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CONDITION · Spain

Skin ageing, Spain

Fine lines and sun-damage texture: prescription tretinoin, introduced gradually.

€40once
  • Assessed by an EU-licensed doctor
  • Oral, topical or compounded treatment
  • Full refund if not approved
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What is it?

Skin ageing combines the passage of time with the damage accumulated from ultraviolet radiation, which is the main cause of fine lines, uneven texture, dark spots and loss of radiance on the face. This part, photoageing, is what responds to topical treatment.

Topical tretinoin is the retinoid with the most decades of evidence: it normalises cell turnover, stimulates dermal collagen and improves fine lines, texture and tone with continued use. Its effects are gradual and are lost if it is stopped.

In the online consultation, the doctor reviews your skin and photos, rules out lesions that need an in-person examination and prescribes tretinoin 0.05% with a gradual introduction schedule and daily sun protection.

Treatments a doctor considers

One-off consultation

One consultation, one doctor, one decision.

€40/ once
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Licensed EU doctors

Every case read by a registered doctor.

Reply in under 2 hours

On average, in writing, no video call.

Pay only if approved

Not approved? Refunded in full, automatically.

Rated excellent on Trustpilot

4.8 from 540+ independent reviews.

Valid across the EU

E-prescription accepted at EU pharmacies.

FAQs

About skin ageing

Dermatology4 questions
What is Skin ageing?
Skin ageing sits within the dermatology area that Hi-Doctor covers. Our doctors review your case individually, not through an algorithm, and propose a therapeutic approach when indicated.
You fill in a dermatology-oriented medical questionnaire (~5 min). An EU-licensed doctor reviews your clinical history, current medication, allergies and background in less than 2 hours on average. If clarifications are needed, they message you via the private chat in your account.
The doctor proposes the most appropriate treatment among those authorised in the EU for dermatology. A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. If your case is not eligible, the applicable fee is refunded in full.
It depends on the case. For dermatology, reasonable timelines are explained during the consultation and follow-up lives inside the private chat. The full medical record stays in an auditable thread inside your account.

Healthy skin starts with a real diagnosis

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Start consultationNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work

More about your care
Read the full condition information

Topical tretinoin is the best-studied treatment for photoageing. A doctor prescribes it at 0.05%, explains how to start without irritation and sets daily sun protection as the foundation of the plan.

HOW COMMON IT IS

Universal with age; the signs of photoageing appear earlier and more strongly in fair skin and in people with high cumulative sun exposure.

CAUSES

  • Cumulative exposure to ultraviolet radiation
  • Smoking
  • Genetic predisposition and fair skin type
  • Progressive loss of collagen and elastin with age
  • Hormonal changes, particularly after menopause
  • Pollution and lack of sleep as contributing factors

TREATMENT APPROACHES

  • Tretinoin 0.05% cream, once nightly, introduced gradually
  • Daily SPF 50+ sun protection as the foundation of treatment and prevention
  • Fragrance-free moisturiser and pausing exfoliants during the adjustment period
  • Review at 3 to 6 months to adjust frequency or tolerance
  • Stopping smoking
  • In-clinic procedures (laser, peels, injectables) only in person

WHEN TO SEE A DOCTOR

See a doctor if you want to treat fine lines and texture with a prescription retinoid rather than cosmetics. Any new, changing or bleeding lesion must be examined in person before starting. Tretinoin is not prescribed during pregnancy, while planning one, or while breastfeeding.

How it works, step by step

HOW IT WORKS · 5 STEPS

Five steps. No waiting room.

From the online consultation to ongoing follow-up, without leaving home.

  1. 1. 5 minutes

    Start your online visit

    Answer a 5-minute health questionnaire from home.

  2. 2. Less than 2 hours

    A doctor reviews your case

    A licensed doctor reviews your answers and replies personally.

  3. 3. Refund guarantee

    Review and payment

    If not approved, we refund your €40 one-off in full.

  4. 4. EU pharmacies

    Collect treatment from the pharmacy

    Collect it at any EU pharmacy with your e-prescription.

  5. 5. 4-week check-in

    Ongoing support

    Private chat, 4-week check-in, simple prescription renewal.

Payment and refunds

PRICING

You only pay if treatment is approved.

€40 one-off. €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth.

ONE-OFF

One consultation, one doctor, one decision.

Photos reviewed by a licensed doctor

WHAT'S INCLUDED

  • Consultation reviewed by an EU-licensed doctor
  • Electronic prescription if approved
  • Full refund if not approved

Full refund if a review is not approved

If a review is not approved, we refund the €40 consultation fee in full.

Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.

Read the refund terms
Yes. Hi-Doctor runs 100% online across the EU, so from Spain you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; in Spain it is dispensed directly from the prescription QR.
The doctor reviews its appearance and progression, your history, allergies, current products and clear photos when needed. If your skin needs an in-person examination, the doctor refers you before prescribing.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.
1) Fill in an online medical questionnaire in about 4 minutes. 2) A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

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