Outline files attached. Pre-defined headings. Case study from perspective of dermal therapist assisting in a cosmetic medical clinic, not from a medical practitioner’s perspective. CASE STUDY: “James is a 19 year old interested in treatment for post acne scarring. He has suffered with SEVERE acne since he was 14 years old and took a course of Roaccutane 2 years ago. His acne has not flared up since though the skin has been left with moderate to severe pitting. James has a Fitzpatrick skin type III and is concerned with the potential pigmentary changes that may occur with treatment. he has received some supporting reading material and is booked to see the doctor.” Correct treatment is fully ablative laser YAG at 2940nm – no thermal damage to residual tissue; or Ebrium CO2 at 10600nm – lots of heating, coagulates bleeding. Dermal therapies to support: microdermabrasion, follow-up laser rejuvenation, chemical peels, cosmeceutical grade skincare. Discuss use of Kligmans formula for any pigmentary issues post laser.