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Schedule a consultation if any of the following apply: Your PIE has not visibly improved after 4 to 6 months of consistent home care with proven actives and SPF discipline The marks are affecting your confidence, social comfort, or makeup routine in a way you no longer want to manage You have active acne alongside the PIE, which means new lesions are continuing to create new PIE faster than the old marks fade You have a mix of PIE plus PIH plus textural scarring, which requires a coordinated treatment plan rather than ad-hoc topicals You are Fitzpatrick IV, V, or VI and want a protocol designed for melanin protection alongside vascular treatment You are preparing for a major event (wedding, photo session, milestone) within the next 6 to 12 months and want to optimize results At our Doral medical aesthetic clinic, every PIE consultation begins with a full skin evaluation under standardized lighting, a personal acne and skincare history, identification of Fitzpatrick type and PIE vs PIH coexistence, photo documentation, and a written staged plan that balances home care, in-office vascular treatment, and prevention

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