In the aesthetics world, certain treatments seem to pop up everywhere—on social media, in influencer videos, and in glossy ads. Hydrafacial is one of those services. I get asked fairly often why I don’t offer it, so I thought I’d share my perspective as someone who’s spent two decades helping clients achieve healthy, resilient skin.

Since it’s National Skin Care Awareness Month, I thought I’d share with you these basic principles I use to guide my professional aesthetics practice. I’ve been practicing now for 19 years and I didn’t always have a road map on how to treat clients. These are things I’ve developed over time going through struggles with my own skin right alongside my clients and their unique skin concerns. These 4 pillars are also the result of countless trial and error scenarios and the various books and articles I’ve read and educational programs I’ve sought out over the years.