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Medical Dermatology

Acne Management

Acne treatment in Lancaster for teens and adults, including hormonal and cystic acne. Acne is a common medical skin condition, and it responds best to a plan built around you. Our acne management is a physician-directed, whole-person program that may combine an individualized skincare regimen, prescription therapies when appropriate, and ongoing clinical follow-up. What's right for you is determined during a consultation.

PHYSICIAN-DIRECTEDLANCASTER, PA25+ YEARS OF CARE
Duration
15–45 minutesTreatment time per session
Results
Gradual improvement over weeks to months; individual response variesWhen you'll see changes
Sessions
Ongoing program with regular follow-ups; cadence is based on your planRecommended treatment plan
Recovery
No downtime; skin may go through an adjustment period when starting a new regimenWhat to expect after
REAL RESULTS

Before & after

Actual RANDALI patients, shown with consent. Individual results vary based on anatomy, treatment plan and other factors.

Acne before and after, front view, clearer, calmer skin, RANDALI, Lancaster, PABeforeAfterAcne Management - Front view, image 1 of 5

Acne Management

Front view

Calmer, clearer skin on the cheek after an individualized acne plan, active breakouts resolved.

Results achieved through photodynamic therapy (PDT) combined with other treatments in an individualized acne plan, alongside professionally recommended skincare.

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THE TREATMENT

What it is, and what it addresses

How it works

There's no single cause of acne, and no single treatment that's right for everyone. Care begins by understanding your skin, your history, and your goals, so your plan fits your life rather than a one-size-fits-all routine.

A personalized plan may bring together medical-grade skincare, prescription therapies when appropriate, and in-office options where suitable, with regular follow-up so your provider can adjust the approach as your skin responds over time.

This page is educational. Acne management is individualized and physician-directed; your provider evaluates your skin and determines what is appropriate for you. It is not a cure, individual results vary, and outcomes are never guaranteed.

Benefits

  • A personalized, physician-directed plan, not a one-size-fits-all routine
  • Whole-person approach that considers skin, lifestyle, and hormonal factors where relevant
  • Prescription therapies when appropriate, determined at consultation
  • Ongoing follow-up so your plan adapts as your skin responds
  • Focused on calming active breakouts and protecting long-term skin health

Is this right for you?

Acne affects teens and adults alike, and a consultation is the best way to know whether this program is right for you. Common reasons people consider it include:

Worth a conversation if…
  • Persistent or recurring breakouts that haven't responded to over-the-counter products
  • Adult or hormonal acne, including flares tied to hormonal changes
  • A mix of breakouts, congestion, and post-acne marks you'd like addressed thoughtfully
  • A preference for a physician-directed plan with ongoing guidance rather than guesswork
May not be appropriate if…
  • Care that requires evaluation for an underlying medical condition is referred appropriately
  • Appropriateness of any prescription therapy is determined by clinical evaluation

Candidacy is always determined during a confidential consultation.

THE EXPERIENCE

A calm, considered visit

The consultation process

  1. Skin assessment

    Your provider reviews your skin, history, current routine, and goals to understand what's driving your breakouts.

  2. Personalized plan

    Together you shape an individualized plan that may include medical-grade skincare, prescription therapies when appropriate, and suitable in-office options.

  3. Ongoing follow-up

    Regular check-ins let your provider track progress and adjust the plan as your skin responds over time.

What to expect during treatment

A plan can bring together several elements, chosen for you: medical-grade skincare, prescription therapies when appropriate, and in-office options where suitable.

Consistency matters more than intensity. Your provider will set a realistic cadence and explain what to do at home so the plan is sustainable.

Recovery & aftercare

Acne care is a process, not a one-time fix. Many people notice gradual change over weeks to months rather than overnight.

Some regimens cause an initial adjustment period (temporary dryness, irritation, or a short-lived increase in breakouts) before improvement. Your provider will tell you what to expect and how to manage it.

Some treatments increase sun sensitivity; daily sun protection is an important part of most plans.

PRICING

Honest numbers

Our pricing philosophy

Because every plan is individualized, acne management is consultation-based rather than a single fixed price. Your provider reviews the recommended approach and any associated costs with you during your visit.

GOOD TO KNOW

Questions, answered

Risks, limitations & considerations

  • Possible skin dryness, irritation, redness, or peeling, especially early on
  • A temporary adjustment or purging period with some regimens
  • Increased sun sensitivity with certain treatments
  • Possible side effects from any prescription therapy, which your provider will review with you

Important disclosures

  • This page is educational and is not medical advice or a diagnosis.
  • Any prescription therapy is provided only when appropriate and after individual clinical evaluation.
  • Acne management is not a cure; individual results vary and outcomes are not guaranteed.

Knowing when to refer

Part of our care is knowing when a dermatologist’s office is the right next step. Advanced or complex cases are referred to a board-certified dermatologist, and we help coordinate the handoff. We refer when we see:

  • Severe, nodular, or cystic acne, or acne that is scarring
  • Acne that may call for isotretinoin
  • Acne that doesn't respond to a reasonable course of care
  • Uncertain diagnosis, such as breakouts that may be rosacea or another condition

Frequently asked questions

What is acne management at RANDALI?

It's a physician-directed, personalized program for treating acne, built around your skin and history. Depending on what's appropriate for you, a plan may combine an individualized skincare regimen, prescription therapies when appropriate, and ongoing clinical follow-up.

Do you treat adult and hormonal acne?

Yes. Acne is common in adults, and breakouts can be tied to hormonal changes. Your provider considers the whole picture (skin, lifestyle, and hormonal factors where relevant) when shaping your plan.

Will I be prescribed medication?

Not necessarily. Prescription therapies are one option a provider may use when appropriate, alongside medical-grade skincare and other measures. Whether any prescription is right for you is determined by clinical evaluation.

Is this a cure for acne?

No. Acne management aims to calm active breakouts and support clearer, healthier skin over time. It is not a cure, and results vary from person to person.

What about acne scars?

Active breakouts and post-acne scarring are addressed differently. We typically focus on controlling active acne first, then discuss resurfacing options for texture and scarring when the time is right. Ask your provider about both.

Do you treat severe or cystic acne?

Part of our care is knowing when to refer. Many people with cystic or hormonal acne do well with a physician-directed plan here. Severe, nodular, or scarring acne, and acne that may call for isotretinoin, is referred to a board-certified dermatologist's office, and we help coordinate the handoff.

Where is RANDALI located?

RANDALI is in Lancaster, PA and welcomes patients from the surrounding communities, including Lititz, Ephrata, and Manheim. Your consultation determines the right plan for you.

How do I get started?

The best first step is a consultation. Your provider will assess your skin, discuss your goals, and recommend a personalized plan.

How long until I see results?

Acne care is gradual. Many people notice improvement over several weeks to months, and some regimens include a short adjustment period first. Individual results vary.

WHY RANDALI

The RANDALI difference

Physician-directed care

Every plan is overseen by our Medical Director: clinical judgment, never a questionnaire.

Whole-person, individualized planning

We weigh your full health picture to recommend the right treatment (or combination) for you.

Safety & compliance first

Care delivered to medical standards and in line with state and federal regulations.

Trusted since 2001

Two-plus decades of refined, natural results and lasting patient relationships.

KEEP EXPLORING

Related care

Begin your Acne Management consultation

A personalized, physician-directed plan designed around your goals.

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