Adult Acne Treatment in Texas
MD-only online acne evaluation for adults in Texas with guideline-based treatment for mild to moderate acne, acne flares, and maintenance care. $49 flat-fee video visit, no insurance required.
Adult acne is common and often driven by clogged pores and inflammation. TeleDirectMD focuses on safe, evidence-based topical therapy and clear screening for situations that need in-person dermatology care.
- Acne type assessment: comedonal vs inflammatory
- Topical retinoids, benzoyl peroxide, topical antibiotics when appropriate
- Maintenance plans and irritation management
- Adults only (18+)
What Is Adult Acne?
Adult acne is a chronic inflammatory skin condition driven by clogged pores, excess oil, bacteria that live on the skin, and inflammation. It can show up as blackheads and whiteheads (comedones), red bumps (papules), pustules, or deeper tender nodules. Stress, certain skin products, friction, sweating, and hormonal shifts can worsen acne.
TeleDirectMD treats adult acne in Texas with a practical plan: reduce clogged pores, control inflammation, and protect the skin barrier. Results take time, and most regimens need consistent use for several weeks.
Acne Symptoms and Red Flags
TeleDirectMD evaluates acne severity, distribution, triggers, pregnancy status, and skin sensitivity, then recommends a regimen that is realistic and safe.
| Symptom or pattern | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person care |
|---|---|---|---|
| Blackheads or whiteheads with mild redness | Comedonal or mild inflammatory acne | Often yes | None, unless severe swelling or infection signs |
| Pustules on face, chest, or back | Inflammatory acne | Often yes | Rapid spreading redness, fever, or severe pain |
| Deep tender nodules or cysts | More severe acne, scarring risk | Sometimes, may need dermatology | Severe facial swelling, eye involvement, or systemic symptoms |
| Acne with irregular periods or new facial hair | Possible hormonal contribution | Sometimes | Severe symptoms suggesting endocrine issue, or rapid virilization |
| Rash with scaling, burning, or itching more than pimples | Dermatitis or rosacea more likely | Often yes | Eye pain, vision changes, or severe facial swelling |
| Pregnancy or trying to conceive | Medication restrictions apply | Yes with careful selection | Any severe reaction to a new product |
Conditions That Can Mimic Acne
Some rashes look like acne but require different treatment. Your TeleDirectMD physician differentiates based on appearance, symptoms, and triggers.
Rosacea
Central facial redness and sensitivity, often without blackheads. May flare with heat, alcohol, or spicy foods.
Folliculitis
Pustules centered on hair follicles. May worsen with friction, shaving, sweating, or hot tubs.
Perioral Dermatitis
Small bumps around mouth or nose, often triggered by topical steroids or heavy creams.
Contact Dermatitis
Itchy, irritated rash from skin products, masks, helmets, or occupational exposures.
When Adult Acne Can Be Managed Through Telehealth
TeleDirectMD is best for adults with mild to moderate acne, acne flares, or maintenance needs who do not have severe nodulocystic disease or concerning symptoms.
When a Video Visit Is Appropriate
- Adult 18+ with comedones, papules, or pustules on face or trunk.
- Need help choosing a regimen that balances effectiveness and irritation control.
- No fever, rapidly spreading redness, or severe facial swelling.
- Able to share clear photos if requested.
- Physically located in Texas at the time of the visit.
Red Flags Requiring In-Person or ER Care
- Rapidly spreading redness, warmth, severe pain, or fever.
- Eye involvement, vision changes, or severe facial swelling.
- Deep cystic acne with significant scarring or distress, may need dermatology.
- Severe medication reaction including hives, swelling, or trouble breathing.
- New concerning systemic symptoms.
How TeleDirectMD Treats Adult Acne in Texas
Acne treatment works best when it is simple and consistent. Most patients see meaningful improvement after 6 to 12 weeks of adherence, with earlier improvement in new inflammatory lesions.
Core Topical Plan
- Gentle cleanser and non-comedogenic moisturizer.
- Benzoyl peroxide to reduce inflammatory lesions and resistance risk.
- Topical retinoid to prevent clogged pores and improve texture.
Inflammation Control
- Topical clindamycin may be used short-term with benzoyl peroxide.
- Spot treatment guidance and irritation reduction strategies.
- Trigger review: friction, sweat, occlusive products.
When In-Person Care Helps
- Severe cystic acne, scarring, or need for procedures.
- Consideration of systemic options that require closer monitoring.
- Unclear diagnosis or overlapping dermatitis.
Medication Table for Adult Acne
These are common adult regimens. Your TeleDirectMD physician individualizes based on skin type, sensitivity, and pregnancy considerations.
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Adapalene | 0.1% gel, apply thin layer nightly | 8 to 12 weeks, then maintenance | First-line topical retinoid for comedonal and mild inflammatory acne. |
| Tretinoin | 0.025% to 0.05% cream, apply thin layer nightly | 8 to 12 weeks, then maintenance | Alternative topical retinoid. May be more irritating, start gradually. |
| Benzoyl peroxide | 2.5% to 5% wash or gel, use 1 time daily | 8 to 12 weeks, then maintenance | Reduces inflammatory lesions and helps prevent antibiotic resistance. |
| Clindamycin topical | 1% gel or lotion, apply 1 time daily | Up to 12 weeks | Inflammatory acne, typically paired with benzoyl peroxide. |
| Azelaic acid | 15% to 20%, apply 1 to 2 times daily | 8 to 12 weeks, then maintenance | Acne plus post-inflammatory discoloration, sensitive skin option. |
TeleDirectMD does not prescribe controlled substances for acne visits. If severe nodulocystic acne is present, in-person dermatology is often the safest next step.
Home Care and What to Expect
Acne regimens often cause mild dryness early. The goal is consistent use without damaging the skin barrier.
Home Care Checklist
- Use a gentle cleanser, avoid harsh scrubs.
- Moisturize daily, even if skin feels oily.
- Start retinoids every other night for 2 weeks if sensitive, then nightly.
- Use sunscreen daily, especially with retinoids.
When to Recheck
- No improvement after 10 to 12 weeks of consistent use.
- Significant irritation, burning, or worsening rash.
- Deep painful cysts or new scarring.
- New pregnancy or trying to conceive.
TeleDirectMD Adult Acne Care: What to Expect
TeleDirectMD provides MD-only virtual urgent care for adults for $49 flat-fee video visits in 25+ states. Your physician reviews acne type and severity, triggers, medication safety, and pregnancy precautions. When appropriate, we prescribe evidence-based topical therapy and provide a simple regimen and follow-up thresholds. No controlled substances are prescribed.