Case Clinic: Why Won’t My Texture Go Away?

Client Profile:
We have a client who comes in frustrated with persistent “bumpy” skin across her forehead, cheeks, and chin. She says no matter what she does, her skin never feels smooth, and lately, it actually feels like it’s getting worse.

Skin History:

• Fitzpatrick III

• Reports “bumpy” skin that never feels smooth

• No significant inflamed acne, but consistent congestion and uneven texture

• Has been exfoliating regularly for the past year

Current Routine:

• Daily exfoliating cleanser

• AHA/BHA toner 4–5x per week

• Occasional physical scrub

• Lightweight moisturizer (inconsistent use)

• SPF (inconsistent)

Previous Treatments:

• Occasional chemical peels (no structured series)

• No advanced modalities

⭐ Discussion Question:
What professional treatments and homecare would you recommend for this client, and what would you stop or change in her current routine?