Prescription Acne Treatment & Scar Therapy in West Miami, Westchester, Coral Gables, and Pinecrest | LegacyMD

What prescription acne treatments are available at LegacyMD?

At LegacyMD, we offer a comprehensive range of prescription acne treatments customized to each patient's unique skin type, acne severity, and medical history. Our treatment plans are designed for residents in West Miami, Westchester, Coral Gables, and Pinecrest, especially those who haven't seen results with over-the-counter (OTC) products.

Prescription options include:

• Topical retinoids (Tretinoin, Adapalene, Tazarotene)
• Topical antibiotics (Clindamycin, Erythromycin)
• Oral antibiotics (Doxycycline, Minocycline)
• Hormonal therapy (Spironolactone for women)
• Isotretinoin (Accutane)
• Combination therapies like Epiduo, Onexton, and BenzaClin

Our board-certified providers design custom acne regimens that may include these prescriptions along with lifestyle and skincare guidance for long-term results.

How do topical prescription medications work for acne treatment?

Topical prescriptions target acne at the skin’s surface by regulating cell turnover, reducing inflammation, and controlling bacterial growth. Common topical treatments include:

• Tretinoin (Retin-A): A vitamin A derivative that promotes exfoliation and prevents clogged pores.
• Adapalene (Differin, Rx-strength): Treats acne while also improving pigmentation and texture.
• Clindamycin/Erythromycin: Reduce inflammation and kill acne-causing bacteria.
• Prescription benzoyl peroxide formulations: Break down pore-clogging debris and kill bacteria.
• Combination gels (e.g., Epiduo): Combine benzoyl peroxide with retinoids or antibiotics for synergistic effects.

These medications are effective for comedonal acne, mild inflammatory acne, and as a complement to oral therapies in more severe cases.

When should I consider oral prescription medications for acne?

If topical medications fail to sufficiently control breakouts or if you have moderate to severe inflammatory or cystic acne, our providers may recommend oral treatments. Candidates often include:

• Teens or adults with hormonal acne
• Patients with deep, painful nodules or cysts
• Patients with widespread body acne
• Those experiencing scarring

Oral medications can reduce inflammation systemically and prevent future lesions from forming. These include oral antibiotics, Spironolactone (for hormonal acne), and isotretinoin (Accutane) for severe or treatment-resistant cases.

What are tretinoin and retinoids, and how do they treat acne and improve skin?

Tretinoin, Adapalene, and Tazarotene are all part of the retinoid family, which work by:

• Increasing cell turnover
• Preventing clogged pores
• Reducing inflammation
• Improving post-acne discoloration and texture

These treatments not only clear acne but also reduce early signs of aging and improve overall skin clarity—especially valuable for patients in Coral Gables and Westchester FL where sun exposure and humidity can exacerbate breakouts and pigmentation.

How do prescription antibiotics help with inflammatory acne?

Prescription antibiotics are a critical option for moderate to severe inflammatory acne, particularly in cases involving papules, pustules, and cysts. Common oral antibiotics include:

• Doxycycline
• Minocycline
• Tetracycline

They work by:

• Killing Propionibacterium acnes (now known as C. acnes)
• Reducing inflammatory response
• Shrinking active lesions

These are often prescribed short-term (typically 3-6 months) and paired with topical treatments to prevent antibiotic resistance and promote sustainable results.

What is Accutane (isotretinoin) and when is it recommended?

Isotretinoin, commonly known by the brand name Accutane, is a powerful oral medication derived from vitamin A. It is typically reserved for:

• Severe cystic or nodular acne
• Acne that is unresponsive to other treatments
• Patients with scarring or recurring breakouts

Isotretinoin shrinks oil glands, eliminates bacteria, and prevents clogged pores—providing long-term or permanent remission in most cases.

Patients in Miami and Pinecrest often see significant skin improvements within 4–6 months of treatment. However, because of potential side effects, patients must participate in the iPLEDGE program and undergo regular lab testing and monitoring.

How do prescription treatments help with acne scarring?

Addressing active acne early is the best way to prevent permanent scarring. However, at LegacyMD, we also offer targeted therapies for:

• Atrophic scars (e.g., ice pick, boxcar)
• Hypertrophic scars
• Post-inflammatory hyperpigmentation

Prescription-strength retinoids, chemical exfoliants, and oral medications can stimulate collagen production, reduce pigmentation, and improve skin texture over time.

For deeper scars, prescription acne treatment is often combined with in-office procedures like chemical peels, microneedling, or laser therapy, depending on your needs.

What combination therapies work best for severe acne?

At LegacyMD, we use a layered treatment strategy for patients with severe acne, especially those in humid, sunny areas like South Florida. Common prescription combinations include:

• Tretinoin + topical antibiotic
• Benzoyl peroxide + clindamycin
• Oral antibiotic + topical retinoid
• Isotretinoin alone (when appropriate)
• Spironolactone + tretinoin for hormonal acne

Combination therapy targets multiple acne pathways, enhances effectiveness, and reduces the risk of recurrence. Our board-certified team monitors your response and adjusts your regimen as needed.

How long does it take to see results from prescription acne treatments?

Prescription acne medications require patience and consistency. Here’s what you can expect:

• 2–4 weeks: Mild improvement; some patients may experience an initial purging phase
• 8–12 weeks: Noticeable reduction in breakouts
• 3–6 months: Full results and significant improvement in texture and tone

Continued maintenance therapy and lifestyle support help prevent future flare-ups and maintain skin clarity.

What are the potential side effects and how are they managed?

Like all medications, prescription acne treatments can cause side effects. Common issues include:

• Skin dryness and peeling (especially with retinoids)
• Sun sensitivity (wear SPF 30+ daily)
• Initial worsening of acne (purging)
• Antibiotic-related stomach upset
• Mood changes, joint pain, or lab abnormalities with isotretinoin

At LegacyMD, our providers closely monitor your progress and offer supportive strategies like hydrating products, gradual application schedules, and nutritional advice to minimize discomfort.

How do prescription treatments compare to over-the-counter options?

While OTC treatments like benzoyl peroxide and salicylic acid can help with mild acne, prescription medications:

• Offer higher concentrations and stronger efficacy
• Are customized for your skin type and acne pattern
• Provide clinical-grade ingredients that work at a deeper level
• Allow for medical supervision and progress tracking

Especially in South Florida, where heat and humidity can trigger flare-ups, prescription treatments offer superior control and long-term benefits.

Why choose LegacyMD for prescription acne treatment in South Florida?

LegacyMD proudly serves the communities of West Miami, Westchester, Coral Gables, and Pinecrest with evidence-based dermatology care that puts patients first. Here’s why local residents trust us:

• Board-certified provider oversight
• FDA-approved prescriptions only
• Personalized treatment plans
• Regular monitoring and side effect management
• Electronic prescribing and lab integration
• Insurance coordination available

We understand the climate-related skin challenges unique to South Florida—like sun exposure, humidity, and sweat—and design your acne plan accordingly.

What types of acne do you treat?

Our prescription acne treatments cover a full spectrum of conditions:

• Comedonal acne (blackheads and whiteheads)
• Papular/pustular acne (inflammatory)
• Nodulocystic acne
• Hormonal acne (adult female)
• Teen and adult-onset acne
• Acne scarring and pigmentation

Whether you're a teen struggling with hormonal breakouts in West Miami or an adult with recurring cysts in Coral Gables, LegacyMD offers expert care tailored to your needs.

What is the treatment process at LegacyMD?

1. Initial Consultation & Skin Evaluation
2. Prescription Regimen Development
3. Customized Application Instructions
4. Follow-up Visits and Adjustments
5. Ongoing Support and Education
6. Optional in-office treatments (scars, maintenance)

We educate you on proper application techniques, realistic timelines, and how to stay consistent even during early breakouts or purging.

Are you a candidate for prescription acne and scar treatment?

You may be an ideal candidate if you:

• Have moderate to severe acne
• Experience frequent breakouts or scarring
• Have tried OTC products with little success
• Are seeking professional skincare guidance
• Are open to long-term acne management

We treat both adolescents and adults, and provide supportive care to help you feel confident in your skin again.

Ready to clear your skin and regain your confidence?

Schedule your personalized prescription acne consultation in West Miami, Westchester, Coral Gables, or Pinecrest today at LegacyMD. Our experienced team will create a plan tailored to your skin and support you every step of the way.

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