Anti‑Aging Skincare Online — Retinoids That Actually Work (Without the Burn)

Who this is for: Adults (18+) seeking photoaging improvement (fine lines, texture, dyschromia) who want a stepwise retinoid plan that minimizes irritation and maximizes adherence.

What to have ready

·       Skin history: eczema/rosacea tendency, recent peels/laser, cold‑sore history.

·       Products you already use: acids (AHA/BHA), benzoyl peroxide, vitamin C, exfoliants, fragrances.

·       Sun exposure patterns and sunscreen habits.

·       Pregnancy plans/status: do not use retinoids in pregnancy.

How the visit works

1)      Smart intake: goals, sensitivities, routine, sun exposure, travel.

2)      MD video visit: choose tretinoin strength/vehicle or recommend adapalene for sensitive starters; teach the “pea‑size, 2–3 nights/week” ramp.

3)      Plan: moisturizer “sandwich,” sunscreen pairing, what to avoid, and how to manage flares.

4)      Same‑day e‑Rx (tretinoin strength matched to your skin) + written routine.

What we prescribe

·       Tretinoin cream/gel 0.025%–0.05% to start; consider 0.1% only after tolerance is established.

·       Adapalene for very sensitive skin or combined acne/photoaging concerns.

·       We do not prescribe isotretinoin or systemic agents via this service.

The routine we’ll write out for you

·       Night 1,4,7… (2–3 nights/week): gentle cleanse → pea‑size retinoid → moisturizer; increase to every other night, then nightly as tolerated.

·       AM: broad‑spectrum SPF 30+; antioxidant optional; bland moisturizer.

·       Avoid on the same night: strong acids, benzoyl peroxide (with tretinoin), harsh scrubs; hold 1 week before/after peels/laser.

Irritation management & safety

·       Dryness/flaking: reduce frequency, add moisturizer “sandwich,” consider short buffer time.

·       Redness/sting: take a break 2–3 nights; restart slower.

·       Cold sores: if history of HSV‑1 on lips, avoid application to vermilion; consider antiviral on hand.

·       Sun sensitivity: consistent SPF is non‑negotiable.

Follow‑up & expectations

·       Texture/brightness improves by 8–12 weeks; fine lines and spots continue improving over 3–6 months.

·       We’ll set a check‑in at 6–8 weeks to fine‑tune.

Pricing & scope

·       $49 flat adult video visit; cash‑pay; cosmetic service.

·       No controlled substances; adults‑only.

FAQ

Cream or gel?
Dry/sensitive skin often prefers cream; oily skin may like gel. We’ll match formula to your skin type.

Can I use it in summer?
Yes—with diligent SPF and hats. UV protection is part of the plan year‑round.

Will I purge?
Some people have transient flares in the first few weeks. It settles as the skin adapts.

Ready to build a routine that sticks?

Book your $49 MD video visit for anti‑aging retinoids. Smart start, better results.