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Skin Typing and Consultation Leadership through Knowledge Skin Typing and Consultation Evaluating Your Patient’s Skin Condition, Concerns, Commitment Skin Typing System Color Thickness Oiliness Laxity Fragility 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 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 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 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 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 Let’s Skin Type Together Classic Case of Melasma Fitzpatrick IV Thick Skin Normal to Oily Moderate Laxity – Jowling Non-Fragile Skin Typing Classic Case of Photodamage Fitzpatrick II – Melasma Thin skin Oil - Normal – T-Zone – Mild Acne Laxity – Mild – Fine wrinkles Fragility – Mild Sensitivity 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 Skin Typing Who would like to be skin typed? Color Thickness Oiliness Laxity Fragility The Opportunity Give every patient who walks in your office the opportunity to learn about the Obagi Systems! Obagi Nu-Derm Obagi-C Obagi Rx Professional-C Serums