There are quite a few decent options in the area depending on what exactly you're looking for. When you say medical-grade products, are you interested in just facials or are you also considering more advanced treatments like chemical peels or microneedling? That might help narrow down recommendations. In my experience, the best places usually have licensed aestheticians who take time to do proper skin consultations before recommending treatments. You mentioned combination skin with breakouts, so you'll definitely want somewhere that customizes treatments rather than doing one-size-fits-all approaches. Have you looked into any med spas in the area? They tend to have more advanced options compared to regular day spas, and the staff usually has more training in dealing with problematic skin. I'd suggest calling a few places and asking about their consultation process before booking anything. Also, don't be afraid to ask about the products they use and the qualifications of their staff.