New!

Rosacea • Ages: 30-65 (most common) • 14 million people with rosacea • (11 million unaware that their condition is rosacea)

• • • •

More common in women More severe in men Fair-skinned, British or Northern European origin Chronic and progressive

The etiology is unknown - Rosacea is believed to be a vascular disorder • Inflammatory cells in upper dermis • Not related to pilosebaceous unit • The role of Demodex folliculorum or Helicobacter pylori is up for debate

Rosacea: Clinical Features Location: • Affects central face and nose • “Butterfly” distribution • Nasolabial area Lesions: • Pustules and papules • Telangiectasia Appearance: • Initial appearance is transient blushing • Persistent red face • Swelling of tissue • Enlargement of sebaceous glands • Closely resembles acne vulgaris • Develops episodically • Dry skin in 50% of patients

Rosacea: Clinical Features

Chronic/progressive

24% relapse within days

60% relapse within 6 months

Majority relapse after stopping treatment

Standard Classification of Rosacea 1.

Primary Features Flushing/blushing Nontransitory erythema Telangiectasia Papules/pustules

2.

Secondary Features Stinging/Burning Dry appearance Edema Vascular Persistent erythema Fine and course telangiectasia Ocular lesions

Stages of Rosacea • Stage 1: Vascular Persistent erythema Fine & coarse telangiectases Often red, irritated, watery eyes

• Stage 2: Inflammatory Papules & pustules Appear on forehead, nose, cheeks Facial pores are prominent No comedones Inflammation is the hallmark symptom

• Stage 3: Connective tissue hypertrophy Inflamed, edematous Large pores Inflammatory nodules Rhinophyma

Rosacea: Psychological Impact • • • •

Embarrassment Low self-esteem Mistaken linkage to alcoholism Frustration with misdiagnosis and unpredictable onset of symptoms

Identifying the Rosaclear Patient •Rosacea can vary substantially from one individual to another •Rosacea affects those with fair skin •Symptoms tend to appear around or after age 30 •Affects both men and women, 3X more common in women •Rosacea patients can present with a combination of signs including •Flushing •Persistent redness •Bumps and pimples •Visible blood vessels

Faces of Rosacea Identifying the Rosaclear Patient Facial Redness

Bumps and Pimples

(erythematotelangiectatic rosacea)

(papulopustular rosacea)

Flushing and persistent redness. Visible blood vessels may also appear.

Persistent facial redness with bumps or pimples.

Typical Areas for Rosacea Symptoms

Rosacea: Treatment

• Avoid trigger factors • Topical – OTC – Rx

• Systemic – Rx

• Procedures – Laser/Light therapy – Electrodessication

Rosacea: Skin Care

• Avoid harsh soaps, toners • Wash with mild soap, cool rinse • Fragrance-free, water-based cosmetics

TA-DA! The rosaclear system

Gentle Cleanser Metronidazole Topical Gel USP,0.75% Hydrating Complexion Corrector Skin Balancing Sun Protection SPF 30

The Three C’s Condition: – Redness – Visible Capillaries – Flushing – Non-acne papules and pustules

The Three C’s Concern – Aware of skin reddening – Occasional or persistent facial, décolletage flushing, may be accompanied by heat – Acne rosacea; papules and pustules – Not able to conceal condition with cosmetics alone

The Three C’s Commitment – Simple system – Continued care for continued control of symptoms – Maintenance is going to vary based on patient condition and secondary concerns

Provides Immediate Benefits with Continued Improvement

Reduces the Appearance of Redness and Blotchiness

• Effectively treats the inflammation while minimizing the signs and symptoms associated with rosacea • • • • • •

Calming Agents Reflective Agents Rx Component Gentle Non-Comedogenic Formulations Protects the Skin

• Helps rosacea patients achieve a clearer, calmer, more balanced-looking complexion

Easy to Use for Better Patient Compliance

Simple, easy to use system:  Gentle Cleanser  Metronidazole Topical Gel USP, 0.75%  Hydrating Complexion Corrector  Skin Balancing Sun Protection SPF 30

Value to the Practice

•Meeting the needs of patients while bringing value to the practice •Treating a new sub-set of patients

2006 Sales U.S. Topical Rosacea Market*

$34.3 M

•Rosacea affects approximately 14 million Americans •Only 1.1million of those suffering seek treatment •79% of rosacea sufferers aren’t aware that there is treatment for their skin condition

Metronidazole All Others

$102.7 M

$137 Million Market

The Only Complete Therapeutic System for Rosacea Patients

All-in-one, prescription based system:

Designed to treat rosacea patients:

•Gentle Cleanser

•Age 30 and older

•Metronidazole Topical Gel USP, 0.75%

•Fair Skin

•Hydrating Complexion Corrector

•Female and Male (primarily female)

•Skin Balancing Sun Protection SPF 30

•Redness & Flushing •Papules & Pustules

Rosaclear Product Overview • Gentle Cleanser 6.7 fl.oz. - $18.00  Gently cleanses sensitive skin  Removes bacteria and other irritating residues  Calms and sooths the skin  Key Ingredient: Aloe Barbadensis Leaf Juice

Rosaclear Product Overview •

Metronidazole Topical Gel USP, 0.75% - $29.00 (Rx Only) 45 gram tube  Obagi Branded  Use Twice Daily  Most-prescribed topical treatment for rosacea  “Gold Standard” topical treatment  One and ONLY officedispensed metronidazole  Provides long term therapeutic treatment  Indicated for the inflammatory papules and pustules associated with rosacea

Rosaclear Product Overview • Hydrating Complexion Corrector 3 fl.oz.-$29.50  Protects the skin barrier  Moisturizes the skin  Reduces visible redness and blotchiness immediately  Balances complexion immediately  Non-comedogenic  Key Ingredients: Glycerin, Licorice, Aloe, Lavender, Sea Whip, Mica

Rosaclear Product Overview •

Skin Balancing Sun Protection SPF 30 3 fl.oz. - $24.50 (sold separately)  New sunscreen for Obagi  Chemical free and tinted  Superior broad spectrum sun protection against UVA/UVB rays  Reduces the appearance of redness and blotchiness immediately  Key Ingredients: Micronized Zinc Oxide 15.5% Micronized Titanium Dioxide 2.0%

Rosaclear and other Obagi Systems Go back to Condition, Concern, & Commitment •How are the patients’ skin cells functioning? •Do they have photodamage? •Do they have symptoms of rosacea? •What is their primary concern? •What is their commitment level? •What products are they currently using? •Is Rosaclear being used with procedures?

The Rosaclear System

Before and After Photos Baseline

Week 1

Before and After Photos Baseline

Week 1

Before and After Photos Baseline

Week 4

Counter Card • 11 x 13 inches •Easel-backed •Comes with opening order!

Practice Education Material

Practice Education Material

Practice Education Material

Rosacea & Rosaclear Treatment Pocket Guide

Patient Material – Take-one

Patient Material – Take-one

Sales Support • • • •

Tissue Box Customizable post card E-blast – available now! GWP: Straw hats • fashionable and protective

• Posters obagimarketing.com • Discuss with Sales Representative