
Over-the-counter skincare can only do so much. When you’re ready for transformative results, prescription skincare offers concentrations and combinations unavailable at any store. At Reviv Beauty Med Spa, board-certified Family Nurse Practitioner Kristen-Anne Thomas, FNP-BC prescribes customized skincare programs featuring tretinoin, hydroquinone, and advanced compound formulations from licensed 503A compounding pharmacies—tailored to your specific skin concerns.
Board-Certified FNP-BC • Custom Compound Formulations • Medical-Grade Concentrations • Prescription Required

From anti-aging tretinoin protocols to targeted melasma treatment and prescription acne programs, we offer customized skincare solutions that go beyond what’s available over the counter. Every program is tailored to your skin type, concerns, and goals — compounded formulas run from $79 with the telehealth Rx visit and direct-to-your-door shipping included.
Tretinoin — The Gold Standard
Tretinoin (prescription retinoid) is the most studied and proven ingredient for reversing signs of aging, improving texture, and treating acne.
Targeted Pigmentation Treatment
Stubborn dark spots and melasma require prescription-strength treatment. Hydroquinone and HQ-free formulations target hyperpigmentation at the source.
Prescription-Strength Acne Treatment
When over-the-counter products fail, prescription acne treatments deliver results. Compound formulations treat acne from multiple angles.
First Topical Anti-Androgen for Acne
Winlevi (clascoterone 1%) is the only FDA-approved topical anti-androgen for acne. Works for men and women by blocking hormonal triggers at the skin level.
Rapamycin for Skin Aging
Sirolimus 0.2% cream is a prescription option studied in clinical research for photoaging, fine lines, and redness-prone skin.
Higher Concentrations
Prescription formulations contain active ingredients at concentrations that actually change your skin—not just temporarily improve its appearance.
Proven Ingredients
Tretinoin, hydroquinone, and prescription actives have decades of clinical research proving their effectiveness.
Custom Combinations
Compounding pharmacies create formulations combining multiple actives that aren’t available commercially—like tretinoin with azelaic acid and niacinamide in one product.
Medical Supervision
Your progress is monitored by a board-certified provider who can adjust your program based on how your skin responds.
| Factor | Over-the-Counter | Prescription |
| Retinoid strength | Retinol (weak) | Tretinoin (10-20x stronger) |
| Hydroquinone | 2% max | 4-8%+ available |
| Customization | One-size-fits-all | Tailored to your skin |
| Results timeline | Months (if any) | Weeks to months |
| Medical oversight | None | Provider-supervised |

We partner with licensed 503A compounding pharmacies to provide custom-compounded skincare formulations unavailable at retail pharmacies.
Multi-Active Formulations
Instead of layering 5 products, get one formula with tretinoin + azelaic acid + niacinamide combined.
Customized Strengths
Start with gentler concentrations and increase as your skin adapts—or get higher strengths than commercially available.
Specialized Combinations
Formulations designed for specific concerns like melasma, hormonal acne, or rosacea with ingredients that work synergistically.
Quality Compounding
Every formula is compounded by a licensed 503A pharmacy following strict USP quality standards.
Prescription actives work best as part of a complete skincare routine. We recommend pairing your prescription program with medical-grade SkinMedica products:
Essential Companions:
Enhanced Results:
Consultation
We assess your skin, discuss concerns and goals, review your current routine, and determine the best prescription program.
Prescription
Your customized formula is prescribed and shipped directly from our partner pharmacy to your door.
Adjustment Period
Most prescription actives have an adjustment period (especially tretinoin). We guide you through proper introduction and titration.
Follow-Up
We monitor your progress and adjust formulations as needed—increasing strength or modifying ingredients based on your response.
Schedule your prescription skincare consultation with Kristen-Anne Thomas, FNP-BC to create your customized treatment program.
Reviv Beauty Med Spa
104 S Park Ave Suite 3
Sanford, FL 32771
Phone: (407) 534-9178
Email: info@revivbeauty.com
Hours: Tuesday–Saturday 10am–6pm
Serving Sanford, Lake Mary, Longwood, Heathrow, Altamonte Springs, Winter Springs, Deltona, Oviedo, and Orlando.

Complete your routine with SkinMedica medical-grade skincare, and accelerate results with in-clinic treatments — peels, microneedling, and PRX — on our Medical Skin Care page.

Tretinoin is prescription-strength retinoic acid—the active form your skin uses directly. Retinol (OTC) must convert to retinoic acid in your skin, making it significantly weaker. Tretinoin is 10-20x more potent.
Yes, when used as directed under medical supervision. We follow evidence-based protocols including cycling on/off to prevent complications. We also offer hydroquinone-free alternatives.
Depends on the concern. Texture improvements may be visible in 4-6 weeks. Significant anti-aging or pigmentation results typically take 3-6 months of consistent use.
We’ll review your routine during consultation. Some products complement prescription actives; others may cause irritation when combined.
Some patients experience temporary breakouts when starting tretinoin as cell turnover increases. This typically resolves within 4-8 weeks.
After consultation, we prescribe your custom formula. It ships directly from our partner pharmacy to your home.
Yes! Prescription skincare enhances results from treatments like microneedling, chemical peels, and more. We’ll coordinate timing appropriately.