Facial rejuvenation begins with healthy skin. Excellent skin care diminishes the appearance of fine lines, wrinkles, pigmentation problems (brown or red spots), and irregular skin tone. Your facial consultation will include an evaluation of your skin. We will discuss your concerns regarding the appearance of your skin, then make specific therapy recommendations. Dr. Kavali personally uses advanced skin rejuvenation products from SkinMedica and Obagi. In addition, we can recommend further skin treatments that may benefit you, including peels, laser treatments (including Fotofacial RF, Refirme Skin Tightening, and Matrix IR Fractional Resurfacing, or eMatrix fractional resurfacing), and microdermabrasion.
SkinMedica TNS Essential Serum is truly what's "essential" for your skin. This product is the cornerstone of most of our skincare regimens.
SkinMedica Recovery Complex makes up 1/2 of the TNS Essential Serum. Recovery Complex is a patented serum containing growth factors (TNS®). Expect this product to improve skin tone and texture, and diminish wrinkles and increase elasticity.
These gentle, non-irritating daily cleansers purge skin of dirt, makeup, and environmental pollutants without damaging your skin's moisture balance, helping to achieve better absorption of other treatments.
Purifying Foaming Wash (previously called Acne Treatment Foaming Wash)
Sensitive Skin Cleanser
These pH balanced fresheners and clarifiers gently tone and refine skin without depleting the natural oils of the skin.
Purifying Toner (previously called Acne Treatment Toner)
These should be part of your anti-aging arsenal! We can help you decide which ones are right for you.
Vitamin C and E Complex
Tri-Retinol Complex (previously called Retinol Complex)
Tri-Retinol Complex ES
15% AHA/BHA Cream
TNS Line Refine
For post-procedure protection and recovery. Use after laser treatments or deep chemical peels.
Uplifting Eye Serum
TNS Illuminating Eye Cream
TNS Eye Repair
TNS Lip Plump System: 2 products in one system
We can help you choose the moisturizer that's right for your skin's needs.
Ultra Sheer Moisturizer
TNS Ultimate Daily Moisturizer SPF +20
Dermal Repair Cream
TNS Ceramide Treatment Cream
TNS Body Lotion: Our choice for scar improvement!
Don't let the sun reverse everything you've invested in your skin. Protect yourself by limiting your sun exposure, wearing sunglasses and protective clothing, and using a SkinMedica Triple Sun Protection formula: a physical barrier to prevent UVA/UVB rays from entering the skin, a chemical defense to absorb any UVA/UVB that does enter the skin, and powerful antioxidants to protect against free radical damage.
Environmental Defense Sunscreen SPF 50+
Environmental Defense Sunscreen SPF 30+
Acne Treatment Lotion
Redness Relief CalmPlex
When you are a baby, your skin is perfect. It is soft, firm and glows with health. But as you mature, usually sometime in your 30's, your skin begins to lose its ability to stay healthy. Collagen breaks down. The skin loses its elasticity. Cell turnover slows down and your skin loses moisture. The damage gets worse from sun, stress, environmental assaults and smoking. The results may be tight, dry, blotchy skin. Wrinkles and discoloration may develop. The goal of the Obagi Nu-Derm System is to create soft, radiant-looking skin, to increase skin tolerance to environmental assault and to restore normal skin functions. The Obagi Nu-Derm System corrects surface discoloration and blemishes. Importantly, it also penetrates into the skin to stimulate skin cell renewal, improve circulation and help rebuild collagen. The normal barrier function of the skin is restored, making the skin less sensitive and better able to hydrate properly. After six weeks (one skin cycle), new skin cells emerge to the surface. The Obagi Nu-Derm System recognizes that the skin is a living organ with interacting functions. Overall skin health cannot be achieved if the treatment is aimed just at the elimination of a single skin symptom. To restore and maintain skin health, the program must address the causes of the problem and solve them. The Obagi Nu-Derm System of correction and stimulation will:
The Obagi Nu-Derm System utilizes the most effective prescription treatments for hyperpigmentation and the effects of photodamage to improve your skin at the cellular level.
A dissolving cleanser recommended for cleaning normal to dry, sensitive skin. It helps remove impurities, make-up, dead skin cells, and excess oil without irritating the skin. This formulation is designed to clean the skin surface and pores gently and effectively. Wash the face morning and evening with the cleanser.
Recommended for normal to oily skin. It deep cleans the skin and removes excess oil without stripping it of moisture. Wash the face morning and evening with the gel.
A applied after cleansing the skin. This restores the skin's natural pH, enhances the action of the cleansers, and prepares the skin for the Correct and Stimulate steps. Unlike most toners, the Obagi Toner formulation does not dry the skin excessively. This formulation is designed to tighten the skin and pores. The toner should be applied after the skin is cleansed to the entire face avoiding the upper and lower lids of the eyes. Do not rinse off.
Clear is the major bleaching and correcting preparation in the program. It contains 4% Hydroquinone (prescription strength) as the active ingredient in an activating base to increase its effectiveness. Bleaching with hydroquinone suppresses the overproduction of melanin. Clear is to be used twice daily until the expected results have been achieved. Thereafter, it is to be used as needed to maintain results. Apply Clear to the entire face, morning and evening, avoiding the eyelids, extended to the hairline, over the ears and ending with a feathering motion from the jawline down the neck. A second coat can be applied over darker pigmented lesions. Patients with dark skin should use Clear on the entire face once a day, preferably in the morning and apply at night on the darkest areas only.
Exfoderm Forte is the product used in the system for exfoliation and to help enhance the hydroquinone and tretinoin activity. It contains AHA's: lactic acid and glycolic acid. Exfoderm Forte is indicated for thick, oily, large pores, and/or rough skin. Apply Exfoderm Forte evenly over entire face avoiding the eyelid area. It is to be applied in the morning after the application of Clear. It may occasionally cause stinging upon application.
Exfoderm contains phytic acid which is gentler than AHAs. It helps with keratolytic and exfoliating activity. It also helps enhance the activity of hydroquinone and tretinoin. Exfoderm is indicated for dry, thin, or sensitive skin and is to be applied in the morning after the application of Clear. Apply Exfoderm evenly over entire face avoiding the eyelid area.
To be coordinated with Blender. Tretinoin .05% should be used for patients with dry/sensitive/combination skin to start out with. They can then work their way up to 0.1%. Tretinoin 0.1% should be used for patients with oily/thick skin.
Blender contains a specific formulation of 4% hydroquinone and an activating base that complements retinoin activity and provides blending along with stimulation. Apply evenly to the entire face, avoiding the eyelids, extending to the hairline, over the ears and ending with a feathering motion from the jawline down the neck.
Sunfader contains octyl methoxycinnamate 7.5% and oxybenzone 5.5% for protection from both UVA and UVB light rays and 4% hydroquinone. It has an SPF of 15 and is PABA free (a known sensitizing agent). Application every four (4) hours is recommended during sun exposure. Because this product contains hydroquinone, it is particularly suitable for persons with pigmentation problems. Sunfader should be applied after application of either Exfoderm or Exfoderm Forte.
Eye Cream is to be used for soothing the delicate, think skin in the eye area and to help reduce skin irritation. It should be applied morning and evening.
Tolereen, containing .5% hydrocortisone in a special moisturizing base, is formulated to help suppress irritation, sensitivity, and itching. Tolereen can be used as needed, alone or with a moisturizer to increase comfort for any patient having severe anticipated reactions to the treatment. Note: Tretinoin, Exfoderm Forte, or Exfoderm can be discontinued for one to two days and Tolereen applied until reactions stop and the patient feels more comfortable. This break in treatment can be repeated when needed until a natural tolerance is achieved. Tolereen can also be used occasionally without discontinuing Tretinoin or the Exfoderm preparations to increase comfort.
Action is a mild, well-tolerated moisturizer that can be used for comfort during the program and after procedures, such as the Blue Peel or laser resurfacing. It is gentle on all skin types, does not feel oily, and does not clog pores. Use sparingly only when the skin is uncomfortably dry. Action can also be used to cut the strength of the Exfoderm, Exfoderm Forte, or Clear.
Contains 9% micronized zinc oxide which provides the best UVA coverage available. It also contains octinoxate, a non-irritating UVB-fighting ingredient. Healthy Skin Protection should be put on every morning after all other products are applied. This is the last step each morning.
Attacks free oxygen radicals. In additions to its function as a powerful antioxidant, Vitamin C also encourages the production of collagen and elastin. Used daily, Cffectives Vitamin C products can help restore the luster and youthfulness that time has taken away. Contains L-ascorbic acid, the most potent form of Vitamin C the body uses to combat oxy-radicals. Patients should start out using Cffectives 5% and then work their way up to Cffectives 10%. Cffectives 5% is safe to use around the eyes.
Visit www.obagi.com for more information.
The patented combination of prescription strength 4% Hydroquinone and professional strength Vitamin C (L-Ascorbic Acid) is the first and only system of its kind. It is well documented that Vitamin C has substantial benefits in preventing the skin’s accelerated aging process due to sunlight, smoking and other contaminants. Hydroquinone has long been considered the gold standard for treating uneven skin tone.
Prepares and conditions the skin to optimize penetration of the Obagi-C Rx System, enhancing skin’s clarity. Contains L-Ascorbic Acid.
The first and only prescription strength 4% Hydroquinone and Vitamin C Serum. It penetrates deep into the skin’s dermal layers, where it enhances collagen production and reduces melanosome activity and tyrosinase activation, making skin Photolumines. Contains 4% Hydroquinone, 10% L-Ascorbic Acid.
Thins the stratum corneum, enhancing active ingredient penetration and brightening the skin. Natural humectant keeps skin hydrated and smooth. Provides environmental protection by neutralizing free radicals. Contains 7% Glycolic Acid, Ascorbyl Glucoside, Hyaluronic Acid, Vitamin E, SPF 12.
Protects the skin from UVB and UVA rays linked to premature aging of the skin, while simultaneously protecting the skin’s Photolumines quality. Contains 9% Micronized Zinc Oxide (Z-Cote), 7.5% Octinoxate.
Optimizes skin’s natural renewal cycle, reducing melanasome activity for Photolumines skin. Also provides free radical scavenging antioxidants C & E.
See the before & after gallery for Skin Care.
Contact us about scheduling a consultation at our office.
-Dr. Susan Kolb, Plastic Surgeon