaning you get more benefit from higher strength levels of the medicine. I tell people it’s like a weight training program because you have to start with weights you can lift and slowly, over time, you’ll lift heavier weights as you gain fitness. It’s the same with etinoid. You start with .025% twice a week and eventually work to 0.05% nightly.

Warning: Tretinoin Should not be used in females considering pregnancy & during Pregnancy or Breast feeding.


Photos by OMP
Obagi Medical systems improve the penetration and control of Retinoids

Patients should be told to expect a reaction to Retinoids and the reaction is a desirable sign of response to treatment.

"My observations confirm combination with Nu-Derm with retinoids produces significant skin transformation."
Peter Dixon Plastic Surgeon