I have a client who has combination skin, no real problems except the lower cheek, especially on the right hand side she has red spots under the skin, not even spots (not pustules) but a few red lumps (Papules?) She has had a course of 5 microdermabasion facials with me and although her skin has improved elsewhere, these will not budge in any way. She has requested a steam and extraction, but really, these can not be extracted in any way. she uses dermalogica cleanser at home and a l'oreal moisturiser, i have advised using a moisturiser for combination skin and not to add oil to the skin etc, but what else can i do or suggest to her? am quite stuck on this, really want to see some results!!!