Twelve weeks of quiet skin

He came in with an eight-product routine and a jaw full of deep, painful lesions. The first thing we did was remove six of the products. A significant part of what he was treating was irritation his own regimen was maintaining.

The programme ran fortnightly: extraction of what was already blocked, a light peel to keep the follicles open, and intralesional treatment for the deep nodules that were heading towards scarring. Light-based therapy was added from week four once the surface had calmed enough to tolerate it.

New lesion counts dropped from around twelve a fortnight to two by week six. The last active nodule appeared in week nine. We then spent the final three weeks on the red marks left behind, which faded quickly once nothing new was appearing.

He is on a simple three-step home routine and comes for a maintenance facial every six weeks. The residual scarring on the left jaw is real and is a separate course he has chosen, for now, not to have.