Elena Vogel

Hydrafacial Deluxe + LED. Skin noticeably calmer vs. last visit. Recommend a 4-week follow-up. Keep up consistent SPF 50+ use.

Comedones in the T-zone, occasional inflammatory papules on cheeks and chin. No cysts. Topical Adapalene 0.1% at night, salicylic acid in the morning. Follow-up in 6 weeks.

Patient reports strong redness and burning after applying hydroquinone-containing products. Avoid in future treatments. Alternatives: niacinamide, tranexamic acid, azelaic acid.

Multiple skin irritations on first contact with new active ingredients. Schedule a 24h patch test before any new treatment.