Medical Grade Skin Care Products

Conveniently located to serve the areas of Marin and San Francisco

TNS Recovery Complex +Total Defense & Repair Broad Spectrum sunscreen used over 12 weeks.

TNS Recovery Complex + Total Defense & Repair Broad Spectrum sunscreen

PSS offers medical grade skin care to our patients to ensure your skin stays healthy, fresh and as wrinkle free as possible. We have chosen 2 of the best skin care lines available; SkinMedica and Obagi. To understand which line (or combination of the two) are best for your skin, budget and lifestyle, please call us to set up a skin care consulation. We will assess your skin for overall health, skin damage, problem areas, texture, elasticity, laxity and discoloration. If you choose to, we can use our Visia camera to assess and record your skin condition. The Visia camera uses UV and cross polarized lighting to record and measure surface and subsurface skin conditions. RBX technology helps visualize spider veins, hyperpigmentation and rosacea. This complete analysis and report clarifies problem areas and treatment choices.

After assessing your skin we will recommend a program that fits your lifestyle. We’ll go over what you can expect and results you’ll see within weeks. Do keep in mind full skin turnover is 4-6 weeks, so there are times when your skin may look more irritated before it looks better. This is part of the process to get your skin healthier and transform and renew skin texture.

Of course, the final touch for any skin care regimen is religious use of a good sunscreen. Remember sunscreen needs to be reapplied throughout the day for constant protection. If not, be sure to use a mineral powder with an SPF to refresh sunscreen. Sun damage can occur on cloudy days, and indoors.

We’ll also make recommendations for skin care after any procedure, whether it is a Halo laser treatment, a chemical peel or a Venus Viva RF treatment. To fully reap the benefits of your treatment we carefully outline pre- and post- procedure skin care. Healing creams can actually bring more macrophages (part of the skin renewal process) to the treated area to further boost skin renewal.

Our list of products and skin lines include:

SkinMedica

Proven Results, Based in Science

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SkinMedica, brings almost two decades of data-driven scientific research to the forefront with its innovative and proprietary skincare products.

SkinMedica Products:

TNS Essential Serum

All-in-one skin rejuvenating treatment improves the appearance of fine lines, wrinkles, skin tone and texture. Appropriate for all skin types.

Initial results occurred in 30 days with optimal results occurring in 90 days*
Key ingredients to make it work:

Chamber 1: TNS Recovery Complex®

  • Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized growth factor blend that helps improve the appearance of fine lines, wrinkles, skin tone and texture.

Chamber 2: APS Corrective Complex™

Peptides help support skin:

  • Palmitoyl Tripeptide-5
  • Hydrolyzed Silk (Sericin)
  • Dipalmitoyl Hydroxyproline

Antioxidants that help prevent free radical damage:

  • Ergothioneine (EGT) → An antioxidant with free radical scavenging properties.
  • Ubiquinone (Coenzyme Q10) → An antioxidant that helps to counteract free radical damage and works synergistically with vitamin E.
  • Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant rich in polyphenols.
  • Tetrahexyldecyl Ascorbate → A stable form of ascorbic acid (Vitamin C), a proven antioxidant.
  • Tocopheryl Acetate → A form of vitamin E, an antioxidant and free-radical scavenger.
  • Rubus Fruticosus (Blackberry) Leaf Extract → A natural antioxidant rich in polyphenols.
  • Saccharomyces Ferment Lysate Filtrate → A bio-optimized yeast extract that helps prevent free radical damage.

Specialty Ingredients

  • Alpha-Arbutin → Brightens skin.
  • Hyaluronic Filling Spheres → Dehydrated filling spheres, containing hyaluronic acid, help trap water on the surface of the skin like a sponge.

Lytera Skin Brightening Complex

Brightens dull skin and minimizes the appearance of skin discoloration and dark spots and improves overall skin condition. Improvements seen as early as 4 weeks.

Key ingredients

Lytera® features a proprietary blend of ingredients that work together to help brighten and even skin tone by reducing the appearance of dark spots.

  • Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (vitamin C).
  • Niacinamide → Vitamin B3 improves skin moisturization and helps to enhance the barrier function of the skin. Helps promote even looking skin tone.
  • Ethyl Linoleate → Essential fatty acid ester helps promote even looking skin tone and helps support barrier function.
  • Squalane → Mimics the lipid content of skin and helps support the skin barrier and is skin’s first line of defense against water loss.
  • Retinol → Lipid-soluble vitamin A helps smooth dry, thick and rough skin by enhancing exfoliation. Helps even skin tone.
  • Dunaliella Salina Extract → Natural colorless carotenoids of phytoene and phytofluene extracted from unicellular algae. Colorless carotenoids help quench free radicals and brighten the skin.
  • Hexylresorcinol → Helps to brighten the skin.
  • Tetrapeptide-30 → Skin brightening peptide.
  • 4-Ethoxybenzaldehyde → Helps even skin tone and brighten skin.
  • Glycyrrhiza Glabra (Licorice) Root Extract → Natural extract, rich in glabridin, a highly effective antioxidant with excellent skin brightening qualities.

TNS Recovery Complex

Clinically shown to reduce the appearance of skin discoloration and improve the appearance of fine lines and wrinkles. Appropriate for all skin types for rejuvenation.

Key ingredients:

  • Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized combination of multiple natural messenger proteins.

Vitamin C+E Complex

Improves the appearance of skin tone and texture with vitamins C & E.

Key ingredients include:

Different forms of antioxidant vitamins C and E are released gradually throughout the day to help prevent free radical damage:

  • Ascorbic Acid (vitamin C) → A water-soluble antioxidant vitamin found in plants and produced synthetically.
  • Tetrahexyldecyl Ascorbate (vitamin C) → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C).
  • Tocopheryl Acetate (vitamin E) → A stabilized ester of vitamin E.
  • Tocopherol (vitamin E) → Oil-soluble, natural form of vitamin E.

Dermal Repair Cream

Ultra rich moisturizer provides intense hydration, helps prevent moisture loss and improves skin smoothness to restore your skin’s natural beauty.

Key Ingredients

  • Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C), a free radical scavenger.
  • Tocopheryl Acetate → A stabilized ester of vitamin E, an important antioxidant and free-radical scavenger.
  • Tocopheryl Linoleate → A vitamin E/fatty acid derivative that helps keep the skin moist and supple.
  • Sodium Hyaluronate (Hyaluronic Acid) → A derivative of hyaluronic acid that naturally occurs in the skin. Has the ability to retain up to 40 times its weight in water on the surface of the skin.
  • Algae Extract → An extract derived from a wide variety of plants grown in seawater and fresh water.

Uplifting Eye Serum

Smoothes the appearance of skin around the eyes and reduces the appearance of puffiness and fine wrinkles.

  • Algae Extract → An extract derived from a wide variety of plants grown in seawater and fresh water. Helps hydrate skin and provides skin-softening, remineralizing vitamins and antioxidants to the skin.
  • Glycyrrhiza Glabra (Licorice) Root Extract → An ingredient with skin brightening effects.
  • Kojic Acid → A mushroom derived ingredient used to improve the appearance of skin tone.
  • Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant, rich in polyphenols.

TNS Eye Repair

Reduces the appearance of fine lines, wrinkles and puffiness around the eyes.

Key Ingredients

  • Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized combination of multiple natural messenger proteins.
  • Palmitoyl Tetrapeptide-7 → A synthetic peptide that helps improve appearance of fine lines and wrinkles.
  • Palmitoyl Oligopeptide → A synthetic tripeptide that helps improve appearance of fine lines and wrinkles.
  • Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C).
  • Tocopheryl Acetate → A stabilized ester of vitamin E that is an antioxidant and free-radical scavenger.
  • Retinyl Palmitate → A natural lipid soluble form of retinol.
  • N-Hydroxysuccinimide and Chrysin → This combination of ingredients reduces the appearance of dark circles.
  • Boron Nitride → Optimizes the optical diffusion effect of light, which lessens the visibility of dark circles and discolorations to enhance skin appearance.

HA5

A new chapter in hydration: HA5

HA5_8_OZ_PumpHA5 Rejuvenating Hydrator provides immediate smoothing in the appearance of fine lines and wrinkles, and supports the skin’s natural ability to replenish its own hyaluronic acid for overall skin health. Ideal for all skin types. Contains VITISENSCE™ TECHNOLOGY, an exclusive SkinMedica® antioxidant blend, that harnesses potent antioxidants found in Vitis Flower stem cells and algae extracts to support skin’s ability to replenish its own HA5 and support long term skin health.

Key ingredients

  • FEATURES A PROPRIETARY BLEND of five different forms of HA that work synergistically to optimize smoothness in the appearance of fine lines instantly and provide up to 8 hours of continuous hydration
  • Time Release HA, a SkinMedica® proprietary ingredient for sustained release of HA5
  • Sodium Hyaluronate for immediate hydration
  • Uncross-Linked HA for topical smoothness
  • Nano Hyaluronate soothes skin
  • Cross-linked HA for long-lasting hydration for up to 8 hours
  • Proprietary antioxidant stem cell extract from the Vitis Flower
  • Peptide complex to support skin rejuvenation and hydration
  • Polysaccharides from French Polynesia & Plankton Extract for healthy skin

TNS Ultimate Daily Moisturizer SPF 20

Hydrates your skin while providing UVA and UVB protection to help prevent sun damage.

Active Ingredients

  • Octinoxate 7.5% → An FDA-approved, water-resistant sunscreen that provides excellent UVB absorption that helps prevent sun damage to the skin.
  • Zinc Oxide 5.3% → An FDA-approved inorganic sunscreen. When used in sunscreens, it creates a physical barrier that coats the skin surface and blocks most UVA and UVB rays from penetrating the skin.

Key Ingredients

  • Human Fibroblast Conditioned Media → A physiologically balanced, naturally secreted and stabilized growth factor blend.
  • Saccharomyces Ferment Lysate Filtrate → A bio-optimized yeast extract that supports the skin’s barrier.
  • Pikea Robusta Extract (Red Algae) → Helps prevent free radical damage.
  • Ubiquinone (Coenzyme Q10) → A natural, lipid soluble antioxidant which helps to counteract free radical damage and works synergistically with vitamin E.
  • Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant rich in polyphenols.

SkinMedica Retinol Complex 0.5 & 1.0

Renews skin and diminishes the appearance of fine lines.

Appropriate for:
All skin types pre-conditioned by using Retinol Complex 0.25 or another retinoid product

Purpose:
Enhance skin tone, texture, and resiliency

Results:

  • Diminished appearance of fine lines and coarse wrinkles
  • Enhanced skin tone and texture

SkinMedica Total Defense and Repair SPF 34 (Tinted and Non-Tinted)

Revolutionary superscreen goes beyond UV protection to defend against harmful infrared rays while supporting the skin’s ability to restore itself.

Rejuvenating superscreen to prevent the appearance of premature aging from chronic exposure to infrared rays. Provides comprehensive protection beyond UVA and UVB while supporting the skin’s ability to restore itself.

Results:

Powered by SOL-IR™ Advanced Antioxidant Complex to:

  • Protect skin from harmful infrared rays (IR-A rays)
  • Reduce the appearance of lines and wrinkles*
  • Improve the appearance of damaged skin*

Key Ingredients:

  • Octinoxate 7.5%
  • Octisalate 3.0%
  • Titanium Dioxide 3.5%
  • Zinc Oxide 8.0%

Center of Excellence

  • Over 40,000 procedures performed
  • Over 40 years of combined experience

Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.

Meet Dr. HvistendahlMeet Dr. Poulos

Black Diamond

OBAGI Medical

Obagi is a professional skin care line established in 1988 with the goal of offering medical grade skin care solutions. The Obagi line is prescription strength and only sold at a doctor’s office, which is why the products work so well.

Obagi Kits:

OBAGI C RX system

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Address early signs of skin aging and damage with a unique regimen that combines the benefits of both prescription-strength hydroquinone and Vitamin C. Two customized systems (for normal to oily, and normal to dry) treat all skin types combine the benefits of prescription-strength 4% hydroquinone with the antioxidant power of Vitamin C.

Vitamin C is the most important skin antioxidant Vitamin C may offer many useful benefits:

  1. Helps minimize the appearance of fine lines and wrinkles
  2. Calms inflammation
  3. Brightens skin
  4. Retains moisture
  5. Stabilizes Vitamin E5

Kit includes:

Professional C Serum

Various strengths to choose from depending upon your skin type:

10% Concentrated formula gentle enough for dry, irritated, or sensitive skin.
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15% High-performance serum for most skin types.
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20% Highest concentrated serum best suited for normal to oily skin.
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Obagi C Cleansing Gel

Clarifies and prepares your skin for absorption of ingredients, while also removing makeup and oil.
Obagi C Balancing Toner Specifically formulated for normal to oily skin, this alcohol-free non drying toner adjusts to your skin’s PH.

Obagi C Clarifying Serum (Normal to Oily Skin)

Reduces the appearance of dark spots for a lighter, brighter skin tone. Valid prescription required. Please see Prescribing Information.

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Obagi C Exfoliating Day Lotion

A smooth lightweight moisturizer that hydrates and gently exfoliates to reveal a brighter, healthier complexion.

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Obagi C Therapy Night Cream C-Therapy Night Cream

Gradually diminishes the appearance of dark spots and provides continuous coverage with Vitamins C and E while you sleep.*Valid prescription required. Please see Prescribing Information.

Other Obagi-C products we offer:

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Obagi ProC EyeBright Peptide SunCare SPF 30

Helps minimize the visible signs of skin aging, especially around the eyes. Improvement in as little as one week, including reducing the appearance of crepiness and crow’s feet, and minimizing dark circles and puffiness. Apply both morning and evening.

OBAGI NuDerm Kits

For Dry Skin

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For Oily Skin

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The #1 prescription strength, skin care system.

It works on a cellular level—and the results are dramatic.

  • Reduces the signs of premature skin aging
  • Accelerates skin cell turnover through gentle exfoliation
  • Reduces acne flares with the use of Tretinoin
  • Improves the appearance of hyperpigmentation by inhibiting the production of melanin
  • Helps skin laxity

Obagi NuDerm Foaming Gel Normal to oily) OR Obagi Cleanser (Normal to Dry)

Gently removes makeup and everyday impurities for a clean, fresh complexion.

Obagi NuDerm Toner

Alcohol-free nondrying toner helps adjust the skin’s pH to prepare skin for penetration of other product ingredients.

Obagi NuDerm Clear

Gentle yet effective prescription strength hydroquinone helps correct the appearance of age/sun spots for a healthier, more even complexion.

Obagi NuDerm Exfoderm (normal to dry) OR Exfoderm Forte (Normal to Oily)

A lightweight lotion that helps exfoliate the top layer of skin, removing dull, old skin cells while revealing new skin cells for a brighter complexion.

Obagi NuDerm Blender

A unique formula containing prescription-strength hydroquinone for the gradual lightening of age/skin spots and other types of skin discoloration. Renova (tretinoin cream) may be used with Blender, as prescribed by our doctors.

Obagi NuDerm Hydrate (day time), and Hydrate Luxe (night time renewal)

A moisturizing cream to be used as-needed to soothe areas of dry, flaky skin. Hydrate Luxe compliments overnight renewal and metabolic function.

Sun Shield Matte Broad Spectrum SPF 50

A sunscreen that combines UVB absorption and UVA protection in an elegant matte finish that is non-comedogenic, allergy-tested and dermatologist tested. Sheere, PABA free and fragrance free for all skin types.

OBAGI360 Kit – an early intervention system.

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This kit is formulated for those who want to proactively address skin care needs.

(97% of patients saw improvement in their skin within the first week of use.)(12-week study)

360 Exfoliating Cleanser

Works to clear clogged pores that can cause dull, dry, uneven skin.

360 Retinol 0.5

This entrapped form of retinal is gradually released, refining the appearance of skin texture and tone for clearer-looking skin with minimal irritation.

Retinol 1.0 Sold separately

For those looking for a stronger percentage of retinol.

Hydrafactor Broad Spectrum SPF 30

A dual-function moisturizer with soothing ingredients and broad-spectrum protection to help prevent skin damage caused by UVA/UVB rays.

OBAGI Clenziderm M.D. – an acne treatment system

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  • This kit is formulated for those who have mild to moderate acne
  • Penetrates deep to reach bacteria in pores

Daily Care Foaming Cleanser

2% salicylic acid cleanser with calming menthol leaves skin feeling clean and fresh.

Pore Therapy

2% salicylic acid solution unclogs pores and clears away dead skin cells

Therapeutic Lotion

Lightweight 5% benzoyl peroxide lotion delivers medication deep within the follicles where the acne starts.

Therapeutic Moisturizer (sold separately)

20% glycerin formula calms, soothes and protects skin.

Other Obagi Speciality products

Elastiderm Eye Cream

A light, smooth cream clinically proven to help reduce the appearance of fine lines and wrinkles for firmer, more resilient-looking skin around the eye.

Elastiderm Eye Gel

A cooling, refreshing gel to help reduce the appearance of fine lines and wrinkles and give the skin around the eyes a firmer, more resilient feel.
(46% increase in elasticity)

BiaFine

Helps damaged skin heal, providing an optimum moist environment for the healing process.

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Facial Rejuvenation

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