Dermatology Compounding

Custom-compounded therapies tailored to your diagnosis, sensitivities, and treatment goals.

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When Standard Treatments Aren’t Enough

Some skin conditions require a more tailored approach. Dermatology compounding customizes medications when commercial options don’t match a patient’s diagnosis, sensitivities, or goals.

Flourish works with patients and providers to adjust ingredients, strengths, and dosage forms for precise care.

Personalized Skin, Hair, and Nail Solutions

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Acne & Breakout Support

Multi-Action Custom Formulas: We combine multiple prescription strength active ingredients such as retinoids, antibiotics, and anti-inflammatories into a single, streamlined application to improve results and patient compliance.

Non-Comedogenic & Irritant-Free Bases: Our pharmacists select specialized, oil-free options designed to deliver medication effectively without clogging pores or using the harsh alcohols and preservatives found in many commercial brands.

Targeted Hormonal Support: We offer unique topical preparations, such as Spironolactone, to treat adult and hormonal acne directly at the skin level while minimizing the systemic side effects of oral medications.

Post-Breakout Healing & Tone: To address "post-inflammatory hyperpigmentation," we compound custom brightening creams with ingredients like Azelaic Acid or Kojic Acid to fade dark spots and even out skin tone.

Precise Strength Personalization: We can fine tune the concentration of active ingredients (like Tretinoin) to find the exact "sweet spot" for a patient's skin, maximizing efficacy while minimizing peeling and sensitivity.

Rosacea & Redness-Prone Skin

Multi-Symptom Synergistic Creams: We combine anti-parasitic (Ivermectin), anti-inflammatory (Metronidazole), and redness-reducing agents (Oxymetazoline) into one soothing preparation.

Ultra-Gentle, Hypoallergenic Bases: Formulas are crafted without common triggers like fragrances, harsh alcohols, or preservatives that often cause "stinging" in rosacea patients.

Vascular Support & Calming: Custom topicals designed to strengthen the skin barrier and constrict superficial blood vessels to reduce chronic flushing and heat.

Niacinamide-Infused Vehicles: We often incorporate high-grade Niacinamide into our bases to help repair the skin’s natural lipid barrier and reduce overall reactivity.

Psoriasis & Eczema Support

Steroid-Sparing Alternatives: We compound non-steroidal options to help manage long-term symptoms while minimizing the risks associated with chronic topical steroid use.

Deep-Hydration Keratolytics: High-concentration Urea or Salicylic Acid preparations designed to soften thick psoriasis plaques and allow other medications to penetrate effectively.

Preservative-Free Emollients: For eczema patients with highly compromised barriers, we provide "clean" bases free from the additives found in many commercial creams that cause itching.

Coal Tar Refinement: We provide therapeutic-grade coal tar formulations that are more cosmetically elegant and less odorous than traditional "over-the-counter" versions.

Pigmentation & Tone Support

Advanced Melasma Blends: We compound variations of the "Kligman’s Formula," combining Hydroquinone, Tretinoin, and a mild steroid to treat deep-seated pigment more effectively than single-agent products.

Synergistic Brightening Agents: Custom creams featuring a combination of Kojic Acid, Tranexamic Acid, and Vitamin C to target melanin production from multiple pathways.

Post-Inflammatory Hyperpigmentation (PIH): Targeted treatments designed to fade the dark marks left behind by acne, injuries, or aesthetic procedures.

Custom-Strength Chemical Peels: Precisely measured concentrations of Alpha and Beta Hydroxy acids for clinical-grade resurfacing under professional supervision.

Hair & Scalp Therapies

Enhanced Growth Formulas: We combine Minoxidil with other active ingredients like Finasteride, Latanoprost, or Caffeine to address hair loss through multiple biological mechanisms.

Non-Greasy Scalp Vehicles: Our pharmacists use specialized liquids and foams that dry quickly and leave no residue, ensuring the medication reaches the follicle without affecting hair styling.

Anti-Inflammatory Scalp Care: Custom-compounded shampoos or "leave-on" solutions for stubborn seborrheic dermatitis or scalp psoriasis that haven't responded to standard treatments.

Hormonal Blocker Topicals: For female pattern hair loss, we can provide topical Spironolactone or Progesterone to treat thinning directly at the scalp level.

Nail, Wart, & Fungal Conditions

Deep-Penetrating Nail Lacquers: We use specialized "vehicles" (like DMSO) that help anti-fungal medications penetrate the hard nail plate to reach the infection at the nail bed.

High-Concentration Wart Therapies: For stubborn or plantar warts, we compound high-potency Salicylic Acid or Cimetidine formulas that are significantly stronger than retail options.

Combined Anti-Fungal/Anti-Inflammatory: Dual-action creams that treat the underlying fungal infection while simultaneously soothing the intense itching and redness of the skin.

Targeted "Brush-On" Applicators: Precision delivery systems for nails and cuticles to ensure the medication stays on the affected area and doesn't irritate the surrounding healthy skin.

Oncology & Pre-Cancerous Skin Care

Targeted Field Cancerization Therapy: We compound combination therapies (like 5-FU + Calcipotriene) that can significantly reduce the duration of treatment for actinic keratoses.

Radiation Dermatitis Relief: Specialized, ultra-soothing "radiation creams" designed to hydrate and protect the skin barrier during and after oncology treatments.

Chemotherapy-Sensitive Hydration: Fragrance-free, lipid-rich balms specifically formulated for patients experiencing "hand-foot syndrome" or extreme dryness caused by systemic treatments.

Mucositis & Fragile Skin Support: Gentle, protective rinses and ointments for patients dealing with the side effects of cancer therapies on delicate mucosa or skin surfaces.

Wound & Skin Barrier Support

Medicated "Polyox" Bandages: Unique powdered bandages that adhere to moist wound sites, delivering antibiotics or pain relief directly to the area to speed up healing.

Anesthetic Wound Gels: We can incorporate localized numbing agents into wound-healing gels to make dressing changes and the healing process more comfortable.

Lipid-Replacement Therapy: Custom barrier creams containing the precise 3:1:1 ratio of ceramides, cholesterol, and fatty acids needed to repair a damaged skin "seal."

Scar Management Blends: Silicone-based gels infused with Tranexamic Acid or steroids to help flatten and fade new or existing scars and keloids.

Have Questions? Don’t see your condition listed?

Frequently Asked Questions

Do I need a prescription for compounded skin care?

Yes. Because our formulas contain medical-grade active ingredients at custom concentrations, a prescription from a licensed healthcare provider is required.

How long does it take to prepare my formula?

Precision takes time, but we work quickly. Most custom dermatological prescriptions are compounded and ready for pickup or shipping within 24–48 hours of receiving the order.

Does insurance cover these treatments?

Coverage varies significantly by plan. Most compounds are paid for out-of-pocket.

Can you remove specific allergens or scents?

Absolutely. One of the primary benefits of our pharmacy is the ability to create "clean" formulas free from dyes, fragrances, parabens, or specific preservatives that may trigger your skin.

Ready for a solution as unique as your skin?

Stop settling for "one-size-fits-all" retail products. Experience the results of clinical-grade ingredients tailored specifically to your biology.

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