Acne

Acne starts when hair follicles clog with oil and dead skin cells. Bacteria and swelling can then lead to inflamed spots. Hormone changes, family history, and some skin products can play a role. Acne affects adults as well as teens, and it is not simply caused by dirty skin.

Tretinoin is a topical retinoid that helps keep dead skin cells from building up and blocking pores. It may reduce existing acne and help prevent new breakouts over time. Results vary. A licensed physician in your state decides whether tretinoin, alone or with other ingredients, is appropriate for you.

Prescription acne treatment usually takes weeks rather than days to show changes, and fuller improvement may take several months. Results vary. Tretinoin can also cause early irritation or an initial increase in breakouts. Follow your prescribed schedule, and contact your physician if symptoms are severe or your skin is getting worse.

Follow the directions on your acne prescription, since the amount and schedule depend on its ingredients. For tretinoin, directions often call for a thin layer on clean, dry skin over the acne-prone area. Avoid the eyes, lips, and broken skin. Do not increase the amount or frequency without medical advice.

Topical acne medicines can cause dryness, peeling, redness, stinging, or burning. The risks depend on the ingredients and your skin. Tell your physician about persistent or painful irritation. Stop using the product and seek urgent help for signs of a serious allergic reaction, such as trouble breathing or facial swelling.

You may be able to use other skin care products with prescription acne treatment, but some combinations cause extra irritation. Share your full routine with your physician, including cleansers, acids, retinol, and spot treatments. Do not add another acne medicine or change application timing without checking your prescription instructions.

Some prescription acne medicines should not be used during pregnancy, and breastfeeding also requires an ingredient review. Topical retinoids such as tretinoin are generally avoided during pregnancy. Tell your physician if you are pregnant, planning pregnancy, or breastfeeding before starting treatment. A licensed physician in your state will review appropriate options.

Adult acne may need a treatment plan that accounts for hormone changes, skin sensitivity, and other health concerns. Breakouts near the jaw or around menstrual periods can have a hormonal link, but location alone does not prove the cause. A licensed physician in your state can review your pattern and options.

Acne may need an in-person exam if you have deep, painful lumps, scarring, a sudden severe breakout, or an unclear diagnosis. Online treatment is not right for every case. A licensed physician in your state can review your symptoms and advise whether you need a dermatologist or other local care.

You can request acne treatment through a Verra Health online or video visit. A licensed physician in your state reviews the visit and decides whether to prescribe. The online visit fee is $99; the video visit fee is $149. Medication is charged only after a physician approves.