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WITHOUT THE USE OF RETIN A, HYDROQUINONE, or ANY OTHER TOPICAL/ORAL DRUGS All specific consent has been given for the photos to be used by actual clients: Client skin history: Previous Melasma Treatments: -Peels -Laser -Microdermabrasion -Over the counter skin care products -Retin A MELASMA TREATMENT CONSULTATION Skin was so sensitive and reactive that after initial change in protocol, her eyes and cheeks became puffy