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Obagi System:
Uncovering New Skin
I was on the
Obagi system for a while...instead of peeling like a
snake, I would back off for a few days instead, leaving out the
Retin A and acid creams. If you are peeling, etc., that much, realize that the
dosages of the chemicals that are making you peel are approximate, and the
right amount will vary from person to person based on size of face, type of
skin, etc. What I'm saying is
that if you are really irritated and hurting, the amounts you are using may be
too much for your delicate skin on an ongoing basis. You might also consider
using a smaller amount of the irritating ones or skipping a few applications
here and there.
As
far as the Blue Peel...
I live in the San
Francisco area, so I made a trek down to
LA to have the work done. What happened was that I met a consultant at a local
Doctor's office who used to work for Obagi in LA. When
I told her that I wanted a blue peel, she told me in hushed tones
that I would be
wisest to see the man himself to have the work done or
the work wouldn't be as good. I
figured that she could have no possible axe to grind, so I
filed that away in the back of my head and didn't return to that doctor's
office.
Turns out that
very soon after, Obagi opened an office in town... and
by some asking and some favor, I met him myself. He took a liking
to me, and told me that I should come see him in Beverly
Hills. Again, more happy coincidences, but my company
had a shutdown, nearly forcing me to go do it. All
the pieces fell into place for me to make the trek.
If you're going
to do it, I would advise going to see him, also, because
there are many fine details which you might miss if you
go to someone else. I don't know how much cheaper it would
be with another doctor, but I didn't want to scrimp when it
comes to the only face I will ever have (know what I mean?)
Anyway, because
of acne scarring, he also did some "subcision lifting"
on me, a
procedure he invented. The basic idea is that pitted scars look that
way because
fibrous bands form beneath the damaged skin, so that when they
heal, the skin doesn't plump back up, level and smooth. Instead,
it is held down by the bands of scars, giving the pitted look. The
idea of this lifting is to take a needle-like instrument and cut the bands
so that collagen
can come and fill the skin back in, reducing or eliminating the
look of the
scars.
There are
different "strengths" of peels, depending on the need of the
person's particular
face. If you don't have much scarring or sun damage, you may have
a light peel and
not need anesthetic. However, if it a medium (which I got) or a
deep peel, then they put you under. There was an anesthesiologist present,
and he stuck the
needle in my arm and told me to count to 10 backwards, after
which I would be in la-la land. So you don't remember a thing.
They woke me up,
and I was groggy. My face was very blue, like a Smurf. The
assistant washed off my face. Because of the anesthesia, you must have
someone there to
drive you to where you are staying (you're in no state to drive.)
The blue acid was applied all over my face: up to my hairline, back to
my earlobes,
about an inch beneath my jawline, and on my eyelids.
My face stayed
blue for about 3 days, but was replaced by angry red and blackened
areas, like a
severe burn victim. My face didn't itch that much, and
didn't
really hurt, but it did get tight. It did ooze sticky platelets or something.
Psychologically,
you must be ready to look at your scary face in the mirror for
about two weeks, and not let your mind tell you that you've made a big
mistake and will
never recover. As for me, 2 years previously I had a laser procedure
(low energy) with
a different doctor to reduce redness on my face, which
made my face deep (birthmark) purple. The doctor NEVER advised me
of this ahead of
time, and I was terrified, as well as having to take two weeks off
work without advance notice.
The hardest
post-op thing, something which I didn't follow exactly, was that you
can't put your
face on a pillow. So you have to sleep in a recliner, or flat on
your back,
something that I don't normally do (side sleeper.) The
reason is that the pillowcase absorbs the ooze, making your scabs dried out, your
face to tighten and crack, causing more damage to your artificially-thinned
skin.
The net result
for me was that, a week later, I had a patch on my right cheek of
scabs which were hard and wouldn't peel off. I ended up having to peel them
off myself,
leaving a part of my cheek and chin that had smooth skin, but which
had deep straight-line cracks/tears in it. Looked horrible, and I wondered
if it would ever
look right again. (It has pretty much recovered, but there are some
small signs of it when my face reddens.) Please don't make this mistake.
The doctor has
you buy Cetaphil (over the counter alcohol skin cleanser) and
tells you to swab your face with this a few times a day. The alcohol
dissolves the
hardening ooze, keep the scabs from getting hard and
thick, and from shrinking up and tearing your skin.
Expect your face to be quite a bit redder for about two months. The doctor told me that it takes about 5 or 6 months for the skin to really look
great.
I'm now 7 months
post-procedure, and my skin looks very, very good. The
peel took off all my little freckles (on my eyelids, even), all the
sun-damaged skin
(grew up near Miami) which made my skin look browned
and uneven in tone, and a lot of other things. My face is a healthy
pinkish/clear tone. If all my scarring were gone, I would have a
baby face. However, the blue peel doesn't' make your pores smaller;
only a laser
would do that, or oral Accutane.
If you're going
to go to Beverly Hills, there's a (chain) hotel called Extended
Stay America which is about 5 miles away that
I would recommend. It's right up the street from LAX.
Address:
6531 S. Sepulveda Blvd.
Los Angeles, CA 90045
Telephone: (310) 568-9337
Fax: (310) 568-9349
It's new and
clean, but not overly fancy, and
it was quiet when I was there. It cost me less than $500 for
eight days. (It
costs a lot less than most places because of the weekly rates...
and you'll need
to stay a week, because there are immediate follow-up
visits
after the 2nd day and after a week to make sure that your face hasn't
picked up a virus or other infection.)
Why a suite?
because the way your face will look, you won't want to go out
for food (unless you like horrified stares) and you won't want to get
sun on your face.
The Suite has a
stovetop, refrigerator and sink, so the day before your procedure
you go to the grocery store and stock the fridge with all your favorite
stuff, especially drinks (need those liquids!) Then you curl up with
the TV or books, and just chill out while your face fixes itself.
Dr. Obagi is a
very nice man, Middle-eastern I think, in his early '50s. If
you're really inquisitive, there's a $195 medical book with color pictures
that Dr. Obagi
wrote that illustrates what can go wrong and what can
go right with the procedure.
The main thing I
got from this book was: YOU DON'T WANT TO HAVE A HERPES INFECTION
SPREAD FROM YOUR
LIPS TO YOUR FACE. Your whole face will be destroyed. The
pictures are hideous. Remember that your face will be an open wound for two
weeks, and
is very susceptible to all kinds of infections.
Okay, so I told
you more than you would ever want to know. I
hope this helps you. I wish I would have known these things before I had it
done...
~F in San Jose
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