1. Skin Typing and Consultation Leadership through Knowledge

2. Skin Typing and Consultation Skin Typing and Consultation  Evaluating Your Patient’s Skin  Condition, Concerns, Commitment

3. Obagi System Patient The importance of an effective initial Patient Skin Typing and Consultation –Critical to the success of patient satisfaction and compliance –Critical to beginning the long-term relationship with this patient –Critical to retaining a loyal patient base for your practice –Critical to creating on-going incremental revenue and converting skincare patients to procedure/surgery patients

4. What is Transformed Skin?  Smooth –Soft, compact stratum corneum  Even pigmentation –Melanocytes function properly  Firm –Dermis rich with collagen and elastin fibers  Good hydration –Extracellular matrix is rich with GAGs

5. What is Transformed Skin?  Free of damage –Absent of scars, large pores, photodamage  Functions properly –Normal renewal of keratinocytes, melanocytes and fibroblasts  Tolerant –Tolerates sun, cold, heat, contact and most products

6. What happens to make skin unhealthy?  Aging –Fine lines, wrinkles, dryness, sagging, longer healing  Photoaging – Sun exposure –Roughness, hyperpigmentation, loss of elasticity, wrinkling, sallowness, precancerous and cancerous lesions  Hormonal changes –Oral contraceptives, pregnancy and menopause can cause melasma and/or blotchy dark spots  Acne –Leaves behind scars, hyperpigmentation and uneven surface

7. Skin Typing System  Color  Thickness  Oiliness  Laxity  Fragility

8. Color – Skin Typing System  Defines depth of color tone –Determined by amount of pigment  Fitzpatrick Scale I-VI  Color tone determines appropriate course of treatment –Darker skin requires longer conditioning before and after rejuvenation procedures

9. Thickness – Skin Typing System  Defines the depth of the epidermis and dermis  Clinical examination determines –Thin –Medium-thick –Thick  Thickness determines skin conditioning protocol for rejuvenation procedures

10. Oiliness – Skin Typing System  Defines amount of oil that is being secreted into the skin and can be classified as –Oily, secreting excess sebum –Normal, secreting an average amount –Dry, below average sebum secretion  Excess oil acts like “sebaceous glue” prevents –Normal shedding of stratum corneum –Proper penetration of topical agents  Dry skin can also have low levels of hydration  Both impact the duration and course of treatment

11. Laxity – Skin Typing System  Defines sagging and redundant skin –Laxity in thin skin reveals wrinkling –Laxity in thick skin demonstrates jowling  Indication of lacking collagen and elastin  Important difference skin laxity vs. muscle laxity  Determines protocol and length of treatment; type of rejuvenation procedure

12. Fragility – Skin Typing System  Defines level of skin tolerance  Fragility occurs in all skin colors and thickness –More common in Asian skin  Fragile skin requires 2 – 3 additional skin cycles than conditioning normal skin –Peel procedures should not be deeper than the papillary dermis

13. Let’s Skin Type Together  Classic Case of Melasma  Fitzpatrick IV  Thick Skin  Normal to Oily  Moderate Laxity –Jowling  Non-Fragile

14. Skin Typing  Classic Case of Photodamage  Fitzpatrick II –Melasma  Thin skin  Oil - Normal –T-Zone –Mild Acne  Laxity – Mild –Fine wrinkles  Fragility – Mild Sensitivity

15. The 3 C’s  There are 3 components to choosing the right Obagi System for your patients: –Condition – Appearance of the patient’s skin –Concern –Commitment  Skin Typing completes the “Condition” component of the 3 C’s  When you do the skin typing, you also ask questions about –The results the patient desires; their concerns –Determine their commitment to achieving those results

16. Skin Typing Who would like to be skin typed?  Color  Thickness  Oiliness  Laxity  Fragility

17. The Opportunity  Give every patient who walks in your office the opportunity to learn about the Obagi Systems!  Obagi Nu-Derm  Obagi-C Rx  Obagi Professional-C Serums