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1100 S Eliseo Dr Ste 2 • Greenbrae, CA 94904-2017

YS Creams Instructions

This creams program is intended to be used twice daily for 1-3 months.

1. YS One (Cleanser)

Wet face, lather with YS One, rinse and pat dry. This can be done in the shower.

2. Dermfresh (Toner)

Apply Dermfresh with a cotton pad or with fingertips. Allow to dry.

3. Evaness (Lightening Lotion)

Apply enough cream to cover entire face.

4. Evaness and Sunscreen or Evaness and Retin-A (Tretinoin)

AM: Combine a pea-sized drop of Evaness with a pea-sized drop of sunscreen SPF 30 or higher. If you will be in the sun, it is important to apply sunblock throughout the day.

PM: By combining Evaness and Retin-A at night, you are effectively diluting the prescription Retin-A to a dose that is tolerable for your skin.

People differ significantly in their sensitivity to Retin-A. Some people can use a large portion (equivilant to 5 pea-sized drops) and their skin appears only slightly pink, while other people use less than one pea-sized drop and their skin is red, peely, burny, itchy, and stingy. The best way to use Retin-A is to start out conservatively for at least one week, then slowly increase the quantity every few days until your skin is evenly pink and mildly dry/peely. Your reaction to Retin-A is completely controllable. If you choose to use a mild approach, the pinkness can be barely noticeable. If you choose to be more aggressive, your skin will always be pink and peely but your dyspigmentation and wrinkles will fade more rapidly.

The different areas of skin on the face and body differ in their sensitivity to Retin-A. Typically, the most sensitive areas are around the mouth, nose, and eyes, especially in creases. The neck and chest also tend to be very sensitive. You should combine Retin-A and Evaness in the palm of your hand and apply to your forehead, and the sides of your cheeks first, then blend the extra cream forward towards the middle of your face where the skin is more sensitive. If you are noticing that around your mouth and eyes still tend to peel more, while the rest of your face isn’t reacting enough, then you can increase the Retin-A on the outer parts of your face and dilute the Retin-A/Evaness with the moisturizer for the more sensitive areas. A good way to do this, is to use the Retin-A/Evaness from around your face that is left over and just add moisture cream. Please note that it takes several days for your skin to "catch up" so if you apply too much Retin-A today, you won’t become red until tomorrow or the next day. This is why it is so important to wait several days before increasing the quantity of Retin-A you apply.

5. Dermsol Apply moisturizer to your face as needed to your entire face during the day and at night. Dermsol has soothing agents that help your skin to better tolerate the Retin-A.

As always, if you should have any questions or concerns while using the skin care program, please do not hesitate to call the office.

Maintenance Instructions

 

 

After using the YS Creams program for 1-3 months and desired improvement in pigmentation is achieved, use the following instructions for ongoing maintenance.

Monday -Friday AM

1. Wash face with YS One

2. Apply Dermfresh (toner)

3. Apply Sunscreen

4. Apply Dermsol as needed


Saturday and Sunday AM:

1. Wash face with YS One

2. Apply Dermfresh (toner)

3. Apply Evaness

4. Apply Sunscreen

5. Apply Dermsol as needed

Monday-Friday PM

1. Wash face with YS One

2. Apply Dermfresh (toner)

3. Blend Dermsol and Retin-A 1:1 and apply



Saturday and Sunday PM:

1. Wash face with YS One

2. Apply Dermfresh

3. Apply Evaness

4. Blend Evaness and Retin-A 1:1 and apply

5. Apply Dermsol as needed