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Create clear, smooth skin with tretinoin.

Tap into the acne-fighting, collagen-boosting power of tretinoin.

  • Prescription treatment with tretinoin and/or other options, including spironolactone
  • For as little as $0 copay
  • Online dermatology care team
Start My Treatment

How Piction Health Compares

Other Online Providers
Expert providers
(Avg. 4.5+ star reviews)
Range of prescriptions available
Wait time 5 days or less
Follow-up appointments to support you
Your questions answered by board-certified providers

Benefits of tretinoin

Treats acne &
prevents breakouts
Reduces fine lines
and wrinkles
Reduces hyperpigmentation & redness

How it works

Step 1
Tell us about your symptoms
Complete our 5-minute assessment. Within 48 hours, you’ll hear from your dermatology team.
Step 2
Begin your custom treatment plan
Pick up your prescription from your local pharmacy and start your treatment if medically appropriate.
Step 3
Receive continuous care as your symptoms improve
We’ll schedule a follow-up appointment - and you can text us anytime.

A team of dermatology experts

Meet a few of our providers
Rachel Rivard
Rachel Rivard, APRN, RN, is a licensed nurse practitioner with 13 years of clinical experience, including 8 years in teledermatology. She is a proud graduate of Yale School of Nursing. Rachel is fluent in English and Spanish.
Dr. Robert Peppercorn
Dr. Robert Peppercorn is a renowned dermatologist with over 30 years of experience. Trained at world-class institutions including Harvard, Johns Hopkins, and Stanford, he has been recognized with multiple awards as a top physician in his community for decades.
Dr. Emily Shaughnessy
Dr. Emily Shaughnessy is a licensed dermatologist board-certified by the American Board of Dermatology. She earned a medical degree from the University at Buffalo (Downtown Campus) and completed a dermatology residency at the University of Vermont Medical Center.

High-quality, affordable care

Pay with insurance

In-network with:
Massachusetts LogoAnthem LogoUnited Healthcare LogoCigna HealthcareAetna LogoHarvard Pilgrim Health Care LogoConnectiCare LogoWellpoint Logo

Pay without insurance

Your dermatologist will share a custom treatment plan within 48 hours — no insurance needed
$119

for initial treatment plan

$79

for follow-up appointments

Hear from our patients

“I was initially skeptical about virtual care, but Dr. Crute changed my perspective. Her use of digital tools to assess and diagnose my skin issues was impressive. Highly recommend for anyone needing convenient, expert, comprehensive skin care.”

Shana E.

“My provider was extremely professional and listened to all my concerns. It was nice to be able to discuss all my options versus being rushed through the appointment. My rosacea has improved a ton - I recommend this practice."

Robert L.

“Quickest and simplest form of dermatology care I’ve experienced. Plus, straight-forward billing that’s affordable. I will probably always use Piction from now on."

Andy S.

Frequently asked questions

Can Tretinoin be used with other skincare products?

Tretinoin can be used in conjunction with other skincare products, but it's important to proceed with caution. Avoid using products that contain ingredients like benzoyl peroxide, salicylic acid, or alpha-hydroxy acids at the same time as tretinoin, as this can cause excessive skin dryness and irritation. It is best to consult your dermatologist for personalized advice on incorporating tretinoin into your skincare routine.

How long does it take to see results from Tretinoin?

The results of tretinoin can vary depending on the individual and the condition being treated. Some users may start noticing improvements in their skin within a few weeks, while others may take several months to see significant results. Patience and consistency are key when using tretinoin. Stick to your treatment plan and follow your dermatologist's instructions for optimal outcomes.

With the proper understanding and guidance, tretinoin can be a game-changer for achieving healthier, more youthful-looking skin. If you have any concerns or need further assistance, don't hesitate to consult a dermatologist. Remember, your skin deserves expert care.han 80% of dermatology cases can be effectively treated virtually. If your dermatologist determines that your condition requires in-person care, they will refer you to a local specialist, and your wait time will be shortened relative to patients without a referral.