Online Acne Treatment in Florida for Adults (Acne Vulgaris)
MD-only acne evaluation by secure video visit for adults in Florida, $49 flat-fee, no insurance required.
Adult acne (acne vulgaris) is common and can be comedonal (blackheads and whiteheads), inflammatory (red bumps and pustules), or a mix. TeleDirectMD helps adults by confirming the pattern, reviewing current skincare and triggers, and starting or adjusting evidence-based treatment. We focus on safe, effective topical therapy first and avoid unnecessary antibiotics.
- $49 flat-fee visit
- MD-only evaluation and prescribing
- Comedonal vs inflammatory acne treatment planning
- Antibiotic stewardship with topical-first strategy
- Adults only, you must be in Florida at the time of the visit
Last reviewed by Parth Bhavsar, MD on 12/24/25.
Clinician note: TeleDirectMD is MD-only and evidence-based. Most acne improves with consistent topical therapy over weeks. If you have severe nodules, scarring, or rapidly worsening acne, you may need in-person dermatology evaluation.
What We Review During Your Visit
- Type of acne and where it occurs
- Current skincare routine and irritants
- Prior medication response and side effects
- Pregnancy considerations and contraindications
Adults only (18+). Severe painful nodules, scarring, or acne with systemic symptoms requires in-person evaluation. Isotretinoin is not prescribed through TeleDirectMD.
Quick Answers
- Topical retinoids are the foundation for comedonal acne and prevention of clogged pores
- Benzoyl peroxide helps reduce bacteria and inflammation and lowers antibiotic resistance risk
- Topical antibiotics should be paired with benzoyl peroxide
- Most regimens need 6 weeks to 12 weeks of consistency for best results
- You must be physically located in Florida at the time of the visit
What Is Adult Acne?
Acne happens when pores clog with oil and dead skin cells, leading to comedones and inflammatory lesions. Hormonal shifts, stress, friction, occlusive products, and certain medications can contribute. Adult acne often involves the jawline and lower face but can also affect the forehead, cheeks, chest, and back.
TeleDirectMD evaluates the acne pattern and chooses a regimen that balances effectiveness with irritation control. We focus on simple routines that patients can follow consistently.
Acne Patterns and Red Flags
Telehealth is a great fit for most adult acne. This table highlights when video care is appropriate and when in-person evaluation may be needed.
| Finding | What it suggests | Telehealth appropriate? | Red flag requiring in-person care |
|---|---|---|---|
| Blackheads and whiteheads with mild redness | Comedonal acne | Yes | Severe painful nodules or cysts |
| Red bumps and pustules on face or trunk | Inflammatory acne | Often yes | Rapid scarring, draining lesions, or acne conglobata pattern |
| Jawline acne flares with cycles or stress | Hormonal component possible | Often yes | Signs of severe androgen excess with new systemic symptoms |
| Acne worsened by heavy products or friction | Acne mechanica or comedogenic products | Yes | Rash with fever or rapidly spreading skin infection |
| Pregnancy or trying to conceive | Medication selection constraints | Often yes | Need for in-person evaluation for severe acne options |
What Else Can Look Like Acne?
- Rosacea: facial redness with bumps, often without comedones.
- Folliculitis: inflamed hair follicles, can occur on chest and back.
- Perioral dermatitis: small bumps around the mouth and nose, often steroid-triggered.
- Contact dermatitis: itchy rash from skincare or hair products.
When a Florida Video Visit Is Appropriate vs. When to Go In-Person
When a Video Visit Is Appropriate
- Adult 18+ located in Florida at the time of the visit
- Mild to moderate acne with comedones or inflammatory lesions
- Requesting topical treatment initiation or adjustment
- Able to use daily topical therapy consistently
- No severe scarring or extensive painful nodules
Red Flags Requiring In-Person Care
- Severe nodulocystic acne or rapid scarring
- Widespread severe acne on chest and back with pain
- Suspicion for alternative diagnosis that needs exam or testing
- Need for therapies that require specialized monitoring
Acne Treatment Options
Most acne improves with a consistent topical regimen. The goal is to reduce clogged pores, calm inflammation, and prevent new lesions. Your plan may include a topical retinoid, benzoyl peroxide, and a topical antibiotic when needed.
Simple Home Routine
- Gentle cleanser twice daily
- Non-comedogenic moisturizer to reduce irritation from active medications
- Sunscreen daily to reduce post-inflammatory hyperpigmentation
- Avoid picking or squeezing lesions to reduce scarring risk
Medication Table
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Tretinoin 0.025% cream | Apply a pea-sized amount to the face nightly | 8 weeks to 12 weeks | Foundation therapy for comedonal or mixed acne, start slowly if sensitive |
| Adapalene 0.1% gel | Apply a pea-sized amount to the face nightly | 8 weeks to 12 weeks | Alternative topical retinoid option |
| Benzoyl peroxide 2.5% to 5% wash | Use once daily, rinse after 30 seconds to 60 seconds | Ongoing | Helps reduce inflammatory lesions and antibiotic resistance risk |
| Clindamycin 1% solution | Apply once daily in the morning | 8 weeks to 12 weeks | Inflammatory acne, use with benzoyl peroxide |
| Azelaic acid 15% gel | Apply twice daily | 8 weeks to 12 weeks | Acne with post-inflammatory dark marks, irritation-sensitive skin |
TeleDirectMD does not prescribe controlled substances. For acne, we prioritize topical-first therapy and avoid unnecessary antibiotic exposure. Topical retinoids should not be used during pregnancy.
Home Care and What to Expect
Acne treatment is a consistency game. Many topical regimens cause mild dryness or peeling early on. This usually improves as the skin adapts. Results are often noticeable by 6 weeks and improve further by 12 weeks.
- Start retinoids every other night for 1 week to 2 weeks if you are sensitive
- Moisturize to reduce dryness
- Use sunscreen daily
- Avoid picking to reduce scarring and dark marks
What to Expect From Your TeleDirectMD Acne Visit in Florida
TeleDirectMD provides adult-only, MD-only virtual care by secure video. Visits are $49 as a flat cash fee with no insurance required. If your acne is appropriate for telehealth, prescriptions can be sent electronically to your preferred pharmacy in Florida.
Adults only. You must be physically located in Florida at the time of your visit.
Florida Acne Telehealth FAQ
Can TeleDirectMD treat acne online in Florida?
Yes. TeleDirectMD provides MD-only video visits for adults in Florida with mild to moderate acne and can start or adjust topical therapy when appropriate.
How long does it take for acne treatment to work?
Many people notice improvement by 6 weeks, with better results by 12 weeks when treatment is used consistently.
Will tretinoin make acne worse at first?
Some patients experience a short adjustment phase with dryness or early flares. This typically improves with consistent use, moisturizer, and starting slowly.
Do I need benzoyl peroxide if I use clindamycin?
Often, yes. Benzoyl peroxide helps reduce bacterial resistance and improves inflammatory acne when used with topical antibiotics.
Can you prescribe isotretinoin?
No. TeleDirectMD does not prescribe isotretinoin. Severe nodulocystic acne or scarring typically requires in-person dermatology care.
Can acne treatments be used during pregnancy?
Some treatments are not safe during pregnancy. Topical retinoids should not be used during pregnancy. Your MD will help select safer options based on your situation.
What skincare products should I avoid?
Avoid heavy, occlusive, or comedogenic products and harsh scrubs. Non-comedogenic moisturizer and sunscreen help reduce irritation.
Can you provide a work note?
TeleDirectMD can usually provide a brief work note when medically appropriate as part of the $49 visit. We do not complete long-term disability, FMLA, or accommodation paperwork.
When should I seek in-person dermatology care?
Seek in-person care for severe painful nodules, rapid scarring, widespread severe acne, or if you do not improve after consistent treatment.
Is TeleDirectMD available across Florida?
Yes. As long as you are physically located in Florida at the time of the video visit, you can be evaluated.
Do you prescribe controlled substances for acne?
No. TeleDirectMD does not prescribe controlled substances.