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ISBN 10: 1842145967
ISBN 13: 978-1842145968
Author: Zein Obagi
The Art of Skin Health Restoration and Rejuvenation, Second Edition presents a comprehensive review of Dr. Zein Obagi’s renowned skin care regimens and his techniques for revitalizing skin. Fully demonstrated and explained are Dr. Obagi’s skin peels and his approach to correcting sun damage, control of the pigmentary system, the stimulation of skin collagen, and how to restore skin elasticity. With more than 200 illustrations, a presentation of Dr. Obagi’s skin classification system, and a special section on combining laser skin resurfacing with other techniques, this volume is a valuable resource for the plastic surgeon, dermatologist, and cosmetic facial surgeon.
The Art of Skin Health Restoration and Rejuvenation 2nd Table of contents:
Chapter 1 A New Perspective on Skin Anatomy and Physiology
Layers And Components Of The Skin
Skin Structures
The Epidermis
Keratinocytes and the Keratinocyte Maturation Cycle
Melanocytes, Melanosomes, and Skin Pigmentation
The Dermis
Collagen and Tensile Strength
Elastic Fibers, Skin Elasticity, and Resilience
Extracellular Matrix and Hydration
Fibroblasts and the Synthesis and Degradation of Connective Tissue
Mast Cells and the Inflammatory Response
The Subcutaneous Layer
Sebaceous Glands
The Aging Process
Biological Aging
Changes to the Epidermis
Changes in Histology of the Dermis and the Appearance of the Skin following Biological Aging
Other Changes
Photoaging
Epidermal Damage
Dermal Damage
Maintaining Skin Health And Function Throughout Life
References
Chapter 2 Principles And Objectives Of Skin Health Restoration
A Lifetime Of Healthy Skin
Healthy Skin: Definition And Model
Skin Phases Over A Lifetime
Significant Factors In Achieving Skin Health
Skin Barrier Function
The Keratinocyte Maturation Cycle
Benefits of Regulating the Keratinocyte Maturation Cycle
Skin Inflammation
Treatment of Skin Inflammation
Skin Health Restoration Principles
Skin Preparation
Correction Of The Skin
Stabilization
Stimulation
Delivering Stimulation
Correcting Skin Dyschromia In Medical Treatment
Concepts of Bleaching and Blending
Concept of Melanocyte Stabilization
Hydration And Calming
Ultraviolet Light Protection
Emphasizing Certain Principles
Topical Agents FOR Skin Health Restoration In Medical Treatment And General Repair
Phases Of Skin Health Restoration
Correlation Of Treatment Benefits With Regimen Strength
Exceptions to Skin Health Restoration Principles and Programs
Skin Conditioning Versus Skin Health Restoration
The Zo Skin Health Circle
References
Chapter 3 Topical Agents For Skin Health Restoration
Introduction To Topical Agents
Choosing Topical Agents
Essential Agents
Tretinoin (Retinoic Acid)
Retinol
Hydroquinone
Antioxidants
Alpha-Lipoic Acid
Glutathione
Ubiquinone (Coenzyme Q10)
Idebenone
Vitamin C (L-Ascorbic Acid)
Vitamin E (α-Tocopherol)
Vitamin B3 (Niacinamide)
DNA Repair Agents
Oxo-Guanine Glycosylase-1 (OGG-1)
Ultraviolet Endonuclease
Photolyase
Natural DNA Repair Precursors
Anti-inflammatory Agents
Ginkgo Biloba
Green Tea
Growth Factors
Supportive Agents
Alpha-Hydroxy Acids
Beta-Hydroxy Acids
Nonhydroquinone Pigment Stabilizers
Kojic Acid
Azelaic Acid
Arbutin
Resorcinol
5-Fluorouracil
Imiquimod
Benzoyl Peroxide
Topical Antibiotics
Acne and Rosacea Treatment
Wound Treatment
Topical Antifungals
Azoles
Polyenes
Allylamines and Benzylamines
Wound Healing
Biafine
Questionable Agents
References
Chapter 4 Zein Obagi System Of Skin Classification
Existing Skin Classification Systems
Development Of Zein Obagi Skin Classification System
Classification Of Skin Type According To Color
Consideration Of Ethnicity In Skin Classification Systems
Skin Color Stability And Time To Normal Color Recovery
Original Skin Color Type
zein obagi deviated skin color type
Complex Skin Color Types
Skin Type Classification According To Thickness
Determination Of Skin Thickness By Pinching Technique
Expression Lines And Folds And Skin Thickness
A Combined Procedure Approach To Skin Thickness
Selection of a Procedure for Thin Skin
Combination Procedures in Thin Skin
Medium and Thick Skin
Skin Type According To Oiliness
Skin Type According To Elasticity And Laxity
Atypica l Healing Effects in Relation to Skin Type
References
Chapter 5 Skin Chapter Rejuvenation
Skin Rejuvenation Defined
Patient Selection
Diagnostic Considerations
Treatment Planning
Procedure Selection
Procedure Selection According To Skin Type
Skin Color
Skin Thickness
Skin Oiliness
Skin Laxity
Skin with Suboptimal Healing
Procedure Selection According To The Nature Of The Skin Problem
Presence of Active Disease
Presence of Photodamage
Dr. Zein Obagi Skin Stretch Test
Thermal Versus Nonthermal Procedures
Peel Terminology
Procedure Selection According To Mechanism Of Action
Exfoliation And Exfoliative Procedures
Tightening Procedures
Characteristics Of Tightening Procedures
Combining Procedures
Leveling Procedures
Penetration Issues
Obtaining Optimal Leveling Results
Leveling Procedures and Procedure Depth
Combination Approaches To Skin Rejuvenation
References
Chapter 6 Sebum-Induced Inflammatory Disorders And O Treatments
Acne And Its Causes
Approach to Treating Acne
Acne Prevention
Acne Treatment Strategy
Immediate Interventions during Initial Visits
Dr. Zein Obagi’s Revised Acne Classification
Systemic Treatments For Acne
Role of Antibiotics
Role of Oral Isotretinoin
Guidelines Regarding Isotretinoin
Isotretinoin Caveats
Addressing Teratogenicity
Rosacea
Diagnosing Rosacea
Potential Causes Of Rosacea
Rosacea Treatment
Rosacea Treatment Steps
Administering Procedures: Timing and Selection
Rosacea Treatment Protocols
Folliculitis And Pseudofolliculitis Barbae
causes of pseudofolliculitis barbae
Diagnosing Pseudofolliculitis Barbae
Preventing And Treating Folliculitis
Keratosis Pilaris
Causes of Keratosis Pilaris
Treating Keratosis Pilaris
Chapter 7 Medical Chapter Applications
Pigmentation Problems
The Mysteries Of Melasma
Internal Melasma Triggers
External Melasma Triggers
Postinflammatory Hyperpigmentation
Treating Melasma And Postinflammatory Hyperpigmentation
Melasma-Specific Steps
Treating Melasma And Postinflammatory Hyperpigmentation With Hydroquinone
Hydroquinone Side Effects
Rebound Hyperpigmentation
Photosensitivity and Phototoxicity
Exogenous Ochronosis
Tolerance or Resistance
Treating Melasma and Postinflammatory Hyperpigmentation with and without Hydroquinone
Photodamage
Prevention of Photodamage
Aging Effects of Photodamage
Photosensitivity
Progressive Forms of Photodamage
Tanning
Freckles
Lentigines
Actinic Keratoses and Skin Cancer
Diagnosing Early Photodamage
Treating Visible Photodamage
Other Changes Indicating Textural Damage
Solar Elastosis
Dyschromia
Poikiloderma of Civatte
Treating Deeper Photodamage
Nevi
Nevus of Ota
Nevus of Hori
Diagnosis and Treatment of Congenital Nevi
Nonspecific Dermal Melanosis
Ochronosis
Diagnosing, Managing, and Preventing Ochronosis
Recommendations
Chapter 8 Overview OF Chemical Peeling Agents
History Of Chemical Peels
Trichloroacetic Acid Peels
Trichloroacetic Acid 30% To 50%, Used Alone
Eliminating Trichloroacetic Acid Peel Variables
Solid Carbon Dioxide Plus Trichloroacetic Acid
Peels Using Jessner’s Solution, Methylsalicylate, Or Glycolic Acid Plus Trichloroacetic Acid
Jessner’s Solution plus Trichloroacetic Acid
Methylsalicylate plus Trichloroacetic Acid
Glycolic Acid plus Trichloroacetic Acid Peels
Jessner’s Solution, Methylsalicylate, or Glycolic Acid plus Trichloroacetic Acid
Glycerin And Polysorbate Plus Trichloroacetic Acid
Glycerin plus Polysorbate plus Trichloroacetic Acid
Alpha-Hydroxy Acid Peels
References
Chapter 9 Exfoliating Chapter Chemical Peels
Eliminating The Guesswork
Agents Used For Exfoliating Chemical Peels: Mechanisms Of Action And Other Properties
Trichloroacetic Acid
Alpha-Hydroxy Acids
Beta-Hydroxy Acids
Resorcinol
A Novel Approach To Chemical Peels
New Zo Exfoliating Peels
Zo Retinol Stimulation Peel
Use of Retinol versus Tretinoin
Home Application
Mechanism of Action
Course Duration
Application Steps
Postpeel Reactions, Instructions, and Healing Time
Invisapeel
Indications
Zo 3-Step Stimulation Peel
Components
Mechanism of Action
Performing the Peel
Home Instructions
Chapter 10 Zo Controlled Depth Trichloro- Acetic Acid Peels
Zo Trichloroacetic Acid Peels
Safety, Efficacy, And Ease Of Use
Choosing A Zo Controlled Depth Peel
Factors Affecting the Outcome of a ZO Controlled Depth Peel
Importance Of Trichloroacetic Acid Concentration, Volume, And Size Of Treatment Area
Importance of Trichloroacetic Acid Concentration
Importance of Trichloroacetic Acid Volume and the Size of Treatment Area
Period Of Relative Resistance
Neutralization Of Trichloroacetic Acid
Administering The Zo Controlled Depth Peel
Selection Of Peel Concentration
Concentration and Skin Thickness
Selection Of Peel Depth
Preparing The Zo Controlled Depth Peel Solution
General Instructions
Sedation
Applying the Peel Solution
Treating the Perioral Area
Treating the Eyelids
Endpoints And Clinical Signs Of A Zo Controlled Depth Peel
The Frost Sign And The Pink Sign
Epidermal Sliding
Endpoints At Completion Of The Zo Controlled Depth Peel
Supportive Clinical Signs To Confirm Depth
Patient Selection And Counseling
The Pre-Peel Office Consultation
Healing And Recovery Expectations
Post-Procedure Home Care Instructions
Patient Results
Zo Controlled Depth Peel Combined With Other Procedures
Peeling Nonfacial Skin
Performing A Nonfacial Peel
References
Chapter 11 Skin Chapter Resurfacing Procedures
Reactions Related To Resurfacing Procedures
Immediate Anticipated Reactions
Edema
Erythema
Darkening of the Skin
Oozing
Scabbing
Immediate unanticipated reactions
Herpes Simplex Virus Infection
Secondary Infection: Bacterial, Viral, or Yeast
Allergic Contact Dermatitis
Irritant Contact Dermatitis
Premature Skin Separation
Recovery Stage: Anticipated Reactions
Erythema
Treatment of Erythema
Postinflammatory Hyperpigmentation
Acne or Rosacea Flares
Milia
Demarcation Lines
Enlarged Pores
Recovery Stage: Unanticipated Reactions
Marbleization
Persistent Skin Sensitivity
Persistent Erythema
Delayed Unanticipated Reactions (True Complications)
Hypertrophic Reactions
Keloids
Scars
Hypopigmentation and Depigmentation
Ectropion
Chapter 12 Laser And Energy Sources In Skin Health And Rejuvenation
Laser Devices And Their Applications
Development Of Lasers In Dermatology
lasers for pigment reduction
lasers for hair removal
Lasers For Skin Resurfacing
Fractional Lasers
Nonablative Fractional Lasers
Ablative Fractional Lasers
Rational Use of Fractional Lasers and Common Applications
Noninvasive Skin-Tightening Procedures
Future Directions
Problematic Conditions
References
Chapter 13 Nutraceuticals And Their Role In Skin Health Restoration
Nutraceuticals
Clinical Studies And Research
Market
Downside Of Nutraceuticals
Testing The Effectiveness Of Nutraceuticals
Mechanisms Of Action Of Antioxidants
Antioxidants
Curcumin
Ellagic Acid
Epigallocatechin-3-Gallate
Genistein
Lutein
Niacinamide
French Maritime Pine Bark
Silymarin
Ubiquinone
Ascorbic Acid
Vitamin E
Grape Seed Extract
Resveratrol
Beta-Carotene
Vitamin D
Vitamin D Source
Vitamin D Deficiencies
Vitamin D Toxicity
Vitamin D Monitoring Levels
Vitamin D Supplementation
The Ultraviolet Radiation Exposure Quandary
Skin Cancer
Vitamin D and Skin Cancer Studies
Vitamin D Conclusion
Glutathione
Bioavailability
Supplementation
Enzymes And Cofactors
Selenium
Alpha-Lipoic Acid
Zinc
Amino Acids And Peptide Supplements
Peptides
Growth Factors
Hyaluronic Acid
Specific Indications
Skin Lightening
Oily Skin
Dry Skin
Anti-Inflammatory Agents
The Marketplace
Future Directions
Products
Conclusion
References
Chapter 14 Dr. Zein Obagi’s Personal Philosophy On Skin Health
A Philosophy Based On Science, Clinical Experience, And Prevention
Development Of Zo Skin Health
Solving the Issues Encountered with Nu-Derm Use
Zein Obagi’s Skin Health Principles: Clinical Applications
Zo Nonmedical And Medical Systems: Principles, Objectives, And Steps
ZO Skin Health Principles and Steps:
ZO Medical Treatment and ZO Skin Health Restoration: Principles, Objectives, and Steps
Zo Systems Anticipated Reactions
Guidelines For Using The Zo Skin Health And Zo Medical Systems
Application of the Principles: Patient Results
Philosophy On Moisturizers
Effects Of Facial Moisturizers
True Effects of Moisturizers
Skin Sensitivity from Moisturizer Use
Recommendations
Chapter 15 A Selection Of Clinical Cases
Patient 1: Melasma
Skin Classification
Patient History
Diagnosis
Overall Skin Health
Treatment Plan
Treatment Preparation and Course
Treatment Notes
Treatment Results
Patient 2: Solar Elastosis
Skin Classification
Patient History
Diagnosis
Overall Skin Health
Treatment Plan
Treatment Course
Selecting the Appropriate Procedure
Procedure Choice for This Patient
Patient 3: Photodamage
Skin Classification
Patient History
Diagnosis
Overall Skin Health
Treatment Plan
Maintenance
Patient 4: Acne Scars
Skin Classification
Patient History
Diagnosis
Overall Skin Health
Treatment Plan
Treatment Note
Treatment Course
Patients 5 And 6: Ochronosis
Patient History
Patient 5
Patient 6
Treatment Plan For Patient 5
Program A
Program B
Treatment Plan For Patient 6
Treatment Note
Index
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Tags: Zein Obagi, The Art, Skin Health