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Dermatology Treatments and Personalized Skin Care Skin concerns are among the most common reasons people seek help from a healthcare provider. Whether you are dealing with a condition that has been present for years or something that appeared recently, understanding your options is an important first step.
The skin is the body’s largest organ and serves as its primary barrier against environmental exposure, infection and moisture loss. Dermatological conditions can affect people of all ages and backgrounds, and the range of concerns is broad. From inflammatory conditions like acne and eczema to pigmentation disorders like melasma, each person’s skin responds differently based on genetics, lifestyle, hormonal activity and environmental factors. According to the American Academy of Dermatology, skin diseases affect nearly one in three Americans at any given time.[1] For many patients, commercially available products may not fully address their needs due to ingredient sensitivities, limited strength options or the complexity of their condition. Dermatology compounding offers an alternative path by allowing healthcare providers to prescribe formulations tailored to the individual. Pharmacy Solutions works alongside prescribers to prepare customized topical medications, cosmeceutical products and supportive skin care options for a wide range of dermatological concerns.
Explore Dermatology Topics
Pharmacy Solutions supports men’s health across several key areas. Select a topic below to explore it in more detail.
Anti-Aging and Skin Rejuvenation
Explore cosmeceutical compounding and active ingredient formulations designed to support healthy skin aging, including retinoids, peptides, vitamin C and chemical peel options.
Acne
Learn about customized acne formulations combining active ingredients like retinoids, benzoyl peroxide, clindamycin and niacinamide in provider-specified strengths.
Melasma
Explore compounded hyperpigmentation formulations including hydroquinone, tretinoin, azelaic acid, kojic acid and tranexamic acid tailored to each patient.
Psoriasis and Rosacea
Learn how compounding supports sensitive and reactive skin conditions with customized bases and ingredient adjustments for psoriasis and rosacea.
Eczema
Explore specialized compounding bases and active ingredient options for atopic dermatitis and other forms of eczema and contact dermatitis.
Scarring and Keloids
Learn about compounded scar management formulations including silicone-based preparations, PracaSil-Plus and provider-specified active ingredients.
Warts and Fungal Conditions
Explore compounded wart removal formulations and topical antifungal preparations at strengths and concentrations not available commercially.
Wound Care
Learn how compounded wound care preparations support healing for surgical sites, burns, chronic ulcers and other wound types.
RX Skin Solutions Skin Care Line
Explore the pharmacist-developed private label cosmeceutical line available without a prescription, including serums, retinol formulations and peptide creams.
What Is Dermatology Compounding and Why Does It Matter
Dermatology compounding is the preparation of customized topical medications by a licensed compounding pharmacy based on a healthcare provider’s prescription. Unlike commercially manufactured products that come in fixed strengths and standard formulations, compounded dermatology preparations can be adjusted in concentration, base type and ingredient combination to match a patient’s specific needs. This approach is often considered when commercial options are unavailable, have been discontinued or are not well tolerated. Compounding also allows providers to combine multiple active ingredients into a single preparation, which can simplify a patient’s daily routine. A 503A compounding pharmacy like Pharmacy Solutions prepares these formulations on a per-patient basis using pharmaceutical-grade ingredients, working directly with the prescribing provider to ensure each preparation aligns with the intended plan of care.[2]
Conditions and Concerns Addressed Through Compounding
Pharmacy Solutions prepares compounded dermatology formulations for a wide range of skin conditions and concerns based on provider prescriptions.
- Acne and blemish-related conditions that may benefit from customized combinations of active ingredients at provider-specified strengths.
- Melasma and hyperpigmentation concerns where compounded preparations can incorporate multiple targeted ingredients into a single formulation.
- Psoriasis and rosacea, which often require careful base selection and ingredient adjustments for sensitive or reactive skin.
- Eczema and dermatitis, where specialized compounding bases may support compromised skin barriers.
- Scarring and keloid management through topical preparations including silicone-based formulations.
- Wart removal and fungal conditions using compounded solutions at strengths determined by the prescribing provider.
- Hair and scalp concerns including conditions affecting follicle health, where compounded topical formulations may support a broader care approach. See also the Hair Restoration section of this site.
- Anti-aging, skin rejuvenation and cosmeceutical formulations including retinoids, chemical peels and active ingredient blends at provider-specified concentrations.
- Numbing creams and procedural preparation formulations including BLT cream for dermatological and medspa procedures.
- Wound care preparations including topical antibiotics, growth-stimulating gels and specialized bases for chronic and acute wound management.
Compounding for Acne and Blemish-Prone Skin
Acne is one of the most common skin conditions and affects both adolescents and adults. It occurs when hair follicles become clogged with oil, dead skin cells and bacteria, leading to blemishes that range from mild blackheads and whiteheads to more severe cysts and nodules. According to the American Academy of Dermatology, acne affects up to 50 million Americans each year.[3] Hormonal fluctuations, stress, certain medications and environmental factors can all contribute to breakouts. For many patients, over-the-counter products address mild symptoms, but moderate to severe acne often requires a more targeted approach.
Compounded acne formulations allow healthcare providers to combine multiple active ingredients into a single preparation tailored to each patient. Common compounding ingredients for acne include benzoyl peroxide, retinoids, salicylic acid, antibiotics such as clindamycin and niacinamide. By adjusting ingredient strengths and selecting an appropriate base, compounding pharmacies can help providers deliver a formulation that accounts for the patient’s skin type, sensitivity level and the specific nature of their breakouts. Pharmacy Solutions works with dermatologists and other prescribers to prepare these customized formulations based on each patient’s prescription.
Compounding for Melasma and Hyperpigmentation
Melasma is a common pigmentation disorder that causes brown or grayish-brown patches to develop on the skin, most often on the face. It is especially prevalent in women and is frequently associated with hormonal changes during pregnancy, oral contraceptive use or hormone therapy. UV exposure is also a significant contributing factor. The American Academy of Dermatology estimates that melasma affects more than 5 million Americans, with roughly 90% of cases occurring in women.[4]
Managing melasma typically involves a combination of sun protection, topical agents and ongoing monitoring. Compounded formulations for melasma allow providers to prescribe specific combinations of ingredients such as hydroquinone, tretinoin, azelaic acid, kojic acid, niacinamide and tranexamic acid at concentrations tailored to the individual patient. Some of these ingredients are only available through compounding at the strengths needed for certain patients. Your healthcare provider determines which combination and concentration is appropriate based on your skin type, severity and history of previous approaches.
Compounding for Psoriasis and Rosacea
Psoriasis is a chronic autoimmune condition that causes skin cells to build up rapidly, forming thick, scaly patches that can be itchy and uncomfortable. The National Psoriasis Foundation estimates that approximately 8 million Americans live with psoriasis.[5] Rosacea is a chronic inflammatory condition primarily affecting the face, characterized by redness, visible blood vessels and sometimes small bumps. Both conditions tend to be cyclical, with periods of flare and remission that can be influenced by triggers including stress, weather changes, diet and certain products.
Compounded formulations for psoriasis and rosacea offer providers the ability to adjust ingredient strength and select bases that are less likely to irritate already sensitive skin. For psoriasis, compounded preparations may include corticosteroids, calcipotriene, coal tar derivatives or salicylic acid at customized strengths. For rosacea, providers may prescribe formulations with metronidazole, azelaic acid or other anti-inflammatory agents. Compounding also allows providers to avoid specific inactive ingredients that a patient may not tolerate. Your prescriber determines the appropriate formulation, and Pharmacy Solutions prepares it according to their specifications.
Compounding for Eczema and Dermatitis
Eczema, also known as atopic dermatitis, is a chronic inflammatory condition that causes dry, itchy and irritated skin. It is one of the most common skin conditions in children but also affects adults throughout their lives. The National Eczema Association reports that more than 31 million Americans experience some form of eczema.[6] Contact dermatitis, dyshidrotic eczema, nummular dermatitis and neurodermatitis are among the several types, each with different characteristics and triggers.
For patients whose eczema or dermatitis does not respond well to commercially available options, compounding can provide alternatives. Compounded formulations may be prepared in specialized bases such as those designed to support the skin barrier and reduce moisture loss. Active ingredients commonly used in compounded eczema preparations include corticosteroids, calcineurin inhibitors, coal tar and various moisturizing agents, all at strengths prescribed by the healthcare provider. Compounding also allows providers to exclude allergens, fragrances, dyes or preservatives that may worsen a patient’s condition.
Compounding for Scarring and Keloids
Scarring is a natural part of the body’s healing process following injury, surgery or certain skin conditions. While many scars fade over time without intervention, some patients develop raised, thickened or discolored scar tissue that can cause discomfort or affect appearance. Keloids are a specific type of raised scar that extends beyond the original wound boundary and can be difficult to manage with standard over-the-counter options.
Compounded scar management formulations may include ingredients such as silicone, corticosteroids, vitamin E, onion extract, retinol and glycolic acid, depending on the type of scarring and the provider’s recommendations. PracaSil-Plus, a PCCA-developed compounding base specifically designed for scar therapy, is frequently used in compounded scar preparations. Your healthcare provider determines which approach and formulation are appropriate based on the type, location and maturity of the scar tissue. Pharmacy Solutions prepares these formulations as prescribed.
Compounding for Warts and Fungal Conditions
Warts are small, benign growths caused by the human papillomavirus (HPV) that appear on the skin’s surface. They are contagious and can spread through direct contact. While many warts resolve on their own, persistent or painful warts may require intervention. Compounded wart removal formulations allow providers to prescribe specific concentrations of active ingredients such as cantharidin, salicylic acid, fluorouracil and podophyllum. These formulations can be adjusted in strength based on the type and location of the wart, the patient’s age and skin sensitivity.
Fungal skin conditions, including tinea infections and onychomycosis, may also be addressed through compounded topical antifungal preparations. Compounding allows providers to prescribe antifungal agents at concentrations or in delivery forms not commercially available, including formulations optimized for nail penetration or sensitive skin areas. Your healthcare provider evaluates the condition and determines the most appropriate approach for your situation.
Compounding for Anti-Aging and Skin Rejuvenation
Changes in skin appearance are a natural part of aging. Over time, factors such as sun exposure, environmental stress, hormonal shifts and the gradual decline of collagen production can contribute to fine lines, wrinkles, uneven texture, age spots and loss of elasticity. The cosmeceutical category bridges the gap between cosmetic products and pharmaceutical preparations, offering formulations with active ingredients at concentrations designed to produce measurable changes in skin appearance.
Compounded cosmeceutical formulations may include retinoids, hyaluronic acid, vitamin C, niacinamide, peptides, growth factors and antioxidant blends at provider-specified strengths. Chemical peel formulations, including glycolic acid and trichloroacetic acid preparations, can also be compounded at varying concentrations. Pharmacy Solutions prepares these formulations based on prescriber recommendations, using pharmaceutical-grade ingredients and PCCA-developed bases designed for facial application. For patients interested in non-prescription options, the RX Skin Solutions line offers pharmacist-developed skin care serums, hydration products and retinol formulations available through the Pharmacy Solutions shop.
Compounding for Numbing and Procedural Preparation
Many dermatological and cosmetic procedures involve some degree of discomfort, and topical numbing creams play an important role in patient comfort. BLT cream, which combines benzocaine, lidocaine and tetracaine, is one of the most commonly compounded numbing formulations. It is typically applied 10 to 30 minutes before a procedure and is used in settings ranging from dermatology offices to medspa and aesthetic practices.
Compounded numbing creams allow providers to adjust the strength and combination of anesthetic agents based on the procedure type and the patient’s needs. Pharmacy Solutions prepares these formulations in various strengths and can customize the base and ingredient ratios as prescribed. The pharmacy works directly with dermatologists, cosmetic practitioners and medspa providers to ensure each numbing preparation meets the requirements of the planned procedure.
Compounding for Wound Care
Wound care is a critical area where compounding can provide access to formulations not available through standard commercial channels. Wounds range from acute injuries such as surgical sites and burns to chronic wounds including ulcers and bed sores. According to the National Institutes of Health, chronic wounds affect approximately 6.5 million patients in the United States each year.[7] Proper wound management is essential for supporting the healing process and reducing the risk of complications.
Compounded wound care formulations may include wound care creams, topical antibiotics, growth-stimulating gels and specialized compounding bases such as W06 Gel, a PCCA-developed base designed to support moist wound healing. These preparations can be tailored to each patient’s wound type, location and severity. Pharmacy Solutions prepares wound care formulations based on provider prescriptions and works with healthcare professionals across multiple specialties to support individualized wound management plans.
What to Expect When Working With a Compounding Pharmacy
If your healthcare provider determines that a compounded dermatology formulation is appropriate for you, knowing what the process looks like can help reduce uncertainty.
- Your provider evaluates your skin concern and determines the appropriate formulation, strength and base type for your needs.
- A prescription is sent directly to Pharmacy Solutions, where pharmacists review it for accuracy and compatibility.
- The formulation is prepared on a per-patient basis using pharmaceutical-grade ingredients in a PCAB-accredited facility.
- Your compounded medication is shipped directly to you or made available for pickup with instructions for proper use.
- Ongoing communication between your provider and the pharmacy team helps ensure your formulation can be adjusted over time if needed.
How Pharmacy Solutions Supports Dermatology Care
Pharmacy Solutions brings more than 125 years of collective compounding expertise to every dermatology formulation prepared in its facility. The pharmacy team works closely with dermatologists, medspa providers, aesthetic practitioners and other healthcare professionals to prepare customized medications that align with each patient’s plan of care. From selecting the appropriate compounding base to adjusting ingredient concentrations, every step is guided by the prescriber’s recommendations and the pharmacy’s quality standards.
For patients, this means access to a knowledgeable team that can answer questions about how compounded medications are prepared and what to expect during the process. Pharmacy Solutions maintains PCAB accreditation in both sterile and non-sterile compounding, a distinction held by fewer than 2% of compounding pharmacies in the United States, and has all formulations tested through third-party laboratories.[8] Whether you are exploring compounded skin care for the first time or transitioning from a commercial product that is no longer meeting your needs, the pharmacy team is available to support the process in partnership with your provider.
Over-the-Counter Skin Care Products Available Now
Pharmacy Solutions carries a selection of over-the-counter skin care products that can be purchased without a prescription. The RX Skin Solutions line features pharmacist-developed cosmeceutical products including hydration skin care products, skin care serums, retinol skin care formulations, eye firming complexes and restorative peptide creams. EltaMD sunscreens, cleansers and recovery products are also available through the Pharmacy Solutions shop. These products may complement a broader skin care routine and can be explored alongside guidance from your healthcare provider.
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I had been struggling with my skin for a long time and felt like nothing off the shelf was working. Once my dermatologist connected me with Pharmacy Solutions, I finally had a plan that felt like it was made for me. The pharmacy team answered all of my questions and made the process simple.
Jennifer K.
Age 44
I had been noticing real changes in my skin and honestly had no idea what to do about it. My provider prescribed a customized formulation through Pharmacy Solutions and took the time to explain what each ingredient actually does. It made the whole process feel approachable rather than overwhelming.
Marcus T.
Age 51
I had tried so many things over the years and nothing seemed to work for long. My dermatologist finally prescribed a compounded formula through Pharmacy Solutions that was actually built around my skin. The difference was noticeable and, for the first time, I felt like someone had actually looked at my situation rather than just handing me something off the shelf.
Ashley N.
Age 28
Collagen Peptides
We feature a curated selection of pharmaceutical-grade supplements chosen to support healthy skin and connective tissue as part of a daily routine. Ortho Molecular CollaGEN is a collagen peptide powder with hyaluronic acid and vitamin C that many people mix into a beverage to support their skin and overall wellness.
These products are available now without a prescription, so you can add them to your routine whenever you are ready. Talk with your healthcare provider about which supplements make sense for your skin and your goals.
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Frequently Asked Questions About Dermatology Treatments
What is dermatology compounding?
Dermatology compounding is the preparation of customized topical medications by a licensed compounding pharmacy based on a prescription from a healthcare provider. Formulations can be adjusted in strength, base type and ingredient combination to meet each patient’s specific needs. This approach is often considered when commercial products are unavailable, discontinued or not well tolerated.
Do I need a prescription for compounded dermatology medications?
Yes. All compounded medications prepared by Pharmacy Solutions require a valid prescription from a licensed healthcare provider. Over-the-counter skin care products such as the RX Skin Solutions line and EltaMD products are available for purchase without a prescription through the Pharmacy Solutions shop.
What skin conditions can compounding address?
Compounded dermatology formulations may be prepared for a wide range of concerns including acne, melasma, psoriasis, rosacea, eczema, dermatitis, scarring, keloids, warts, fungal conditions, anti-aging and skin rejuvenation, wound care, hair and scalp concerns, and numbing preparations for cosmetic procedures. Your healthcare provider determines which formulation is appropriate for your individual situation.
What makes Pharmacy Solutions different from other compounding pharmacies?
Pharmacy Solutions is PCAB accredited in both sterile and non-sterile compounding, a distinction held by fewer than 2% of compounding pharmacies nationwide. The pharmacy also maintains USP <800> compliance, uses pharmaceutical-grade ingredients from FDA-registered suppliers and has all formulations tested by independent third-party laboratories.
How long does it take to receive a compounded dermatology medication?
Turnaround times vary based on the complexity of the formulation and shipping logistics. Once a prescription is received and verified, the pharmacy team prepares and ships the medication directly to the patient. For specific timing questions, patients can contact Pharmacy Solutions directly at 817-274-0050.
Can compounded formulations be adjusted over time?
Yes. One of the primary advantages of compounding is the ability to modify formulations based on a patient’s response. Your healthcare provider can adjust the prescription as needed, and Pharmacy Solutions will prepare the updated formulation accordingly. This flexibility allows for ongoing refinement of your care.
Does Pharmacy Solutions offer skin care products without a prescription?
Yes. Pharmacy Solutions carries the RX Skin Solutions cosmeceutical line, EltaMD sun protection and recovery products and other skin care items through its online shop. These products do not require a prescription and may complement a broader dermatology care routine when discussed with your healthcare provider.
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