On my first appointment Dr. Fisher suggested a series of peels starting with the lactic acid and moving to stronger peels over time. My skin felt wonderful for the first time in years! I am approaching 50 and my skin is healthier and more beautiful now than 20-30 years ago. Dr. Fisher is very honest in her assessment of what results she can achieve for clients. She stays at the forefront in terms of new products/methods. Her skin care line is excellent and great value for the money.