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Skin Analysis

YOUR SKIN

Skin Type
Skin Moisture Content
Skin Blood Circulation
Skin Sensitivity
Muscle Tone
Lines (Glogan Scale)
Fitzpatrick Scale
Acne Present
Acne Grade

SKIN DISORDERS / IMPERFECTIONS

Mark on diagram

Acne

Blackheads

Broken Capillaries

Comedones

Cherry Angioma

Deep Lines

Dry

Dilated Capillaries

Discoloration

Eczema

Fine Lines

Hyperpigmentation

Hypopigmentation

Keloids

Milia

Oily

Papules

Photo Aging

Psoriasis

Pustules

Moles

Rosacea

Sensitivity

Scarring

Skin Tags

Sunburn

Telangiectasia

Thin

Warts
Other

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Please describe what and where your disorders/imperfections are:

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