Skin
Acne and skin aging respond to prescription-strength treatment most products can't legally contain. A licensed provider builds your routine around your skin, if prescription care is right for you.
About 5 minutes · Treatment prescribed only if appropriate
What we treat
Treatments
May — not will. These are the medication classes our providers work with in skin. Which of them is appropriate, if any, is a clinical decision made after reviewing your health.
TretinoinPrescription — nightly topicalSee the medication
Azelaic acidPrescription-strength topicalSee the medicationPrescription — nightly topical
A prescription retinoid with decades of clinical use in acne and photoaging. Strength and formulation are chosen by your provider for your skin, if prescribed.
Prescription-strength topical
Treats acne, redness and post-acne marks, and is gentler than retinoids — a provider may prescribe it alone or alongside tretinoin.
Complete safety information for any medication is provided during your visit and with every prescription. Your provider walks through side effects and interactions before anything is prescribed.
Most telehealth sites make you finish the quiz before showing a number. We think that's backwards. The figures below are market-typical illustrations while our final catalog is completed — they are not offers.
Every price includes provider review and ongoing care. Medication is included only if prescribed — and you'll always see your exact total before paying anything.
The mechanism
Retinoids don't scrub the surface. They change how quickly the skin replaces itself, one layer down.
Skin renews on a cycle
Dead cells shed as new ones rise. When that cycle slows, cells and oil accumulate inside the pore.
A blocked pore is where acne starts
Trapped material forms a plug. Bacteria and inflammation follow — the visible spot is the last step, not the first.
Retinoids speed the cycle up
Tretinoin binds retinoic acid receptors in skin cells and accelerates turnover, so pores clear before they plug.
Which is why the first weeks are rough
Faster turnover also means dryness and purging. Providers raise strength slowly — that ramp is part of the treatment, not a delay before it.
The mechanism
Retinoids don't scrub the surface. They change how quickly the skin replaces itself, one layer down.
Skin renews on a cycle
Dead cells shed as new ones rise. When that cycle slows, cells and oil accumulate inside the pore.
A blocked pore is where acne starts
Trapped material forms a plug. Bacteria and inflammation follow — the visible spot is the last step, not the first.
Retinoids speed the cycle up
Tretinoin binds retinoic acid receptors in skin cells and accelerates turnover, so pores clear before they plug.
Which is why the first weeks are rough
Faster turnover also means dryness and purging. Providers raise strength slowly — that ramp is part of the treatment, not a delay before it.
A simplified diagram, not a treatment plan. Individual response varies, and whether any of this applies to you is a decision your provider makes after reviewing your health.
How it works
About five minutes. Your answers go to a licensed provider, not an algorithm.
A clinician licensed in your state reads your history and decides what's appropriate — including when the answer is no.
If it's right for you, you get a plan and the full cost before paying. Check-ins included.
Questions
Over-the-counter products cap active ingredients at levels that often don't move the needle. Prescription treatment is stronger — which is exactly why it requires a provider to confirm it's appropriate for your skin first.
With retinoids, an adjustment period of dryness or purging is common and usually temporary. Your provider will tell you what's normal and what's worth messaging them about.
Five minutes of questions, reviewed by a licensed provider. Treatment only if it's appropriate — and a straight answer either way.