How are tightness and oiliness distinguished during a consultation for troubled skin?

While looking into acne skincare consultations, I am curious about the criteria used to assess seemingly contradictory concerns, such as tightness after washing and daytime oiliness. I would like to know if you only look at surface oil, or if you examine moisture levels, dead skin cells, current breakouts, and remaining marks separately.

Would it be possible to suggest a treatment sequence after assessing the current level of inflammation and irritation, rather than deciding on a specific name like extraction or peeling first? I would also like to know if sebum control can be performed even when the skin is dry, what the criteria are for when soothing is necessary and when extraction can be performed, and whether the intensity is adjusted by area.

Would it be helpful to organize a list of the facial cleansers, moisturizers, sunscreens, and exfoliating/functional products I use, along with their usage cycles, before the consultation? I would also like guidance tailored to my skin condition regarding products to skip before and after the treatment, as well as when I can wash my face, apply makeup, and exercise on the day of the session.

I would also like to know about potential reactions such as redness, dryness, or peeling that may occur after the treatment, as well as the criteria for consulting the clinic again. Please also let me know if it is possible to proceed with one treatment at a time rather than doing multiple treatments at once, and then adjust the next method and intervals after observing the results.