Whitney Tolpinrud, MD, chief dermatologist at Curology, discussed the evolution of personalized skin care in a conversation with Dermatology Times on October 9, 2026. She emphasized that personalized prescription skin care is adaptive, shifting from the treatment of active acne to a focus on long-term skin health and prevention as patients' needs change over time.
Read More
Tolpinrud explained that for many patients, achieving clear skin may seem like the conclusion of their treatment journey. However, she encourages individuals to continue their skin care regimen, noting that treatment goals should evolve. After initial acne is under control, elements like the concentration of tretinoin can be adjusted according to the patient's skin response and changing focus.
Using her own experience, Tolpinrud shared how she incorporated tretinoin into her routine in her early 20s and maintained it even after her acne cleared, highlighting the importance of recognizing how a patient's skincare needs may differ as they move through different life stages.
Younger patients, particularly those in their 20s and early 30s, are increasingly looking to prevent skin aging even before it becomes evident. According to Tolpinrud, Curology caters to those focused on common concerns like acne, while the sister brand Agency addresses aging and longevity in skin care.
Tolpinrud noted a growing interest in the science behind skin longevity among patients, with inquiries about the rationale behind specific ingredients. Agency is designed to simplify patients' skincare regimens by integrating ingredients that target multiple aspects of skin health rather than requiring individuals to sift through numerous products.
The ongoing relationship between patients and clinicians allows for regimens to be adaptable based on clinical feedback, tolerability, and patient goals. In certain cases, clinicians may introduce systemic therapies, such as spironolactone or doxycycline, when necessary.
Tolpinrud underscored that successful treatment of the initial skin issue does not conclude the clinician-patient relationship. Instead, it opens a discussion about ongoing needs and preferences in skin care.