by Peter T. Pacik, MD, FACS
When we think of resurfacing, we usually think of chemical peel, dermabrasion or laser. These are all aggressive resurfacing procedures which are done under local anesthesia without or without sedation, and often require an 8 to 12 day recovery period.
We recommend a variety of topical drugs which can accomplish a milder resurfacing over a longer period of time for patients who either have milder problems or who do not want the down time.
Glycolic acid, when combined with hydroquinones and tretinoin (Retin-A) are the active ingredients that can accomplish considerable improvement in a non-surgical setting. At times, we add microdermabrasion to speed up the process and allow for more rapid penetration of the drugs. This too is considered non-surgical in that it can be done as an office procedure with no down time.
The before and after photographs below show such a patient who utilized the Obagi Nu-Derm Advanced Skincare System for patchy hyperpigmentation, melasma and acne, with the expected remarkable results. She has given us permission to use her before and after photographs so that others who have similar problems can benefit from this Obagi Nu-Derm Skincare System.
We have enjoyed taking care of her and we are grateful to her for her compassion!


Before Obagi Nu-Derm Products: Severe hyperpigmentation, melasma and acne. Hyperpigmentation may be hormonal. Obagi Nu-Derm Advanced Skincare System recommended with 0.025% Tretinoin.


3 week follow-up Obagi Nu-Derm Products: Reduction in uneven skin tone. Improved skin clarity. Some blemishes due to mild irritation.


6 week follow-up Obagi Nu-Derm Products: Amazing results. Skin tone is more even. Reduction in hyperpigmentation. Fewer blemishes. Patient will continue with the Obagi Nu-Derm System for 2-3 skin care cycles (12 to 18 weeks).


26 week follow-up Obagi Nu-Derm Products: Excellent results after 4 skin cycles. Patient now on maintenance program. Malasma has completely disappeared. Patient very pleased with the results of the Obagi Nu-Derm Advanced Skincare System.
Advanced Skin Care
The Plastic Surgery Center is proud to offer the finest physician-strength skin care products available for purchase online through our skin care Web site:
www.skincare-md.com
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The Plastic Surgery Center of Manchester, New Hampshire specializes in cosmetic plastic surgery, including body lifts, breast enlargements, breast lifts, breast reductions, eyelid surgery, ear surgery, facelifts, fat grafting, liposuction, neck and chin surgery, rhinoplasty (nose surgery), surgery after massive weight loss, and tummy tucks. We also offer facial rejuvenation (chemical peels, dermabrasion, Obagi Blue Peels, Glycolic Peels, Microdermabrasion), injectables and facial fillers (BOTOX® Cosmetic, Radiesse®, Juvederm®, Perlane® and Restylane®) and advanced skin care to patients from all over New England (Maine, Vermont, New Hampshire, Massachusetts). While no responsible practitioner gives guarantees for the work they do on the human body, we can at least reassure you that you will receive the expertise and dedication of over 30 years in practice. Our patients become an important part of our family and we try to get to know each patient individually and customize their treatment to meet their desires.