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I like a series of glycolic peels with a very light dermafile on top of the glycolic (ensure you have plenty of slippage so you aren't tugging at the skin). I would do 6 treatments, one week apart. They should be mini 20 minute treatments. Or, you could continue to do your blueberry enzyme with the dermafile also (if its working, keep it up).
For homecare, ensure she has green tea cleanser (primary cleanser), glycolic cleanser and retinol scrub used 2-5 times per week (adjust usage based on tolerance), cucumber toner, ageless hydrating serum, appropriate moisturizer and spf.
I agree with you that her makeup and digestive issues can be the culprit.
Hurray!
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