Highly recommended. She is the BEST, very honest, cares about you and knows exactly what treatment or treatments to use on your skin type. Elena will follow up with you on any procedure she does She is hands on from start to finish. There has been a noticeable difference in my skin and people have commented how good it looks, even though I am a smoker. I have been going to Elena for over 20 years and would not consider anyone else. I hope we have another 20 years together. Barbara Jarboe, West Palm Beach, Fl