How long until I see results?

Inflammatory bumps often improve within 4–6 weeks; texture and dark marks improve over 8–12+ weeks. Consistency matters—your MD will provide a simple AM/PM routine.

Can you treat sensitive skin or eczema-prone skin?

Yes. We can use a slow ramp, moisturizer sandwiching, and gentler actives to minimize irritation while keeping the plan effective.

Do you prescribe oral antibiotics or isotretinoin?

We emphasize topicals first and antibiotic stewardship. Oral options may be considered case-by-case; severe scarring or cysts typically need in-person dermatology.

Acne Treatment Online — Clear, Stepwise Care from a Board-Certified MD

Breakouts affecting your face, chest, or back? TeleDirectMD connects you with a board-certified MD by secure video for just $49. When appropriate, we’ll send same-day prescriptions and give you a practical routine designed to reduce new lesions, calm inflammation, and prevent dark marks.

Who This Is For

Adults (18+) with mild to moderate acne (whiteheads, blackheads, inflamed papules/pustules)
Stable health without severe widespread nodules, cysts, scarring, or systemic red flags
Patients seeking an evidence-based topicals-first plan and simple, durable routines

How Our $49 Visit Works

Smart Intake (2–3 minutes): Breakout pattern, products used, skin sensitivity, pregnancy status, and goals.
MD Video Visit: We confirm acne type/severity, screen for look-alikes (folliculitis, perioral dermatitis), and tailor a stepwise plan.
Prescription & Plan: If appropriate, same-day e-Rx plus written AM/PM routine, ramp schedule, and follow-up cadence.

What We Commonly Prescribe (Topicals-First)

Category	Examples	How It Helps
Retinoids	Adapalene, Tretinoin	Unclog pores, reduce comedones, even texture
Benzoyl Peroxide (BPO)	2.5–5% gels/washes	Anti-inflammatory, decreases C. acnes; used alone or with antibiotics
Topical Antibiotics (with BPO)	Clindamycin/BPO combos	For inflammatory lesions; paired with BPO to reduce resistance
Adjuncts	Non-comedogenic moisturizers, gentle cleansers	Improve tolerance and barrier function

Oral options may be considered case-by-case when appropriate; we emphasize antibiotic stewardship and will outline next steps if in-person care is better.

Your AM/PM Routine (We’ll Customize in Writing)

AM: Gentle cleanse → BPO wash or thin BPO gel layer → lightweight, non-comedogenic moisturizer → broad-spectrum SPF 30+
PM: Gentle cleanse → pea-size retinoid (2–3 nights/week, then increase as tolerated) → moisturizer
Ramp tips: Start low/slow; sandwich retinoid with moisturizer if sensitive; pause and resume if irritated

Safety Checks Before Prescribing

Medication and allergy review; pregnancy status (retinoids are not used in pregnancy)
Skin sensitivity/eczema, occupational sun exposure, and prior reactions
Antibiotic stewardship: pair any topical antibiotic with BPO; limit duration

When In-Person Dermatology Is Safer

Severe nodulocystic acne, scarring, or failure of well-adhered topical therapy
Systemic symptoms or suspicion for alternative diagnoses needing procedures or labs

What to Expect After Your Visit

Most pharmacies fill prescriptions within hours. Many see fewer inflammatory bumps in 4–6 weeks; texture and marks improve over 8–12+ weeks with consistent use. You’ll receive written steps, ramp rules, and follow-up timing.

Related Skin & Lifestyle Pages

Ready for a routine that actually works? Book your TeleDirectMD video visit now.

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