I started seeing Dr. Nichols in 2015 for cystic hormonal acne which I never experienced as a teenager. I tried EVERYTHING before investing my time and money into Dr. N (proactive, retinol, microderm) etc. none which led my to consistently clear skin. So, after 2 years (of picking, putting make-up over the breakouts, and always having a red face) I realized the scarring from it all. I went to DrN desperate who tried a conservative approach for 1-month until we both decided to try Accutane. The monthly check-ups with her were great, she told me what to expect, how annoying accutane would be but how worth it it is for not only face acne but full body acne (like on my back). In month 4 out of 6 she prepared me on a full regimen on what we could do to help with the acne scarring. I told her I was on a budget and we started light (trying heavy duty chemical peels). With some improvement, I told her my goal was to wear no make-up and not hide my face with my hair. She recommended Microneedling with growth factor with alternating Fraxel treatments. I needed 6 treatments, which she said I would but I only budgeted for 3. Since I bought the package, the office gave a discount. The whole office staff is SO friendly, and today, I'm wearing limited make-up (SPF with a tinted color). While I'm not 100%, the B/A picture says it all. SO grateful for DrN because she heard me and helped when I was most desperate... (and not every doctor has the gorgeous space she has, the easy availability b/c i usually got an appointment within 3-days, and DrN + her staff was available for me on the weekends.) THANK YOU! highly recommend for cystic acne patients.. just know it's not cheap, you need to be invested, but this feeling of having clear skin makes it worth it!