The client presented with 2nd grade acne on the back and shoulders, experiencing discomfort and painful sensations, particularly when wearing clothes and sleeping. Initial evaluation revealed multiple inflamed pustules and papules, with widespread redness and localized tenderness indicative of active inflammation.

The treatment protocol included one in-office chemical peel using 15% Trichloroacetic Acid (TCA) and a 1 customizable skin treatment tailored to address hydration and inflammation. The combination approach was designed to target active acne while soothing and repairing the skin. Post-treatment care instructions emphasized hydration, barrier protection, and sun avoidance to ensure proper healing.

Reduction in pustules and papules: Significant improvement in the appearance of active acne lesions.
Inflammation reduction: Noticeable decrease in overall redness and tenderness.
Improved skin clarity and comfort: Visible enhancement in skin texture and tone.
Increased quality of life: The client reported a marked decrease in discomfort, leading to a better quality of life, particularly during daily activities and sleep.

The combination of a 15% TCA chemical peel and a session of customizable skin treatment demonstrated measurable and visible improvements in the severity of back and shoulder acne, reducing both the number of active lesions and associated inflammation. The treatment not only addressed the physical symptoms but also enhanced the client's overall comfort and confidence. Proper aftercare and periodic follow-ups are recommended to maintain results and prevent future breakouts.