New Skin Consultationebrahim2020-05-01T11:42:57+02:00 Please provide us with your details: First Name (required) Last Name (required) Email Address (required) Cell number (required) Age Which city are you located in? How did you hear about DermoProf Skincare/Who referred you? Select from the following list of attributes your skin type: Do you suffer from breakouts or acne prone skin? NoYes Do you have acne on your chest and back? NoYes Is your skin dry/dehydrated OR dry sometimes, oily sometimes OR oily all the time? Are you taking any medication for acne? If so, which medication? NoYes If not on medication currently, have you ever been on medication for acne/breakouts before? NoYes Please specify which medication,when and for what period? Are you allergic to Asprin or Salicylic acid? NoYes Do you have facial hair? Where on your face is hair mainly? NoYes What hair removal method do you use? If you have dark marks/hyperpigmentation, have you been on any products, salon or medical treatment for this? If so, please specify which products or treatment NoYes What products are you currently using on your face? Do you apply foundation, bb cream, powder, concealer or sunscreen everyday? Are you taking any oral or using any topical medication that makes your skin sensitive? NoYes Are you on any steroid or cortisone treatment? NoYes Are you having or have had laser/light treatment done on your face? What type of laser and how many treatments? NoYes Have you had any chemical peels done? NoYes Which products were you using as homecare maintenance during these treatments? Did you see an improvement after these treatments? NoYes Briefly, describe your skin challenges or requirements? Upload Picture (required - size limit 5mb) Guidelines on how to take proper images for assessment of your skin: 1. Use Plain White Background. 2. Take images with no reflections and shadows as far as possible. 3. Take an image of skin, clear and detailed of right side, left side and front of face, highlighting most prominent challenged areas. 4. Images must be taken without hair falling onto/covering face, without foundation/makeup and without sunscreen. 5. Please do not upload "selfies" as the position and clarity of images provided is important for us to assess..
