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What Is Medical-Grade Skincare and Why Is It Better?
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What Is Medical-Grade Skincare and Why Is It Better?

17 June 2025


Ask The Dermatologist: What Really Is “Medical-Grade” Skincare and Why Is It Better?

When it comes to effective skincare, many people turn to dermatologists for prescriptions. Products with strong ingredients like azelaic acid and retinol often require a doctor’s note. But today, that’s changing.

“Medical-grade” skincare products with potent active ingredients are now available over the counter. This opens a new world of possibilities for people seeking professional-level results without a prescription.

Dr. Anthony Nuara, MD PhD FAAD, shares expert insights on what medical-grade skincare truly means and why it stands out from typical over-the-counter (OTC) options.

What Is Medical-Grade Skincare?

Medical-grade skincare contains higher concentrations of active ingredients designed to target specific skin conditions.

These products often rival prescription-strength formulas but can be accessed without a doctor’s prescription.

While OTC products usually have lower concentrations to suit all skin types and avoid FDA approval hurdles, medical-grade skincare operates under different rules.

These products do not require FDA approval but must meet strict purity standards and follow guidelines set by the United States Pharmacopeia (USP). This ensures safety, effectiveness, and quality.

Medical-grade products typically focus on issues like acne, rosacea, hyperpigmentation, and other skin concerns requiring targeted treatment.

The Power of Ingredients & Formulation

Medical-grade skincare stands apart mainly due to its ingredient potency. The active compounds in these products are at concentrations higher than those found in most OTC skincare.

This means the products work more effectively without the high irritation risk seen in prescription formulas. The balance is delicate but crucial for results.

Another key difference is ingredient purity. Medical-grade products use the purest form of actives, ensuring they penetrate deeply into the skin layers rather than just resting on the surface.

OTC products sometimes fail to penetrate the epidermis, limiting their effectiveness. Medical-grade skincare is designed with research-backed formulations to reach the dermis for lasting benefits.

Such products are often created by medical experts, including board-certified dermatologists, chemists, and pharmacists who specialize in skincare compounding.

Dermatologist-Recommended, Now More Accessible

Historically, medical-grade products with potent actives were only available through prescriptions. But times have changed. Many of these high-quality formulas are now available to consumers directly.

Foundation Skincare, for example, is a line developed by a team including a board-certified dermatologist, chemist, and pharmacist. Each ingredient is carefully sourced and scientifically validated.

The goal is to provide medical-grade efficacy without needing a prescription, while also ensuring products remain gentle enough for various skin types.

This approach means you get clinically effective skincare that’s safe, accessible, and supported by rigorous research.

Personalization vs. Product Range

When visiting a dermatologist, you typically receive a personalized skincare plan tailored to your skin’s unique needs.

OTC brands often leave consumers to self-diagnose and select products without expert guidance. This can lead to trial and error or ineffective routines.

While Foundation Skincare does not customize individual products per user, their collection is broad enough to address most skin concerns.

Whether your goal is to slow aging, manage acne, or brighten pigmentation, the collection provides a strong foundation with topical treatments and supplements.

Their formulas are designed to layer well, allowing users to build a tailored routine that suits their skin and goals.

If you’re unsure about what to use, Foundation Skincare offers customer support for personalized guidance.

Comparing Over-the-Counter and Medical-Grade Skincare

To highlight the difference between medical-grade and OTC, let’s examine Foundation Skincare’s Azelaic Acid 14% Cream versus The Ordinary’s Azelaic Acid 10% Suspension.

Both aim to reduce acne and fade dark spots. However, FS’s 14% concentration is closer to prescription strengths (typically 15-20%) and aligns with clinical study dosages.

This concentration delivers visible results with a lower risk of irritation than higher prescription strengths.

FS’s formulation also includes soothing agents like aloe leaf juice and jojoba seed oil, which calm inflammation and reduce redness.

Its gentle nature allows safe layering with other FS products, like the Niacinamide Lotion 10%, which balances oil production to control acne.

For hyperpigmentation, FS Vitamin C Lotion 20% complements azelaic acid by inhibiting tyrosinase, the enzyme responsible for brown spots and scars.

On the other hand, The Ordinary’s Azelaic Acid 10% Suspension cannot be combined safely with niacinamide or other actives like retinoids due to potential irritation.

Its heavy silicone base may also hinder deep skin penetration, reducing its overall effectiveness.

Safety and Quality Assurance in Medical-Grade Skincare

Safety is a non-negotiable factor in medical-grade products. Foundation Skincare’s formulas are developed by board-certified dermatologists and pharmacists.

Their products undergo rigorous testing to ensure both safety and efficacy before reaching consumers.

All manufacturing happens in GMP-certified facilities in San Diego, California, adhering to USP standards.

This means you get products with pure, stable ingredients sourced from trusted suppliers and formulated with consistent quality.

Long-standing, proven ingredients form the backbone of medical-grade skincare, ensuring you’re investing in reliable and research-backed treatments.

How to Choose the Right Medical-Grade Skincare

Getting access to medical-grade skincare today is easier than ever, but choosing the right product takes care.

Look for products developed or formulated by board-certified dermatologists and pharmacists.

Check ingredient concentrations to see if they match or closely resemble pharmaceutical-grade levels.

Verify whether the ingredients are pure and sourced carefully.

Ensure the product is manufactured in GMP-certified facilities that comply with USP standards for quality assurance.

Foundation Skincare offers several clinically validated products, including:

Azelaic Acid 14% Cream: Clinically shown to reduce acne and post-inflammatory hyperpigmentation.

Vitamin C Lotion 20%: Brightens skin and boosts collagen production.

Niacinamide Lotion 10%: Controls acne, fades discoloration, and improves skin texture.

Hyaluronic Acid Lotion: Deeply hydrates and restores skin elasticity.

Night Renewal Cream with 2% Granactive Retinoid: Reduces fine lines, wrinkles, and dark spots while speeding cell turnover.

Firming Neck Cream: Contains peptides that provide retinoid-like benefits with less irritation.

Why Medical-Grade Skincare is a Smart Alternative

Whether battling acne, premature aging, or stubborn pigmentation, medical-grade skincare products offer a powerful option.

They combine clinical strength, safety, and accessibility without needing prescriptions.

This opens doors for anyone seeking expert-level results at home with trusted formulations.

To learn more about the science behind these products, check out Foundation Skincare’s FS Journal for detailed research and updates.

In Summary

Medical-grade skincare stands apart through potent, pure ingredients developed by experts.

These products address specific skin concerns with research-backed formulations that deliver better results than typical OTC skincare.

With modern manufacturing standards and rigorous testing, medical-grade products are both safe and effective.

Thanks to brands like Foundation Skincare, consumers now have easier access to dermatologist-formulated products that bridge the gap between prescriptions and over-the-counter options.

DQH Can I use salicylic acid first and then vitamin C? It’s easy to create a skincare routine, but knowing how to use it is another thing entirely. In most cases, if you’re not getting the desired skin results, it could be due to the layering of conflicting ingredients. So, is it possible that salicylic acid and vitamin C are such ingredients? Or are these active ingredients the duo that’s been missing from your skincare routine? If you want answers, stick around because today we are going to explain the benefits of salicylic acid and vitamin C and how they can be used in your daily life. What are the benefits of salicylic acid for skin? Salicylic acid is one of the most commonly used beta hydroxy acids and is favored by many people with oily, acne-prone skin. This acid is derived from willow bark, and unlike its water-soluble relatives (called alpha-hydroxy acids), salicylic acid is oil-soluble, which means it can penetrate deeper into the lower layers of the skin. Once it reaches the lower layers, it can help unclog pores of excess sebum, dirt, bacteria, debris, and impurities. This results in clearer skin tones and greater definition. Not only does salicylic acid benefit the underlying layers, but the outer surface of the skin benefits as well. When applied to the skin, salicylic acid removes the buildup of dead skin cells. This is accomplished by breaking the bonds that hold dead cells to the surface. Over time, this can cause the complexion to look dull and prone to acne, blackheads, and other blemishes. If you’d like to learn more about salicylic acid and how it can improve your skin, check out this dedicated blog post from a beauty insider. What are the benefits of vitamin C for skin? Vitamin C is considered one of the most powerful antioxidants, which means it is very effective at fighting free radicals and preventing them from causing further skin damage. Examples of free radicals include pollution, central heating, UV rays and harsh climate. They attack proteins, fats and cell membranes as soon as they come into contact with the skin, causing signs of premature aging such as fine lines and wrinkles as well as hyperpigmentation, flaky patches of skin and loss of elasticity. Many people usually prefer to use vitamin C in their morning routine as this ingredient gives the complexion a radiant glow. You’ll also find that vitamin C can target areas of hyperpigmentation, plumping the skin and reducing the appearance of fine lines and wrinkles. The thing about vitamin C is that there are a lot of outdated studies going back to the 1950s that describe vitamin C as an unstable skin component. Thanks to improvements in modern technology, this is no longer the case as all products now contain a stable form of vitamin C. Visit The Beauty Insider to learn more about vitamin C. So please check out our blog post. Can I use salicylic acid first and then vitamin C? Yes, you absolutely can. In fact, it’s thought that using salicylic acid before using vitamin C ensures it penetrates faster and works faster. This is an efficient way to utilize two power sources, and the reason has to do with pH. For example, the skin’s natural pH is about 4.7, making it slightly acidic. Salicylic acid and vitamin C are also both acidic, and you’ll find that vitamin C is absorbed quickly into the skin. Therefore, using salicylic acid beforehand can increase the acidity of the skin and allow vitamin C to penetrate into the skin faster. While this is considered an effective way to combine two powerful ingredients, you need to be aware of your skin type and how it reacts to certain active ingredients. Even people with perfect, normal skin can experience skin sensitivity and irritation. Therefore, always consult a doctor or dermatologist before using any new products on your skin. It’s also important to follow skin application rules. In this case, you need to use the product correctly to ensure you get the best results for your skin. If you’re not sure what I mean, the basic rule for skin is to start with the thinnest consistency and work your way up to the thickest consistency. This prevents a barrier from forming on the surface, preventing other active ingredients from penetrating the skin. Can I use salicylic acid at night and vitamin C in the morning? Yes, absolutely, this is considered the most effective way to get returns without any adverse side effects. This is because there is enough time between applications to ensure that the skin’s pH levels return to balance. You’ll also find that Vitamin C is rich in antioxidants and is perfect for use in the morning to ensure your skin is protected and looking its healthiest. Due to the small size of salicylic acid molecules, it is an acid that is able to reach the deepest parts of the skin. While this is effective at keeping skin clear, it also increases the risk of irritation and photosensitivity. Therefore, many people prefer to use powerful BHAs in their evening routine without exposure to UV rays, pollution, or harsh weather. Warning: If you avoid using sunscreen every day, none of these ingredients will do what your skin needs. The combination of chemical peels and powerful ingredients increases the risk of further damage to the skin’s surface. Use SPF 50 every day to keep your skin protected and your lipid barrier healthy, even on cloudy days, keeping your skin in top condition.
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