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Medical dermatology
Acne treatment in Richardson, TX
Breakouts, deep cysts and the marks they leave behind, treated by a board-certified dermatologist who sees every patient herself.
Dr. Kelsie Riemenschneider
MD, FAAD · Board-certified dermatologist. You will see her at every visit.
Overview
What causes acne
Acne starts when a pore clogs with oil and dead skin cells. Bacteria and inflammation can turn that clogged pore into a red, tender bump, and deeper breakouts can leave dark marks or scars. Hormones, family history, some medications and some skin and hair products can all play a part.
Acne is not caused by dirty skin, and scrubbing harder usually makes it worse. It is one of the most common reasons people see a dermatologist, and it affects adults as well as teens. Treating it early helps prevent the scars and dark marks that can outlast the breakouts.
When to see a dermatologist
Drugstore products have not helped after two to three months
Breakouts are deep, painful, or leaving scars or dark marks
Acne began or flared in adulthood
Your child or teen is breaking out and you want a plan early
Types of acne we treat
Blackheads and whiteheads. Clogged pores, most often on the forehead, nose and chin.
Inflamed pimples. Red bumps and pus-filled spots that are sore to the touch.
Cystic and nodular acne. Deep, painful breakouts that are more likely to scar.
Hormonal and adult acne. Flares along the jawline and chin, often tied to the monthly cycle.
Back and chest acne. Breakouts on the body, common in teens and athletes.
Acne marks and scars. Dark spots and uneven texture left after breakouts heal.
Treatment
How we treat acne
No single treatment works for everyone. Dr. Riemenschneider builds your plan around the type of acne you have, your skin type and tone, what you have already tried and the routine you can keep up with. Most plans pair a prescription with a simple daily routine, and we adjust it at follow-up visits.
Prescription creams and gels. Retinoids, benzoyl peroxide and topical antibiotics that unclog pores and calm inflammation.
Oral medication. Antibiotics, or hormonal treatment such as spironolactone or birth control pills, when creams alone are not enough.
Isotretinoin. For severe, scarring or stubborn acne, with regular check-ins throughout your course of treatment.
In-office treatments. Cortisone injections to settle painful cysts, and chemical peels for clogged pores and dark marks. About chemical peels
Your visit
What to expect at your acne visit
Tell us what you have tried. Bring a list or photos of your current products and medications.
Dr. Riemenschneider examines your skin. She identifies the type of acne you have and whether scarring is a risk.
You leave with a plan. A written routine to follow, with any prescriptions sent to your pharmacy.
In network with most major health plans. See every plan we accept
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Most treatments need two to three months of steady use before you see their full effect, and skin can look worse before it looks better. Follow-up visits let us adjust the plan if progress stalls.
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Yes. We see children, teens and adults, and starting treatment early can lower the chance of scarring.
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Adult acne is common, especially in women. Hormone changes, stress, some medications and some skin and hair products can all set it off. It often needs a different approach than teen acne, so the plan is built around your skin.
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Isotretinoin is an oral medication for severe or stubborn acne, once sold under the brand name Accutane. A course usually lasts several months and includes monthly visits and lab monitoring. Dr. Riemenschneider will go over the benefits, side effects and requirements to help you decide whether it is right for you.
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Yes. Dark marks often fade with sun protection and the right prescription creams, and chemical peels can help with marks and uneven texture. The first step is getting active breakouts under control so new marks stop forming.
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No. Keep using what you use now, and bring the products or photos of them so we can see what you have tried. If you can, come without makeup.
Related care Rosacea Pediatric dermatology Chemical peels Personalized skincare consult All medical dermatology
Reviewed by Dr. Kelsie Riemenschneider, MD, FAAD, board-certified dermatologist. Last reviewed October 2026. Source: American Academy of Dermatology.
Address 702 W Arapaho Rd, Suite 104, Richardson, TX 75080
Hours Monday to Friday, 8 AM to 5 PM
Phone 214-833-5300