Prescription Skincare,
Without the Wait
Custom compounded tretinoin, hydroquinone, and prescription formulas prescribed by a board-certified nurse practitioner — assessed online, shipped to your door.
Your Sephora Routine
Has a Ceiling
Retinol is great — but prescription tretinoin is significantly stronger and produces results that over-the-counter products simply cannot match. We removed the barrier of access.
Over the Counter
Retinol, OTC acids, drugstore formulas
Prescription (Rx)
Tretinoin, hydroquinone, clinical-strength actives
Formulas by Concern
Your formula is custom compounded based on your skin type, concern, and how your skin responds over time.
Acne
Custom blend targeting active breakouts and preventing new ones — formulated for your acne type and severity.
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Anti-Aging
Prescription-strength tretinoin drives cell turnover for smoother texture and reduced fine lines.
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Brightening
Gold-standard combination for stubborn hyperpigmentation, melasma, and post-inflammatory dark spots.
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Rosacea · Sensitive
For rosacea-prone or reactive skin. Reduces redness, inflammation, and bumps without the harshness of retinoids.
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Glow · Texture
For patients focused on overall skin quality — smoother texture, tighter pores, and a lit-from-within glow.
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Fully Custom
For patients with multiple concerns or complex skin needs. Ingredients, concentrations, and base all chosen specifically for you.
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Skin Assessment to Doorstep
No office visit, no wait list, no derm referral. Here's how your custom Skin Rx works.
Complete Your Skin Assessment
Tell us your skin type, concern, current routine, and any sensitivities. Upload a few photos in natural light — no filters, no makeup.
Amber Designs Your Formula
Amber reviews your assessment and photos, selects the right prescription actives and concentrations, and writes your custom formula within 48 hours.
Your Formula Ships
Your prescription is sent to a licensed compounding pharmacy and shipped to your door — includes a full guide for introducing the formula with minimal irritation.
60-Day Check-In & Adjust
At 60 days, submit updated photos and a progress report. Amber reviews and adjusts your formula as needed. Not responding? She reformulates.
Your custom formula ships from a licensed compounding pharmacy
Skin Rx FAQ
Still have questions? Message us — we typically respond within a few hours.
Retinol converts to retinoic acid (tretinoin) in the skin — but slowly and inefficiently. Prescription tretinoin is already the active form, meaning you get significantly stronger, faster results. For acne and pigmentation, the difference is even more dramatic.
The "retinization period" — dryness, flaking, and sensitivity during the first 2–6 weeks — is real but manageable. Amber prescribes an introduction schedule designed to minimize this. Starting slowly and moisturizing well makes a significant difference.
At prescription concentrations (4%) used under medical supervision for defined treatment periods, hydroquinone has a strong safety record. Amber monitors use and builds breaks into your protocol as appropriate.
Most patients notice improved texture within 4–6 weeks. Acne improvements often begin at 3–4 weeks. Hyperpigmentation takes longer — typically 8–12 weeks for significant lightening. Patience pays off substantially with prescription skincare.
No. Tretinoin and hydroquinone are contraindicated during pregnancy and breastfeeding. Amber screens for this during your assessment. Alternative pregnancy-safe options can be discussed.
Message Amber directly through your patient portal. Reactions can almost always be managed by adjusting frequency, concentration, or adding barrier support. No patient is left to troubleshoot alone.
Amber Tomse
MSN, APRN, FNP-C — Board-Certified Family Nurse Practitioner
"Amber's background in both clinical medicine and medical aesthetics gives her a unique perspective on prescription skincare — she understands the clinical pharmacology and the aesthetic outcome."
Every Skin Rx patient receives direct access to their provider — not a customer service rep. If something isn't working, she adjusts it.
Ready for Skin That Actually Changes?
Start with a skin assessment. Your custom formula could be on its way within a week.