Why Now
Hormonal swings (periods, coming off birth control, PCOS, perimenopause), stress and cortisol, heavy or greasy skincare, hair products, and certain medications. Diet plays a modest role: high-glycemic foods and dairy for some people.
The Treatments
Tretinoin at night (the backbone). A benzoyl peroxide or clindamycin product for inflamed spots. Spironolactone for hormonal jawline acne in women, which works remarkably well. A short oral antibiotic course for bad flares. Isotretinoin for severe scarring acne, through a dermatologist.
Routine
Gentle cleanser twice a day. Treatment at night. Light moisturizer. Sunscreen every morning. Nothing else for eight weeks; then judge.
Cost
Prescription acne care, including tretinoin and spironolactone where appropriate, is $39 a month. Every prescription at Zen IV Spa is written by a licensed provider under our medical director after a free video consultation. Medication ships to your door anywhere in New York or New Jersey, and a nurse can come to your home for labs or a first dose.
Common Questions
How long until it clears?+
Eight to twelve weeks for a real difference.
Does spironolactone work for men?+
Not used in men for acne.
Can IV therapy help skin?+
Hydration and glutathione help glow; they do not treat acne.
All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.