Clear Skin with Doctors365

Acne affects over 9.4% of the world’s population, peaking during adolescence and impacting quality of life across cultures. Research highlights four key drivers: excess sebum, clogged pores, Cutibacterium acnes overgrowth, and inflammation. Traditional care often combines topical and oral therapies, but patients face challenges such as long wait times, travel barriers, and inconsistent follow-up. That’s where Doctors365 transforms care. Studies confirm that teledermatology is just as effective as in-person visits, with significant improvements in acne severity and patient satisfaction. Doctors365 offers seamless access to board-certified dermatologists like Dr. Jorn Bovenschen, ensuring personalized, evidence-based treatment from the comfort of your home. Whether you need help managing mild breakouts or severe acne, Doctors365 provides timely, reliable, and affordable online consultations—bringing expert skin care directly to you, wherever you are.

Acne Vulgaris and Telemedicine: A Comprehensive Guide to Managing Acne Online

Hero Block – Why Online Dermatology Matters

Acne isn’t just a rite of passage for teenagers—it’s a pervasive skin condition affecting people of all ages around the world. Those red bumps, pustules and lingering scars can erode confidence, interfere with work or social interactions and prompt endless searches for creams, gels and medications. What if you could receive expert care without leaving your home? Teledermatology makes this possible. Online consultations are private, convenient and secure, offering swift access to board‑certified dermatologists who understand your concerns. Whether you’re a busy professional in Berlin, a student in London or a parent in the Balkans, telemedicine through Doctors365 lets you consult a specialist, get prescriptions and follow‑up care without the wait times and travel.

1. What Do Dermatologists Do?

Dermatologists are physicians trained to diagnose and treat conditions affecting the skin, hair and nails. Their expertise spans from routine mole checks to complex autoimmune diseases. When it comes to acne, dermatologists assess the type and severity of lesions, rule out other conditions (such as rosacea or folliculitis) and tailor treatments to each patient’s skin type and lifestyle. They address both the physical manifestations of acne—blackheads, whiteheads, papules, pustules, nodules and cysts—and the psychosocial effects such as low self‑esteem and anxiety [3]. Dermatologists also manage scarring and pigmentation, counsel patients on skincare routines and monitor for side effects of medications.

On Doctors365, you can browse dermatologists across Europe and choose one who fits your needs. For instance, Dermatologist Jorn Bovenschen offers online consultations via Doctors365 [5]. Selecting an experienced dermatologist ensures your treatment aligns with international guidelines and reflects the latest research in acne care.

2. Epidemiology: How Common Is Acne?

Understanding how widespread acne is helps emphasise why telemedicine plays a crucial role. Research shows that acne vulgaris affects an estimated 9.4 percent of the global population, making it one of the world’s most prevalent skin diseases [1]. The condition isn’t confined to adolescence: while it peaks at ages 15–20 years, a significant proportion of adults—especially women—experience persistent or late‑onset acne [1]. A comprehensive review of acne epidemiology notes that lifetime prevalence may exceed 85 percent in teenagers, and the disease can persist into adulthood [2]. Regional variations exist due to differences in climate, pollution, dietary habits and genetic factors [1].

Acne’s burden extends beyond visible lesions. It ranked eighth among skin diseases worldwide according to the Global Burden of Disease study [2]. In European surveys, acne consistently appears among the top reasons for dermatology consultations, yet many patients delay seeking care—sometimes because of stigma or difficulty accessing a specialist. Telemedicine helps close this gap by providing quick access to dermatologists regardless of geography.

3. Pathophysiology: Why Does Acne Develop?

Acne is a chronic inflammatory disorder of the pilosebaceous unit (hair follicle and sebaceous gland). Its pathogenesis involves four interrelated factors:

• Excess sebum production – Androgen hormones such as testosterone and insulin‑like growth factor increase sebum secretion. Elevated sebum makes follicles sticky and prone to blockage [2].
• Hyperkeratinisation of follicles – Normally, keratinocytes (skin cells) shed individually into the follicular canal. In acne, they proliferate rapidly and clump together, forming plugs that block pores [2].
• Cutibacterium (Propionibacterium) acnes proliferation – This lipophilic bacterium thrives in sebum‑rich follicles. It produces lipases that break down triglycerides into free fatty acids and glycerol, contributing to inflammation and comedone formation [2].
• Inflammation – The immune system reacts to bacterial antigens and sebum breakdown products, recruiting neutrophils, lymphocytes and macrophages. The release of inflammatory mediators and reactive oxygen species damages follicular walls, leading to pustules, nodules and cysts [2].

Environmental and genetic factors further modulate these pathways. An exposome of heat, humidity, pollution, stress, smoking, comedogenic cosmetics and dietary factors such as high‑glycaemic foods and dairy can exacerbate acne [2]. Hormonal fluctuations during puberty, pregnancy or polycystic ovary syndrome (PCOS) also play key roles [1]. Understanding these mechanisms helps dermatologists tailor treatments—reducing sebum, unclogging pores, suppressing bacterial proliferation and modulating inflammation.

4. Types of Acne and Lesions

Acne manifests in various forms. Recognising them helps determine severity and treatment strategies.

• Non‑inflammatory lesions (comedones) – Open comedones (blackheads) occur when the plugged follicle remains open and oxidised sebum gives it a dark appearance; closed comedones (whiteheads) result when the follicle opening is sealed [2]. These lesions often precede inflammatory acne.
• Inflammatory lesions – Papules (small raised bumps), pustules (papules with pus), nodules and cysts arise when follicular obstruction triggers inflammation [2]. Nodulocystic acne is more severe, often requiring systemic therapy.

Dermatologists also classify acne by severity—mild, moderate or severe—based on lesion count and type. Specialty subtypes include acne conglobata (severe, scarring nodules), acne mechanica (due to friction), acne fulminans (sudden severe acne with systemic symptoms) and drug‑induced acne [2]. Telemedicine allows dermatologists to assess lesion type via high‑resolution images and recommend appropriate interventions.

5. Risk Factors and the Acne Exposome

Why do some people break out while others have clear skin? Genetics play a significant role—studies show that acne is highly heritable, with 50–90 % of severity explained by genetic factors. Yet environmental exposures often tip the balance. Key risk factors include:

• Diet and lifestyle – High‑glycaemic diets (rich in refined carbohydrates and sugars) may increase insulin levels and stimulate sebum production. Dairy products, especially skim milk, have been linked to acne. Stress triggers hormonal cascades that worsen inflammation. Sleep deprivation, smoking and alcohol also exacerbate breakouts.
• Hormonal fluctuations – Adolescence sees a surge in androgens that stimulate sebaceous glands. In women, menstrual cycles, pregnancy, contraceptives and PCOS can all influence acne severity [1].
• Cosmetics and mechanical factors – Heavy or occlusive makeup, oily skincare products and tight clothing or helmets can clog pores. Frequent touching of the face or picking lesions spreads bacteria and prolongs healing.
• Medications and endocrine disorders – Steroids, lithium, certain anticonvulsants and hormonal treatments may induce or worsen acne [2].

By identifying triggers—what researchers term the “acne exposome”—patients and clinicians can adopt targeted prevention strategies. Teledermatologists often educate patients on diet, stress management and skincare to enhance treatment success.

6. Psychosocial Impact: Beyond the Skin

Acne is more than a cosmetic concern; it profoundly affects mental health. Studies emphasise that acne can diminish quality of life, self‑esteem and overall well‑being [3]. Adolescents and young adults are particularly vulnerable because appearance strongly influences peer acceptance. Anxiety, social withdrawal, depression and body dysmorphia are common comorbidities. In severe cases, acne scars may serve as permanent reminders of distress.

The burden of acne extends economically. Chronic management can be costly and time‑consuming, involving doctor visits, prescriptions, cosmetics and mental health care. Telemedicine eases this burden by reducing travel time, providing flexible appointment options and enabling continuous support. Knowing that a dermatologist is just a click away can alleviate anxiety and empower patients to seek help earlier.

7. Diagnosing Acne: Virtual Assessment and In‑Person Nuances

Diagnosing acne typically involves a thorough history, clinical examination and sometimes laboratory tests. Clinicians evaluate lesion type, distribution, severity and potential triggers. Teledermatology relies on high‑resolution images and video calls to assess these features. Patients may be asked to submit close‑up photographs of the face, back and chest under good lighting. Dermatologists also review medication history, hormonal status, skincare routines and diet.

While virtual assessment is effective for most patients, certain scenarios—such as nodulocystic acne, suspected endocrine disorders or signs of systemic infection—may warrant an in‑person visit or laboratory tests. Telemedicine platforms like Doctors365 integrate seamlessly with physical clinics, allowing you to start with a virtual consultation and transition to face‑to‑face visits if necessary.

8. Treatment Options: From Topicals to Systemics

Acne management aims to address the four pathophysiological factors: reduce sebum, promote keratinocyte turnover, suppress C. acnes and control inflammation. Dermatologists tailor treatment according to age, severity, pregnancy status and patient preference. The Mayo Clinic summarises common therapies [4]:

• Topical treatments – Retinoids (tretinoin, adapalene, tazarotene) normalize keratinization and prevent new comedones [4]. Benzoyl peroxide is bactericidal, while topical antibiotics (clindamycin, erythromycin) reduce bacterial load and inflammation. Azelaic and salicylic acids unclog pores and lighten pigmentation [4]. Dapsone gel may be useful for inflammatory lesions [4]. Topicals are often combined to improve efficacy and reduce resistance.
• Oral medications – Oral antibiotics (doxycycline, minocycline, azithromycin) treat moderate to severe inflammatory acne and are best combined with benzoyl peroxide to minimize antibiotic resistance [4]. Combined oral contraceptives and anti‑androgen agents like spironolactone regulate hormones in women [4]. Isotretinoin, a vitamin A derivative, is reserved for severe or scarring acne that doesn’t respond to other treatments [4].
• Physical and procedural therapies – Dermatologists may perform chemical peels, light therapy, drainage and extraction or steroid injections for certain lesions [4]. Laser and microneedling treatments address scarring.

Treatment success often requires months of adherence and lifestyle adjustments. Telemedicine supports this journey through regular follow‑ups, prescription refills and educational resources.

9. Telemedicine and Teledermatology: Revolutionizing Acne Care

Telemedicine uses digital platforms to connect patients and clinicians through video, voice, messages and image uploads. Teledermatology is particularly suited to dermatology because skin lesions can be visualised easily with smartphones. The COVID‑19 pandemic accelerated telemedicine adoption worldwide, and dermatology quickly adapted to deliver high‑quality care remotely [3].

Teledermatology offers several advantages:

• Convenience and accessibility – Patients book appointments online, upload images at their convenience and receive treatment plans without commuting or taking time off work. For people in rural or remote areas, teledermatology eliminates the need to travel long distances—studies have shown rural patients may travel 185 km compared with 6 km in urban areas to see a dermatologist [3].
• Time savings and reduced wait times – Virtual consultations drastically cut waiting lists. In Nova Scotia, nonurgent dermatology appointments via teledermatology had an average wait time of 4.6 weeks compared with 13.7 weeks for in‑person visits [3]. Patients and clinicians both save time, with 94.8 percent of patients reporting time savings [3].
• Privacy and comfort – Many patients feel more comfortable discussing skin concerns from home, especially if they are self‑conscious about their appearance.
• Cost‑effectiveness – Teledermatology reduces travel costs, work absence and, in some cases, consultation fees. It also helps healthcare systems optimise resource distribution.

However, teledermatology is not without challenges. Some patients struggle with technology or have limited internet access [3]. Virtual visits may miss subtle tactile cues such as skin texture. Photos must be high quality and taken from multiple angles, which can be difficult for lesions on the back or shoulders [3]. Teledermatologists often recommend an initial in‑person visit for severe or complicated cases [3].

10. Evidence: Does Teledermatology Work for Acne?

Clinical research supports the effectiveness of teledermatology in managing acne. A 2024 systematic review of 21 studies reported that teledermatology yields outcomes comparable to traditional face‑to‑face consultations [3]. Findings included:

• Similar therapeutic outcomes – Teledermatology resulted in equivalent reductions in acne severity scores and lesion counts when compared with in‑person care [3]. In one study, the Global Acne Grading System (GAGS) score decreased by 87.94 percent among patients using teledermatology [3].
• Feasibility for moderate to severe acne – Teledermatology, using smartphone photographs or video calls, adequately met the needs of patients requiring isotretinoin therapy [3]. Dermatologists were comfortable adjusting isotretinoin dosages remotely [3].
• Prescription patterns – Remote consultations tended toward more conservative prescribing of systemic medications; physicians often relied on topical treatments first [3]. This may prolong the time before systemic therapy but ensures careful monitoring.

The evidence suggests that teledermatology is a reliable, patient‑centred modality that maintains treatment efficacy while improving access. Future research aims to standardise photo quality, integrate artificial intelligence for lesion detection and explore long‑term outcomes.

11. Patient Satisfaction and Preferences

Patient experiences shape the success of telemedicine. Studies show strong satisfaction with teledermatology for acne care:

• Concerns addressed – In one study, 100 percent of patients felt their acne issues were adequately addressed during teledermatology consultations [3].
• High satisfaction rates – Approximately 71.1 percent of patients were pleased with their acne treatment [3].
• Preference for virtual visits – Over 71.8 percent of patients indicated they would choose video appointments for future dermatologist visits, and 65.2 percent of isotretinoin users preferred virtual follow‑ups [3].

These findings highlight teledermatology’s potential to enhance adherence and empower patients. However, adherence rates sometimes decline; one study noted that patients seen virtually were less likely to attend follow‑ups within 90 days compared to those seen in person [3]. Teledermatologists may combat this by setting automated reminders through platforms like Doctors365, emphasising the importance of follow‑up and making scheduling easy.

12. Benefits and Challenges of Teledermatology

Benefits

• Flexibility and convenience – Teledermatology allows busy professionals, students and parents to fit appointments into tight schedules. It also facilitates continuity of care for patients who relocate or travel frequently.
• Accessibility for rural communities – Patients in rural areas face substantial travel and longer wait times to see dermatologists. Teledermatology reduces travel by 30‑fold—from 185 km to 6 km on average [3]—and shortens wait times by weeks [3].
• Time and cost savings – With 94.8 percent of patients reporting time savings [3], virtual visits translate to fewer hours away from work or school and lower transportation costs. Healthcare systems benefit from reduced overhead and improved efficiency.
• Continuity of care – Telemedicine fosters ongoing communication. Patients can send updates, ask questions and receive timely adjustments to their regimen without waiting for a scheduled appointment.
• Environmental impact – Fewer trips reduce carbon emissions, aligning healthcare with sustainability goals.

Challenges

• Technical barriers – Unreliable internet connections or lack of access to smartphones hinder some patients [3]. Older adults or individuals with disabilities may need assistance navigating digital platforms.
• Image quality and exam limitations – Poor lighting, angle or resolution may obscure lesions [3]. Teledermatologists cannot palpate nodules or perform dermoscopy, potentially delaying diagnosis of atypical lesions.
• Adherence and engagement – Remote patients may feel less accountable, leading to missed follow‑ups or inconsistent medication use [3]. Virtual platforms should include appointment reminders and educational materials to encourage adherence.
• Privacy and security concerns – While telemedicine platforms like Doctors365 employ encryption, patients must feel confident their data is protected. Clear consent processes and secure servers are essential.
• Regulatory differences – Telemedicine laws vary across countries and regions. Licensing, prescription regulations and insurance reimbursement can complicate cross‑border care. Fortunately, the European Union and United Kingdom are actively harmonising telehealth regulations to facilitate seamless care across borders.

Understanding both benefits and challenges helps patients make informed decisions and encourages policymakers to refine telehealth frameworks.

13. Teledermatology Tools and Digital Innovations

Teledermatology encompasses several modalities:

• Store‑and‑forward platforms – Patients upload photographs and complete questionnaires; dermatologists review asynchronously and send recommendations. This method is widely used for acne because images can be taken at any time and under various lighting conditions.
• Synchronous video consultations – Real‑time video allows dynamic interaction, enabling dermatologists to ask questions, assess lesion distribution and demonstrate skincare techniques.
• Mobile apps – Digital applications allow users to track symptoms, receive medication reminders and chat with healthcare providers. Some apps use artificial intelligence to analyse images and suggest whether a lesion is inflammatory or non‑inflammatory. Teledermatology research suggests that smartphone photographs adequately meet patient needs for moderate to severe acne [3].
• Remote monitoring tools – Digital diaries and wearable devices can track environmental exposures (humidity, UV index), stress levels or hormonal cycles, helping identify triggers.

These tools empower patients to take an active role in their care and provide data that helps dermatologists personalise treatment. When integrated into platforms like Doctors365, they streamline communication, prescription refills and follow‑up scheduling.

14. Telemedicine in Europe and Regulatory Trends

Europe has made significant strides in adopting telehealth. A World Health Organization survey found that 84 percent of countries in the European region offered teleradiology services and 51 percent provided telepsychiatry services, illustrating widespread telehealth infrastructure [3]. Remote patient monitoring was available in 77 percent of countries, with 35 percent having established programmes and 42 percent offering pilot services [3]. While these statistics pertain to the broader health sector, they reflect a favourable environment for teledermatology.

The COVID‑19 pandemic accelerated legislative support: 59 percent of European countries introduced new telehealth policies and 78 percent incorporated telemedicine into strategic plans (cited in previous research on European telehealth adoption). Reimbursement models evolved, with many insurers covering virtual dermatology visits. Data privacy laws like the General Data Protection Regulation (GDPR) govern how platforms handle patient information, ensuring stringent security.

Cross‑border telemedicine remains challenging. Licensing requirements may restrict doctors from treating patients outside their registered country. However, organisations like Doctors365 collaborate with physicians licensed in multiple European countries, ensuring compliance while expanding access. For residents of the United Kingdom, Germany, Switzerland, Austria and the Balkans, teledermatology appointments through Doctors365 offer an EU‑aligned, GDPR‑compliant service.

15. Choosing a Dermatologist and Preparing for Your Consultation

Selecting the right dermatologist is crucial. On Doctors365, you can filter specialists by language, location, fee and rating. For acne, look for dermatologists with experience in treating all severity levels and using telemedicine. Dermatologist Jorn Bovenschen, for example, is based in the Netherlands and offers virtual appointments via Doctors365 [5]. His profile lists fees and available time slots so you can schedule a consultation that suits your time zone.

Here are some tips to prepare for your teledermatology visit:

• Gather medical history – Note when your acne began, previous treatments, allergies and other medical conditions. Women should mention menstrual patterns, contraceptive use or pregnancy plans.
• List medications and cosmetics – Include over‑the‑counter products, supplements and prescribed drugs. Mention topical creams, cleansers, toners and makeup.
• Take high‑quality photos – Use natural light and avoid makeup. Capture the face from multiple angles, as well as the back or chest if affected. Follow the dermatologist’s instructions for image submission.
• Prepare questions – Think about what you hope to achieve: Are you curious about isotretinoin? Do you want to discuss scarring treatments or lifestyle changes? Telemedicine visits are efficient when patients articulate their goals.

Being proactive ensures your dermatologist has all necessary information to tailor an effective treatment plan.

16. Step‑by‑Step Booking Guide (Doctors365)

1. Visit Doctors365.org – Navigate to the site and select Find Doctor. Use the search bar or filters to choose “Dermatologist” as your specialty.
2. Select your dermatologist – Review profiles of available dermatologists. Check languages spoken, fees, ratings and appointment availability. For acne, consider Dermatologist Jorn Bovenschen [5].
3. Create or log in to your account – Register with your email and set a secure password. Doctors365 follows GDPR guidelines to protect your data.
4. Choose an appointment time – Pick a suitable date and time. If no slots are available, you can request a future appointment.
5. Complete the intake form – Provide your medical history, current medications, allergy information and a brief description of your acne. Upload photos as instructed.
6. Attend your virtual visit – Log in at the scheduled time using your computer or smartphone. The dermatologist will review your history, examine your photos and discuss treatment options.
7. Receive your plan – After the consultation, you’ll receive a treatment plan, prescriptions (if needed) and follow‑up instructions via the platform. You can message the doctor with questions or schedule future appointments.

Telemedicine simplifies the process, letting you focus on recovery rather than logistics. The platform’s integrated payment system ensures transparent fees.

17. Cost Considerations and Insurance

The cost of acne treatment varies depending on the severity, choice of therapy and healthcare system. Teledermatology reduces expenses related to travel and time off work. Some national health services and private insurers in Europe now reimburse virtual dermatology visits at the same rate as in‑person consultations. On Doctors365, consultation fees are clearly displayed; for example, Dermatologist Jorn Bovenschen lists his fees per 15, 20 and 30‑minute sessions [5]. When budgeting, consider medication costs—retinoids and antibiotics can be relatively inexpensive, whereas isotretinoin and procedures like lasers or peels may be more costly. Always verify whether your health insurance covers prescriptions and telemedicine services.

18. Special Populations: Adolescents, Women and Adults

Adolescents

Teenagers often experience a surge in sebum production and hormonal activity, leading to comedones and inflammatory lesions. Early intervention and education about gentle cleansing, non‑comedogenic products and dietary moderation help prevent scarring. Telemedicine appeals to teens comfortable with digital communication; however, adherence may be challenging [3]. Parents should supervise and encourage follow‑up appointments.

Women

Women frequently experience acne related to hormonal fluctuations—premenstrual flare‑ups, pregnancy or PCOS. Combined oral contraceptives and anti‑androgens like spironolactone are effective therapies [4]. Teledermatology allows women to manage acne discreetly and conveniently around work and family obligations. For patients planning pregnancy or breastfeeding, dermatologists can adjust treatments accordingly.

Adults and Men

Adult‑onset acne is increasingly recognised and often presents on the lower face and jawline. Men may develop severe, scarring nodular acne requiring isotretinoin. Adult acne can be aggravated by stress, smoking, dietary factors and mechanical irritation (e.g., shaving). Telemedicine enables adults to seek expert advice without disrupting their work schedules. Doctors365’s international network ensures that specialists knowledgeable about male skin are available across Europe.

19. Practical Tips for Managing Acne at Home

In addition to medical treatments, daily habits can influence acne outcomes. Here are science‑backed tips to complement your dermatologist’s plan:

• Gentle cleansing – Use a mild cleanser twice a day. Over‑washing or scrubbing harshly irritates skin and stimulates more sebum production.
• Non‑comedogenic products – Choose makeup, sunscreen and moisturisers labelled “oil‑free” or “non‑comedogenic” to avoid clogging pores.
• Balanced diet – Limit high‑glycaemic foods and dairy. Emphasise fruits, vegetables, whole grains and lean proteins. Stay hydrated.
• Stress management – Practice mindfulness, yoga or meditation to regulate stress hormones. Adequate sleep supports hormonal balance.
• Avoid picking or squeezing – Manipulating lesions spreads bacteria, increases inflammation and heightens the risk of scarring.
• Consistent treatment – Follow your dermatologist’s instructions. Medications often take several weeks to show results; don’t stop prematurely.

These strategies, combined with professional guidance, improve outcomes and reduce relapses.

20. Conclusion: Empowering You Through Teledermatology

Acne is a complex, multifactorial condition that affects millions worldwide. Its physical and emotional toll can be profound, but advances in dermatology and telemedicine offer new hope. By understanding the underlying mechanisms of acne, recognising triggers and adhering to evidence‑based treatments, you can achieve clearer skin and improved confidence. Teledermatology through Doctors365 bridges geographical gaps, providing expert care to patients across Europe and beyond. Whether you’re struggling with persistent breakouts or curious about the latest treatment options, online dermatologists like Jorn Bovenschen are ready to help. Book your consultation today and take the first step toward healthier skin.

Written by Diellza Rabushaj, Medical Writer & Researcher.

References

1. Alexis, A., Tan, J., Rocha, M., et al. (2024). Is acne the same around the world? Journal of Clinical and Aesthetic Dermatology, 17(9), 16–22.
2. Vasam, M., Korutla, S., Bohara, R. A., et al. (2023). Acne vulgaris: A review of the pathophysiology, treatment, and recent nanotechnology-based advances. Biochemistry and Biophysics Reports, 36, 101578. https://doi.org/10.1016/j.bbrep.2023.101578
3. Mehta, S., Metko, D., Maazi, M., et al. (2024). Teledermatology and virtual visits for acne management: A review. Journal of Cutaneous Medicine and Surgery, 29(1), 63–68. https://doi.org/10.1177/12034754231213325
4. Mayo Clinic Staff. (2024). Acne: Diagnosis and treatment. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/acne/diagnosis-treatment/drc-20368048
5. Doctors365. (2025). Profile for Jorn Bovenschen. Doctors365.org. https://www.doctors365.org