What type of facial is good for spot prone skin?

[Sunshinedaisybuttermellow]

I'm looking at possibly changing the type of facial I have, and was wondering if anyone had any recommendations.
I'm 30, skin generally pretty good, however I am prone to spots. I have a lot of small bumps under my skin, and the occasional larger spot usually on my chin or jawline. By occasional I mean usually 1, and then every so often I have 3 or 4. They are usually quite large and red. I've attached a couple of pictures but they aren't the best.
I've been having monthly microdermabrasion and dermaplane facials for almost a year now, and my skin isn't really any better. They do give me a glow and my skin feels fresh, but my spots aren't any better.

Does anyone have any recommendations of what may be good for my skin? Or maybe better skincare around the facials if that's the issue?

You need a drs appointment to kill the bacteria causing the spots.

Agree with Fluffy.

It’s possible the facials are making things worse, depending on the ingredients and fragrance in the products they are using

Thanks both. It's very hard to get an appointment with my doctors at the moment but I'll try.
I wouldn't necessarily say my skin is any worse, in general it looks better (less oily, more glowy) but the spots just haven't improved.

Your skin looks gorgeously clean and glowing - I’m not sure any facial can help with the spots (which don’t look bad at all by the way). I think they are more systemic to your body system than a “surface” problem if that makes sense?

I think I have rosacea - my GP assessed me over the phone - not even on camera! - and I’m on two months antibiotics for these tiny little bumps I have under the skin. Worth a shot via your GP. good luck!

They’ll probably just do a phone appt and give you a topical preparation.

Acne improves rapidly when you use the right treatment.

I agree , please discuss with Gp and then maybe try a less vigorous facial ? Something a bit gentler till the skin heals up ?

High frequency facials are good - they use electricity to help kill bacteria under the skin

HI, OP!

What is your current skin routine? You have the same skin as I do, same issues.

You need to add exfoliants in your routine, BHA 2% liquid exfoliant from Paula's choice works wonders for closed comedones. Make sure you add it into your routine slowly (1-2 times/week to start with, build up slowly)

Also, hydration & a gentle cleanser should do the trick. Don't forget about SPF 50 everyday!

Really important too is the cause of acne. Could it be PCOS?

I don't know how much money you are spending on facials, but have you considered going straight to a private dermatologist? I used to have terrible cystic acne and scarring but after spending money on a Harley St derm, my skin has been absolutely well-behaved (using prescription creams). Expect to pay £250 for consultation, plus another £250 up front for creams, serums, recommended face wash etc. Then about £100 every 2-3 months from thereon in.

Yes, it's a lot of money but may even out in the long run?