A:    Yes, although it is not advised, particularly in the Very Aggressive or Moderately

        Aggressive Approaches.  Always use water based, oil-free makeup.  The skin will still

        appear flaky.

Q:    Can I have activity in the sun while I am on the Obagi NU-DERM System?

A:    Yes, if you use the Sunfader (SPF 15), Healthy Skin Protection (SPF 35) or Sun Shield (SPF

       50) and reduce unnecessary, prolonged sun exposure.  Avoid the sun from I0am-2pm, wear

       protective clothing and reapply SPF every 60 - 90 minutes.

Q:    Can I wax my upper lip or face while on The Obagi NU-DERM System?

A:    Yes, but use cold wax.  It is safer than hot wax which can strip the skin.  Stop using Retin-

         A 4-5 days before the waxing process.

Q:     I am actively trying to become pregnant or I am pregnant what should I do?

A:     You should check with your OB/GYN who will most likely suggest waiting until after

         your pregnancy and completion of lactation to go on the full program.  You could use the

         cleanser, toner and sunscreens during pregnancy and lactation.

Q:    My skin is red, dry and peeling. Am I allergic to the products?

A:    The type of reactions to the creams listed above is not an allergy.  These reactions are

        normal and indicate the efficacy of the creams on the skin.  This is part of renewal before

        building tolerance.

Q:    After the eyelids, the most sensitive area is around the mouth.  Why?

A:    This is due to frequent wetting around the mouth and excessive movement in that area.

        Use Action Moisturizer, Tolereen, and /or Eye Cream for comfort if necessary.

Q:     The skin on my neck and chest is more sensitive than the skin on my face.  What

         should I do?

A:    Start with a slower approach  (twice a week), then work up as your skin gains

        tolerance.

Q:    My skin looks worse after 2-3 weeks of using the creams.   What is going on?

A:    Your skin problems usually will appear worse during the first 6 weeks, especially acne,

        spots, and sun damage. This is temporary and is a part of the skin renewal process.  Your

        skin will look much better when the old skin layers are exfoliated and are replaced by new,

        healthy ones.

Q:    The Very Aggressive Approach is too much for me.  Will I get the same benefit from

        a milder approach?

A:     Stimulation to renew skin is best with the Very Aggressive Approach.  Correction of the

         skin surface can be done mildly, except when dealing with pigmentation problems.

         Tolerance will build up in about six weeks with the Very Aggressive Approach, so tough

         it out if possible.

Q:    Do the mild and normal approaches provide the same benefits as the more

        aggressive and very aggressive approaches in the long run?

A:    All approaches will improve your skin, but the aggressive approaches will produce more

        collagen and elastin.  They are more effective in reversing the aging process and producing

        firmer skin.

Q:    Can I use products other than the recommended ones during the program?

A:    Because all Obagi NU-DERM products have a compatible base which does not interfere

        with and enhances the active ingredients, other products should not be used.  You may

        wish to instruct the patient that other products may be used in areas not being treated with

        the Obagi NU-DERM TM System.

Q:    Can I use Retin-A gel or the .025 % or .05% Retin-A creams?

A:    Retin-A gel is not as effective as the cream.  The .1% cream should always be used for the

        best results.  In cases of thin, very sensitive skin, the weaker concentration .05% Retin-A

        cream can be used to build tolerance until the .1% cream can be used.

Q:    Should I use these creams forever?

A:    Yes, if you are interested in keeping your skin in good shape forever.  By following the

        Maintenance Approach, sunscreens, and approved cosmetics, you can keep your skin in

        its best condition indefinitely.  With the occasional "Shock Treatment" application, you

        can keep your skin looking younger.