Online Skincare Consult

The average waiting time to see a skin care expert is quite long in some areas. The Advanced Skincare Tool can start you on your way to discovering the options for addressing your concerns.

Our on-line consultation tool is a fantastic opportunity to get no-risk, no-obligation feedback on your unique skincare concern or age management issue. Our philosophy is that no two skin types are alike and we know that each individual requires different solutions to adequately address combination skincare problems. It is infrequent that a client has a single, isolated skincare issue. For example, dry skin over the cheeks with uneven skin tones and large pores and oily naso-labial skin. Combination skin can be easily treated when the issues are recognized.

The Advanced Skincare Tool allows you to get preliminary feedback on your unique concerns. Our skincare experts can begin to understand your individual problem. We may be able to give you suggestions on a topical skincare regimen or options to address discoloration, uneven tone, oily or dry skin, acne, scarring, wrinkle formation, skin laxity or cellulite formation.

The skin is the largest organ of the body and we have unique solutions for problems in any area of the body. So begin your journey today and discover the options available to you. Get a prompt, expert advice to start you on your way.

Keep in mind there really is NO CURE for acne, but it can be controlled.

NOTE: You are under no obligation to purchase any products. You may skip questions if you like, however the more information we have, the more we can help you. Or, if you prefer you may email us directly with your questions or contact our Skin Care Clinic at 1-877-642-2644 (office hours are Tuesday, Wednesday, and Thursday 11am to 8pm, and Saturday 9am to 4:30pm, Eastern Time).

General Information
Gender?	Male Female
Age:
What country do you live in?	United States Canada Mexico Other, please specify Other:

Your Skin
How long have you suffered from acne?	(years)
Where do you breakout? (check all that apply)	Face Chest Back Other:
Is your skin:	Dry Normal Combination Oily
Mark all that apply to you:	Blackheads Small Whiteheads Large Whiteheads Cysts
Do you scar easily?	Yes No
How many days does it take for a pimple to go away?	days
What is your hair color:
What is your eye color:
Complexion:	Light Medium Dark
Do you blush easily?	Yes No
Does your skin become dry easily?	Yes No
Do you wear a moisturizer daily? If so, where?	Yes No Eyes Only Neck Only Cheeks Only Entire Face Entire Face and Neck

Your Lifestyle
How many hours do you spend each day in the sun?	Summer: Winter:
If you smoke, how many cigarettes each day?
How many hours do you sleep each night?
How many glasses do you drink each day of:	Water Caffeinated Drinks Alcoholic Drinks
Are you a student?	Yes No

Your Acne Treatment History

Are you sensitive or allergic to any of these products: Retin-A Salicylic Acid Glycolic Acid/AHA's Benzoyl Peroxide Sunscreen

What have you tried in the past for your acne?

For women only
Do you wear makeup?	Yes No
Do you menstruate?	Yes No How frequently (i.e. monthly, every 6 weeks, ...)
Are you pregnant ?	Yes No
Breast-feeding?	Yes No
Do you take a birth control pill?	Yes No Brand:

For men only
Do you breakout where you shave?	Yes No
How often do you shave:	Daily 3x/week Less than 3x/week
What type of shaver do you use:	electric shaver hand-held razor
Shaving creme	Yes No

 

Tell us about yourself

If there is anything else that we should know about you?

Required Information

What is your email address? - this is the only question you must answer! You are under no obligation to order. Your email will not be shared with any other companies. Please read our complete privacy policy for more information.

Optional Information
If you feel comfortable giving us more information, please do so. We will be happy to contact you directly.
Name
Address
Phone number	(please include area code)
How did you hear about us? Friend, website, publication, other...	Please select one Google Yahoo Ebay Referred by a Friend Alta Vista Infoseek Excite Another Web Search Engine, please specify Newspaper, please specify Saw Your Ad in..., please specify Other, please specify Friend's name, URL or Publication :

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