Expert review
Your skin is not a template. A Canadian-licensed medical professional reviews your photos and history before choosing a treatment.
Get prescription treatment for dark and red acne marks online
We treat dark marks (PIH) and red or pink marks (PIE) left by acne and other skin inflammation, online. Your clinician may prescribe tretinoin, adapalene, azelaic acid, hydroquinone or tranexamic acid, when appropriate.
PIH and PIE treatments
Prescription options that fade marks, chosen by your clinician.
Your skin is ready for a change.
Marks can stay long after a pimple has healed. They are not scars, and they can fade. Your clinician first looks at whether your acne is under control, then builds a plan to fade the marks and protect your skin.
- Canadian-licensed medical professionals
- Prescriptions sent to your pharmacy or delivered to your door
- Ongoing support from your Care Team
- CA$175 per consultation
Your care at a glance.
- Per consultation
- CA$175
- Available nationwide
- Canada
- Based on your clinical assessment
- Your plan
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
No more guessing. Real care, from day one.
Evidence-based treatments
No trends, no guesswork. Your plan uses prescription treatments that dermatology guidelines support.
Photos, not appointments
Care on your schedule. Most skin concerns can be assessed from your photos and answers, with no video call.
Ongoing support
We stay with you. Send progress photos and message your Care Team when you have a question or need a refill.
Delivered to you
From prescription to doorstep. Pick up at your pharmacy, or have your treatment delivered to your door.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, in many cases. You answer a few questions and upload photos, and a Canadian-licensed medical professional reviews them. Your clinician first checks that online care is suitable for you. Some people need in-person care or specialist monitoring, and your clinician will tell you.
PIH is post-inflammatory hyperpigmentation: flat brown, tan or dark marks left after skin inflammation. PIE is post-inflammatory erythema: flat red or pink marks left by widened small blood vessels. Both can follow acne, and both are different from scars.
Look at the colour. PIH is brown, tan or grey-brown and does not fade when you press on it. PIE is red or pink and may fade briefly under pressure. Some people have both. Photos help your clinician tell them apart.
No. Both are changes in colour, and the skin surface is still smooth. A scar changes the texture of the skin, with pits or raised areas. Marks often fade over time, while scars are permanent and need a different approach.
Inflammation causes them. After a pimple or another injury, skin can make extra pigment (PIH) or keep small blood vessels widened (PIE). Picking and squeezing make marks worse. Sun exposure darkens PIH, and PIH is more common in deeper skin tones.
New pimples leave new marks, so fading old ones is hard while acne stays active. Your clinician looks at your acne first and may adjust your acne plan. Controlling breakouts is the best way to stop new marks.
For PIH, options include hydroquinone, azelaic acid, tretinoin, adapalene and tranexamic acid, when appropriate. Options for PIE are more limited. Your clinician can review what may help your red marks, and sun protection and time matter most.
Fading is slow. PIH often takes months, and deeper marks can take longer. PIE may also take months to fade. Most people see a change after several weeks of steady care. Some marks may not fade fully.
Creams can cause dryness, redness, peeling or stinging, especially at first. Irritation can darken PIH, so tell your clinician if your skin becomes very irritated. Hydroquinone is used for a limited time. Oral treatments have their own risks.
Sun makes PIH darker and can bring faded marks back. It can also make red marks look stronger. Use a broad-spectrum sunscreen every day and reapply outdoors. Tinted sunscreen with iron oxide helps block visible light.
Some in-person treatments, such as lasers, may help marks. Your clinician can tell you if one fits your case. Online care covers prescription treatment and follow-up. Some patients need in-person care or specialist monitoring.
Have a mark checked in person if it is new, changing in size, shape or colour, bleeds, or has an uneven edge. These can be signs of skin cancer. Also seek care if you have painful, spreading or infected pimples.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.