Treat acne without an in-person dermatologist visit

Monica R, 44

I am 100% happy and satisfied and GRATEFUL, for my skin and confidence.

Victoria, 30

The regimen for the product fit perfectly into my day and night skincare routine.

Aisa, 27

I have seen dramatic progress with my face and am so happy my skin is clearing up!

Avery, 20

Hers skincare completely changed my complexion.

Gabrielle, 23

Clarice, 28

Thanks to HERS, I don’t need to wear makeup anymore!

Aneta, 26

I’ve been fighting with acne for 10 years. But after a month I could see a big difference.

Before/after images shared by customer. Customer's results have not been independently verified. Individual results will vary.

What our custom, prescription acne products treat

Acne is a common inflammatory skin condition that causes skin blemishes (eg, pimples, blackheads, whiteheads and cysts). Acne tends to occur on or around the face (eg, nose, cheeks, chin, forehead, scalp) or the upper body (chest, back, and shoulders). Acne happens when hair follicles are blocked with dead skin, bacteria and oil. Hormones can play a role in causing this.
Whiteheads are plugged pores that are closed on the top (aka closed comedones). These tend to cause a rough and bumpy texture to skin. They can range from mild to severe. Together with blackheads, whiteheads are considered comedonal acne.
Open plugged pores are called blackheads (aka open comedones). Blackheads make pores noticeable and can be mild, moderate (20+ pimples) or severe with multiple inflamed blemishes. Together with whiteheads, blackheads are referred to as comedonal acne by dermatologists.
Inflammatory Acne
Inflammatory acne is the type of acne you have if your skin is red and swollen (e.g., papules, pustules, nodules, and cysts). It can be mild or severe.
Fungal Acne
Fungal acne is common but can be misdiagnosed. Instead of the oversupply of sebum and oil typical of acne, fungal acne is caused by overgrowth of yeast, a type of fungus that is normally present on skin. This creates pimple-like bumps and irritated skin but it often does not respond to typical acne vulgaris treatments.
Dark Spots
Dark spots or discoloration on your face that remain after blemishes are generally a type of acne scar known as post-inflammatory hyperpigmentation, or PIH. PIH is a release of excess melanin (skin pigment) caused by inflammation after skin injury like acne. PIH generally takes months, possibly years to fade, though some treatments may speed healing time.
Skin Texture
Skin texture refers to the look, feel and consistency of the skin’s surface. When skin is not at its best, it may feel uneven, bumpy, rough, dry, or dull. Ideal skin texture is marked by soft, smooth and supple qualities, resulting from adequate hydration as well as collagen and elastin, 2 important proteins found in the skin.

What you can get

Comprehensive, quality adult acne care

A customized formula
The Fingerprint Formula Method involves specially selected ingredients, tailored to specific acne issues
Expert medical care
Quality medical professionals will help choose your formula, if appropriate—and are available for as many follow-ups as you need
The Clear Skin System
Our three-part routine arms you with everything you need to help maximize results and minimize irritation and dryness

Meet the team of products in the
Clear Skin System

This system covers all the bases of a skincare routine—from prescription-strength medicine, if appropriate, to our hydrating cleanser and lightweight moisturizer.

Customized Rx Acne Cream
  • A custom blend from five different ingredients, this prescription cream targets specific acne
  • Made to target specific skin goals
Prescription strength
Deep Sea Cleanser
  • A gentle, lightweight, hydrating cleanser perfect for acne-prone skin.
Suitable for acne-prone skin
Tidal Wave Moisturizer
  • A hydrating, gentle, non-clogging moisturizer made with hyaluronic acid and squalane
Super hydrating

Prescription products require an online consultation with a medical professional who will determine if a prescription is appropriate. See product page for important safety information.

A comprehensive routine

The Clear Skin System with prescription acne cream

Upgrade your prescription acne cream to a complete skincare routine for better results and less irritation.
Step 1: The Deep Sea Cleanser
Gently cleanses and hydrates your skin to prep for prescription treatment
Step 2: Custom Acne Face Cream
Customized to fight your acne with clinically-proven ingredients
Step 3: Tidal Wave Moisturizer
Locks in moisture without clogging pores (thanks to hyaluronic acid)

The story of a customized acne cream

Chapter 1

Answer some questions about your specific skin issues

Chapter 2

Consult online with provider, who will evaluate your answers and can prescribe a customized formula, if appropriate

Chapter 3

The formulas are blended in small batches

Chapter 4

If prescribed, we’ll ship your formula directly to your door for free.

We've got answers

Frequently asked questions about our acne treatments

What causes acne?
Acne is caused when the pores in your skin become blocked with oil, bacteria or dead skin cells. In your pores, there are glands that release an oil called sebum, which helps to keep your skin moisturized. With clear skin, your oil glands release the right amount of sebum and your pores remain clear of bacteria and dead skin cells. However, when your body releases too much sebum or there is an overgrowth of acne-causing bacteria, pores can become blocked and cause acne.
While nearly everyone experiences acne to some degree, some people experience occasional mild acne, while others have constant, severe acne. Mild acne may not have a root cause and may be treatable with homemade remedies or over-the-counter acne medications like salicylic acid or benzoyl peroxide. Severe acne, and especially hormonal acne, may require a prescribed treatment from a dermatologist.
How do you treat cystic acne?
Cystic acne is a severe type of acne characterized by inflamed, painful cysts deep under the skin and inflamed, red acne on the skin’s surface. Acne cysts are typically infected and difficult to treat with over-the-counter medications. Because cystic acne is painful and long-lasting, treatments from a dermatologist can be the most effective option. A dermatologist can look at your skin and prescribe a clinical-strength medication, either topical or oral, which can treat your cystic acne and keep it away for good.
How do you treat hormonal acne?
Hormonal acne is caused when certain hormones, especially androgens, cause an overproduction of sebum, clogging pores and causing breakouts. Hormonal acne can often flare up during menstrual cycle changes, pregnancy or puberty, but some women experience constant and annoying hormonal acne. Because androgens are often the root cause of hormonal acne, treatment typically involves reducing the level of androgens. Many women take oral contraceptives (birth control pills) for their skin benefits, and others take spironolactone, a diuretic with anti-androgen properties.
Why do pimples hurt?
Painful acne is typically caused by inflamed and infected cysts deep in the skin. It is the infection and inflammation that causes the irritation and pain, so painful pimples can best be treated with medication that reduces inflammation, namely a hydrocortisone cream or a corticosteroid shot from a dermatologist. If you consistently get painful pimples, you may have cystic acne and should talk to a dermatologist about treating the root cause of your acne with a prescription topical or oral acne treatment.
How long does acne last?
Most people have acne at some point during their lives and some people struggle with acne throughout their adult lives. The duration of acne depends on its cause. If you have a constant issue with excess sebum on your skin, acne could go on indefinitely without treatment. On the other hand, acne may be temporary and go away on its own. After starting a new acne treatment, it typically takes at least a month to start seeing results, as the skin needs time to turn over and heal.
With antibiotic medications like doxycycline, you may start to see improvement after just a couple weeks as the p. acnes bacteria begin to clear. With hormonal treatments, it may take significantly longer to see results. With all acne treatments, the full effects of treatment should be visible in approximately three months.
How do I get rid of adult acne?
The key to getting rid of adult acne, and all acne, is to determine the root cause of the acne breakouts and treat the cause. Problematic cystic acne that doesn’t respond at all to over-the-counter or topical medications may be hormonal in nature and need treatment with hormonal contraceptives or spironolactone. If the acne is primarily papules, pustules and redness, a treatment with tretinoin and clindamycin might be the best option. Dermatologists are able to examine your acne and prescribe you the right treatment.
How to get rid of stubborn acne?
Stubborn acne is really just acne that hasn’t been attacked with the right treatment method. If you are trying to treat your acne with drugstore benzoyl peroxide, but your acne is hormonal, the treatment will not be effective. If you have tried every over-the-counter acne treatment, it is important to visit a dermatologist to figure out what is causing your stubborn acne and develop a treatment plan. A dermatologist can prescribe a variety of medications that are prescription-only, such as antibiotics and stronger retinoids. Even stubborn acne can be eliminated with the right treatment.
What is the best acne treatment?
The best acne treatment is usually a personalized prescription treatment plan developed with a dermatologist. Some people can treat their acne with routine face care or over-the-counter treatments. People with an overgrowth of acne-causing bacteria may respond best to topical clindamycin cream or oral doxycycline. Women who are experiencing severe hormonal acne may need to consider oral contraceptives, spironolactone or a combination of both. A dermatologist can help you figure out which treatment is going to work the best for your specific acne. Connect with a provider on our website to start this conversation or keep learning about the best acne treatments on our blog.
What is the best birth control for acne?
There are three types of birth control that are FDA-approved to treat acne. These are Ortho Tri-Cyclen, Estrostep and Yaz. All of these pills are combination birth control pills, which contain both estrogen and progestin. Other oral contraceptives have also been shown to treat acne, but have not received FDA approval. However, progestin-only pills, also called the “mini-pill,” typically do not have the same effect on acne and some progestin-only birth control actually makes acne worse. If you have acne, it is important to discuss this with your doctor when choosing birth control.
Sometimes, a combination of spironolactone and birth control is used to treat acne. This is an excellent combination because it is important to prevent pregnancy while on spironolactone, and the birth control provides added anti-acne benefits. Talk to your doctor about whether birth control is the best option to treat your acne.

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