Retinoids, pigment agents and oral treatment, compounded and adjusted to your skin by a licensed clinician.
A prescription retinoid with decades of evidence behind it for texture, fine lines and acne. Your clinician starts you at a strength your skin can tolerate and steps it up over months, which is the part most people get wrong on their own.
$42/mo
Flat monthly price, shipping included. Prescription only. Available only if a licensed clinician determines it is appropriate for you after an online consultation. Not all patients are eligible.

A prescription-strength pigment agent for melasma and post-inflammatory marks. It is used in cycles rather than indefinitely, and your clinician will tell you when to stop and what to switch to.
$48/mo
Flat monthly price, shipping included. Prescription only. Available only if a licensed clinician determines it is appropriate for you after an online consultation. Not all patients are eligible.

An oral treatment for hormonal acne along the jaw and chin that does not respond to topicals. It requires monitoring, which is exactly why it needs a clinician rather than a shopping cart.
$36/mo
Flat monthly price, shipping included. Prescription only. Available only if a licensed clinician determines it is appropriate for you after an online consultation. Not all patients are eligible.

Prescription topicals commonly cause dryness, peeling, redness, stinging and increased sun sensitivity, and daily sunscreen is not optional while using them. Tretinoin and hydroquinone must not be used in pregnancy or while trying to conceive. Hydroquinone can rarely cause ochronosis, a persistent darkening, with prolonged uninterrupted use, which is why it is cycled. Oral spironolactone can raise potassium, lower blood pressure and cause menstrual irregularity, and is not appropriate with certain kidney conditions or medications. Your clinician reviews your full history and may order bloodwork.
Compounded medications are prepared by a licensed pharmacy pursuant to a valid prescription and are not FDA-approved products. This page is general information, not medical advice. Report side effects through our adverse event page or to the FDA at 1-800-FDA-1088.
Often, yes. Retinoid purging and irritation are common for the first three to six weeks. Your clinician will tell you what is expected and what is a reason to stop.
Twelve weeks is the honest answer for retinoids. Pigment treatment is measured in months. This is slow medicine.
Usually, but not all of them. Tell your clinician exactly what you are using, particularly acids and vitamin C, so they can sequence it properly.
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This questionnaire is marketing, not a medical assessment. Responses provided prior to account creation will not be used as part of your medical assessment.