sadly that's becoming the exception and not the rule....personally I'd only let the doctor do it, but it's more about experience with the machines I guess
you want to make sure that they have experience before they touch you, particularly if it's going to be a deep treatment -- perhaps the doctor does those and the lighter more surface treatments are done by the nurses and assistants
try photo dynamic therapy - they put an acid on your face ALA and you incubate then it's activated with red and blue light....it's what they do for pre cancerous lesions....it can be very helpful in shrinking the sebaceous glands
also clean up your diet if you haven't, ditch dairy if you haven't and see what happens, it's a trigger for many
but do look into the acne PDTs, expensive but if you can swing it, that's where I would go next
so he's not a derm or a ps, is he a nurse practioner? or a physician's assistant? I'd want to understand his background and experience sure.
I've had the erbium resurfacing, it did help, but the downtime was very rough, much worse than I thought...so you really need a minimum of 2 weeks off, minimum- but there was improvement, no doubt....I now do dermastamping on the remaining rolling scars, but the erbium smoothed things out, no doubt....but wowzer, what a long recovery
I had fraxels too, and I honestly think the 5 of those I had gave me as much % wise as the big erbium resurfacing, but each of those had a few days downtime...but honestly all up all in, I'd take the series of fraxels. personally
I would lower the dosage, yes it extends the time, but minimizes side effects, and right now you need a normal active life, and that includes football for you
so drop the dose down, try 20 twice a day, and if that is still an issue then go to 30 (20 am and 10 pm)...you'll find the right dose, and if after football you feel like you want to go back up, then you do
so fingers crossed- but I would ditch dairy all together if I were you- get an almond milk or coconut milk...but hey you know your body/skin best
some other advice from a long time cystic acne sufferer- when the bump starts, go get an injection of kenalog- find a good derm who is very skilled at this, trust me I've had a LOT of shots, when you find a good one you'll know it.....that for me takes it right out in 24-48 hours....now if you are getting 2 or 3 a week then we have to go another way
far from nasty- but I get it- you've had it a while, it will take time to fade- use an AHA daily, like the one on acne.org, or look for the red box product alpha hydrox, get a 10% AHA- start slow once a day, patch test first before you put all over....then wear a sunscreen daily!
it will fade, takes time, this jump starts the time!