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What Happens at Your First Consultation Skin assessment — tone, texture, pigmentation depth, Fitzpatrick type Medical history review — medications, skin conditions, pregnancy status Peel recommendation — acid type, concentration, depth Patch test (often same session or scheduled 48 hours before first peel) Treatment plan — number of sessions, spacing, home care between sessions Cost breakdown — per session and total course A consultation with an experienced dermatologist is the most reliable first step — and at many clinics, the consultation itself is free or credited toward your treatment