Nu-Derm is a skin health restoration system for helping restore skin to a healthy state, free of disease and deterioration. Skin health restoration is achieved through the use of topical agents that work synergistically to help regulate skin cell functions and improve circulation. This enables the skin to constantly renew itself, repair damage, and act as an effective barrier.

The Nu-Derm system is also intended to bring the skin to an active and tolerant state so that it responds better to a rejuvenation or surgical procedure, skin also heals faster, and is less likely to exhibit an undesirable post-procedure response.

Nu-Derm regimen has four (4) basic steps: Prepare, Correct, Simulate, and Protect.

The prepare step cleans and tones the skin, removing impurities, dead skin cells, bacteria and prepares it for the steps that follow. This step is accomplished without skin irritation. At the completion of this step, the skin is returned to its normal pH level.

The correct step works on the epidermis. It makes the stratum corneum soft and compact and increases the rate of mitosis to improve the turnover of healthy, new keratinocytes. Melanocytes are also regulated to produce melanin more evenly and efficiently.

Bleaching is part of the correct step and is accomplished through the use of hydroquinone

Benefits of Correction

Corrected skin has a thicker epidermis that is soft, properly hydrated, evenly colored, less sensitive to external factors, and usually free of medical problems. One (1) cycle of correction usually restores sufficient skin tolerance and hydration.

Correction is usually maximal after three (3) skin cycles and can be maintained indefinitely with a maintenance program.

Preparations used for Correction

The preparations used for correction include phytic acid, AHAs, hydroquinone, and possibly, topical antibiotic solutions. The concentration, frequency of application, and correct use of these preparations are critical to obtaining the needed correction.

The stimulate step focuses on the dermis. A stimulated dermis produces more fine collagen, better elastin, a richer extracellular matrix (glycosaminoglycans), and increased angiogenesis.

Preparations used for Stimulation

The preparations used for stimulation include tretinoin, and the Obagi Nu-Derm system which is always accompanied by Blending. Blending is accomplished by using hydroquinone in combination with tretinoin and a low concentration AHA.

Skin becomes more evenly colored and pigmentation problems, that have failed to respond to other treatments, often improve rapidly.

Benefits of Stimulation

Clinically, the skin becomes firmer, tighter, and younger-looking.

Simulation is especially beneficial for patients with:

• Thin skin, since stimulation leads to thicker and firmer skin.
• Thick, rough textured skin, since the process leads to smoother and softer skin.
• Large pores, since the process tends to tighten, shrink and improve the appearance of large pores.
• Burn scars and skin grafts, which can become softer and more evenly pigmented.
• Acne scars, which can become softer, properly hydrated and respond better to peels and laser resurfacing.

Benefits of stimulation to the dermis can start to be appreciated after three (3) skin cycles and become evident within one (1) year. Stimulation is especially important after age 30 when the skin function starts to deteriorate. If correction and stimulation are properly started at an early age (25 years of age is recommended), many skin deterioration effects can be avoided.

The protect step prevents UVA and UVB rays from damaging the epidermis and dermis. Excessive sun exposure without protection increases the chances of skin cancer and produces photo damage that necessitates aggressive treatment with creams and procedures.

Sun protection needs to be practiced diligently on a daily basis for skin health to be maintained.

The preparations used for protection include sunscreens and/or sun blocks, protective clothing, and an effective maintenance program.

Additionally, an eye cream should be used daily to protect the delicate skin around the eyes.

Control is an optional step to reduce or stop anticipated reaction, can be used as needed.

The control step offers the patient the ability to control the anticipated reactions seen initially with treatment. It involves the use of preparations to diminish discomfort from excessive dryness, itching, redness, or burning that may occur as tolerance is being built-up. Patients may especially desire to control such reactions when they have an important upcoming professional or social event.

Upon completion of one(1) skin cycle, the skin usually begins to tolerate the treatment and the need for the control step diminishes. This stage is usually accompanied by increased patient motivation and compliance.

The preparations used for the control step include a moisturizer and a soothing cream.

The proper patient protocol should be selected based upon:

1. Skin condition
2. Skin type
3. Patient tolerance of reactions and lifestyle
4. Whether facial or non-facial skin is being treated.

The skin health restoration program allows for a choice of protocol.

1. Gradual
2. Flexible
Standard
3. Moderately Aggressive
4. Very Aggressive

The best results are achieved by following the program recommended by our skin care specialist.

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