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Online dermatology

Skin, properly diagnosed

Add photos, and an EU-licensed doctor selects the right prescription treatment, or tells you honestly when in-person care is safer.

€40one-off consultation
  • No video call
  • Full refund if not approved
  • Follow-up in the chat
Choose your skin concern
Pricing

One clear price.

One-off

Dermatology

One-offPhoto review included€40once
  • Consultation reviewed by an EU-licensed doctor
  • Photo review of your skin
  • Electronic prescription if approved
Start consultation

Full refund if a review is not approved

Targeted treatments

Four doctor-led pathways

01

Acne

Azelaic acid, adapalene or clindamycin combinations.

02

Rosacea

Azelaic acid or pharmacy-compounded formulas.

03

Melasma

Supervised depigmenting treatment with sun protection.

04

Anti-ageing

Prescription tretinoin with a doctor-guided routine.

Our skin treatments

Treatments a doctor may prescribe

Adapalene + BPO gel

Adapalene + BPO gel

Blackheads with inflamed spots

From€40 / consultation
Learn more
Azelaic acid 15%

Azelaic acid 15%

Gentle, for sensitive skin

From€40 / consultation
Learn more
Clindamycin + BPO gel

Clindamycin + BPO gel

Inflamed spots

From€40 / consultation
Learn more
Tretinoin cream

Tretinoin cream

Fine lines and texture

From€40 / consultation
Learn more
Compounded formula

Compounded formula

Rosacea or melasma

From€40 / consultation
Get started

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.

How it works

Doctor-led skin care in three steps

5 minutes

Answer a questionnaire

Specific to your skin: history, triggers and photos.

Under 2 hours

A doctor reviews your photos

They select a treatment, or ask for more detail in the chat.

Same day

Your prescription and plan

How to use it, what to expect and when to check back.

Good photos, better decisions

One clear photo in natural light, without make-up or filters. Your doctor may ask for more views in the chat.

  • Natural daylight, facing a window
  • No make-up, filters or heavy moisturiser
  • The whole affected area in frame
The science

What causes acne, and how it's treated

Most acne responds to the right prescription within 8–12 weeks.

Oil and blocked pores

Hormones increase oil, which mixes with dead skin and blocks pores: blackheads and whiteheads.

Bacteria and inflammation

Bacteria in blocked pores trigger red, inflamed spots. Benzoyl peroxide and topical antibiotics target this.

Renewal

Retinoids like adapalene and tretinoin speed skin renewal so pores stay clear, the backbone of long-term care.

Clinical guide

What to know before your consultation

Four skin pathways, one doctor

Hi Doctor covers four common skin concerns: mild to moderate acne, rosacea, melasma and signs of sun-related skin ageing. Each pathway has its own questionnaire, and the doctor chooses from a short list of well-studied prescription treatments applied to the skin. For acne these are azelaic acid, adapalene with benzoyl peroxide, or clindamycin with benzoyl peroxide; for rosacea, azelaic acid or a pharmacy-compounded formula; for melasma, hydroquinone or a compounded combination; for skin ageing, tretinoin. Oral antibiotics and isotretinoin are not prescribed online.

Who online skin care suits

The consultation is for adults whose skin concern is clear from a questionnaire and photos, and who have no warning signs. It is not suitable for severe, nodular or scarring acne, rosacea affecting the eyes, a single dark spot that is changing, or any diagnosis the doctor cannot confirm remotely. Most of these treatments are not prescribed during pregnancy, while trying to conceive or while breastfeeding. If your case needs a physical examination, the doctor tells you and points you to in-person care.

Safety points for skin treatments

Treatments applied to the skin mostly cause local effects: dryness, redness, peeling, stinging or burning, usually worst in the first weeks. Several of them make skin more sensitive to the sun, so daily sunscreen is part of the plan. Topical retinoids such as adapalene and tretinoin are contraindicated in pregnancy, and hydroquinone is used only in limited courses because prolonged use can darken the skin. Call 112 for facial or lip swelling or difficulty breathing, and get same-day eye care for a painful red eye or blurred vision.

Other routes to healthier skin

Good daily habits help every skin concern: a gentle, non-comedogenic cleanser and moisturiser, daily broad-spectrum sunscreen, and avoiding known triggers. Some people need treatments that are not offered online, such as oral medicines, peels, laser or specialist follow-up, and these are arranged through your family doctor or an in-person dermatologist. If the doctor decides a prescription is not appropriate, they explain why and what to do next, and the consultation fee is refunded in full.

What guidelines and trials show

The options offered follow European and national guidance. NICE lists fixed combinations of benzoyl peroxide with adapalene or with clindamycin as first-line 12-week options for acne, and the European EuroGuiDerm acne guideline also includes azelaic acid for mild to moderate acne. The global rosacea consensus recommends treating each visible feature, and a systematic review rated the evidence for azelaic acid in papules and pustules as high certainty. For melasma, expert consensus puts depigmenting treatment applied to the skin first, and a two-year controlled trial found tretinoin 0.05% cream improved sun-damaged facial skin more than placebo.

How a skin consultation works

You choose your skin concern and answer a questionnaire written for it, covering your history, triggers, allergies, current products and pregnancy. Photos in daylight without make-up are required for rosacea and melasma and recommended for acne and skin ageing. An EU-licensed doctor reviews everything and writes to you in the private chat in your account if anything needs clarifying. If treatment is appropriate, you receive an electronic prescription valid at pharmacies across the EU, and you collect and pay for the medicine at your own pharmacy.

Reviews, renewals and stopping

Skin treatments work slowly, so your plan sets a review point, and nothing renews automatically. At the end of a course you start a follow-up consultation with new photos, and the doctor decides whether to continue, adjust, pause or stop. Acne and rosacea often need maintenance, melasma tends to return with sun exposure, and the effect of tretinoin fades when it is stopped. Write to the doctor in the chat at any time if irritation does not settle, your skin gets worse or you become pregnant.

Sources

  1. electronic medicines compendium (emc), regulator-approved SmPC. Finacea 15% gel (azelaic acid): Summary of Product Characteristics (2024)
  2. electronic medicines compendium (emc), regulator-approved SmPC. Epiduo 0.1%/2.5% gel: Summary of Product Characteristics (2024)
  3. electronic medicines compendium (emc), regulator-approved SmPC. Duac Once Daily 10 mg/g + 50 mg/g gel: Summary of Product Characteristics (2024)
  4. National medicines regulator product information database (CIMA). HQUIN 40 mg/g crema (hydroquinone 4%): ficha técnica (SmPC) (2024)
  5. National medicines regulator product information database (CIMA). Retirides 0.5 mg/g crema (tretinoin 0.05%): ficha técnica (SmPC) (2024)
  6. National Institute for Health and Care Excellence (NICE). Acne vulgaris: management (NG198) (2021)
  7. NHS (nhs.uk). Rosacea (2026)
  8. European Commission. 112, the EU's emergency phone number (2026)
  9. European Dermatology Forum / J Eur Acad Dermatol Venereol (PubMed 27514932). European evidence-based (S3) guideline for the treatment of acne, update 2016, short version (Nast A et al., J Eur Acad Dermatol Venereol 2016;30(8):1261-1268) (2016)
  10. European Dermatology Forum / J Eur Acad Dermatol Venereol (PubMed 41847993). Update of the EuroGuiDerm evidence-based guideline for the treatment of acne: short version (Nast A et al., J Eur Acad Dermatol Venereol 2026;40(7):1162-1172) (2026)
  11. British Journal of Dermatology (PubMed 31392722). Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel (Schaller M et al., Br J Dermatol 2020;182(5):1269-1276) (2020)
  12. British Journal of Dermatology (PubMed 30585305). Interventions for rosacea based on the phenotype approach: updated systematic review including GRADE assessments (van Zuuren EJ et al., Br J Dermatol 2019) (2019)
  13. Journal of the American Academy of Dermatology (PubMed 16631968). Treatment of melasma: Pigmentary Disorders Academy consensus (Rendon M et al., J Am Acad Dermatol 2006;54(5 Suppl 2):S272-281) (2006)
  14. American Journal of Clinical Dermatology (PubMed 16060712). Long-term efficacy and safety of tretinoin emollient cream 0.05% in photodamaged facial skin: a two-year randomised placebo-controlled trial (Kang S et al., Am J Clin Dermatol 2005;6(4):245-253) (2005)

Sources checked on September 29, 2026

FAQs

Your questions answered

Dermatology9 questions
Which skin conditions can you treat online?
Mild to moderate acne, rosacea, melasma and signs of skin ageing, with topical prescription treatments.
They help the doctor confirm the diagnosis. You can add them in the questionnaire or send them later in the chat.
The doctor tells you honestly, for example for severe cystic acne or eye involvement, and we refund the €40 fee.
Some treatments aren't suitable. The questionnaire asks, and the doctor chooses accordingly.
The consultation is for adults. You choose the pathway that matches your concern, answer a 5-minute questionnaire and add photos where needed. An EU-licensed doctor reviews everything in under 2 hours on average and may ask for more detail in the private chat. If treatment is appropriate, you get an e-prescription with a written routine and a review point, and you collect the medicine at any EU pharmacy.
In the first weeks, dryness, redness, peeling or stinging are common, especially with retinoids and benzoyl peroxide, which can also bleach towels and pillowcases. Several treatments make skin more sensitive to the sun, so daily sunscreen is part of the plan. The doctor explains how to build up gradually, and persistent burning or swelling is a reason to message them in the chat.
For mild concerns, a gentle cleanser, a non-comedogenic moisturiser and daily sunscreen can be enough, and the doctor may tell you so. Some options are not offered online, such as oral acne treatments, chemical peels, lasers and other clinic procedures. If one of these suits you better, the doctor recommends seeing a dermatologist in person instead.
Topical treatments work slowly. Most people notice a first change after several weeks, a full course usually runs about three months, and fine lines take longer to improve. Mild irritation at the start is common and does not mean the treatment is failing, so keep going unless your doctor says otherwise.
Nothing renews automatically. At the review point, you start a follow-up consultation at the same one-off price of €40 and send new photos. The doctor then decides whether to continue, adjust or stop. Rosacea and melasma often come back without maintenance, so the doctor may suggest a lighter routine and continued sun protection.
Real people, real care

Real people, clearer skin

Trustpilot
Excellent service, I even requested an extension and they kindly agreed and sent a new prescription with no charge at all. That was definitely a highlight, great customer service! Totally recommended.
R. V.
Trustpilot
The care was fast, the doctor answered all my questions and the prescription was practical and quick for collecting the product; the treatment follow-up is also being very effective and attentive.
Vanessa
Trustpilot
So far, everything has gone really smoothly. The process was easy, responses were quick and I had no problems getting my prescription. Happy with the service!
Tom

References

  1. Zaenglein AL et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol 2016;74:945–973.
  2. Nast A et al. European evidence-based (S3) guideline for the treatment of acne – update 2016. J Eur Acad Dermatol Venereol 2016;30:1261–1268.

Refund terms

Read the refund terms
Full refund if not approved
If the doctor can't approve treatment from your photos, your €40 fee is refunded in full within 48 hours.
€40 covers the photo review, the doctor's decision and follow-up questions in chat.
Paid separately at your pharmacy.
If the doctor does not approve your consultation or review, the refund is issued within 48 hours and you do not need to ask for it. It goes back to your original payment method; how soon it shows on your statement depends on your bank.
It covers the Hi Doctor fee for the consultation or review that was not approved. The medicine is never paid to Hi Doctor: you pay your pharmacy for it, so it is not part of a refund from us. Once the medical review has started, the legal right of withdrawal no longer applies, so any other request is reviewed individually.
Refunds for consultations the doctor does not approve are automatic. For anything else, write to hello@hi-doctor.ai and tell us what happened. We review every request individually and pay approved refunds to the original payment method.
Every condition, including cancellation and the right of withdrawal, is set out in the refund policy and the terms of service. Both are always available in the Legal section of the website.
The skin consultation is a single payment with no subscription, so there is no recurring charge and nothing to cancel.

Healthy skin starts with a real diagnosis

You pay only if treatment is approved.

Choose your skin concernNo 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