Acne is our focus for the beta launch, but dermatology covers a lot more. Hair loss, dark spots from old breakouts, body acne, oily skin, and hormonal skin changes all fall under what Dr. Varra can assess. In the future, DermFlo will treat conditions other than acne.

Yes. Hormonal acne is one of the most common things dermatologists treat in college-age women. It tends to show up around the jawline and chin and flares predictably with your cycle. There are specific treatments designed for it. Dr. Varra will assess whether that's what's driving your breakouts and tailor your plan accordingly.

Yes. Post-inflammatory hyperpigmentation (the dark marks acne leaves behind) is very treatable with the right prescription topicals. It's one of the most common things Dr. Varra addresses alongside active acne, and it often improves significantly with the same treatments used for breakouts.

Hair loss is a dermatology issue, and there are a few common culprits in college: stress, diet changes, and hormones. In the near future, DermFlo will launch intake forms for hair loss as well.

Absolutely. Body acne is treated the same way as facial acne and is extremely common. Just upload clear photos of the affected areas in your intake and Dr. Varra will include it in your assessment.

If you're still dealing with breakouts after trying drugstore products, your acne likely needs prescription-strength treatment. Persistent acne also raises the risk of scarring, which is much harder to treat than the acne itself. The sooner you get on the right plan, the better your long-term skin looks.

DermFlo is built specifically for college students dealing with acne. You're in a new city, probably without a car, and the last thing you have time for is hunting down a dermatologist who takes your insurance and has availability before next semester. DermFlo is designed around that reality.

Fill out a short intake form about your skin, current medications, and health history, then upload a few clear photos of the affected area. Dr. Varra reviews your case, puts together a personalized treatment plan, and sends it back to you within 1–7 days. If a prescription is needed, it goes straight to your pharmacy.

A few clear photos of your skin in good lighting, answers to a short questionnaire about your skin history and current routine, and a list of any medications or supplements you're currently taking. The whole intake takes about 10 minutes.

Yes. Let Dr. Varra know what you're currently using in your intake. He can review whether your current regimen is appropriate, adjust it, or build on it.

Dr. Varra personally reviews your photos and intake. You'll receive a treatment plan within 1–7 days with clear instructions on what to use, how to use it, and what to expect. If a prescription is included, it gets sent to the pharmacy of your choice.

DermFlo is launching in Texas in Summer 2026 with a limited 100-patient beta. Join the waitlist to get notified when we expand to your state.

Yes. Tretinoin is the prescription-strength retinoid that dermatologists actually recommend. It's not the same as the retinol serums you see on TikTok — those are over-the-counter and work at a fraction of the strength. Tretinoin normalizes how your skin cells shed, reduces oil buildup, and has long-term anti-inflammatory effects. It's one of the most commonly prescribed treatments through DermFlo.

Accutane is the heavy-hitter for severe acne that nothing else has touched. It works by dramatically shrinking the oil glands in your skin, which is why it can produce long-term remission. Because of its side effects, it requires monthly bloodwork and enrollment in a special FDA program called iPLEDGE. Dr. Varra will assess whether you're a candidate and walk you through exactly what that process involves.

Most people who say they've tried everything have only tried drugstore stuff. Prescription treatments work at a biological level, targeting the bacteria, oil production, and skin cell buildup that cause acne in a way OTC treatments from CVS can't always reach. Dr. Varra will figure out exactly what type of acne you have and put you on the right treatment tier.

Real talk: prescription treatments take 8–12 weeks to visibly work. That's not a DermFlo thing, that's just how skin biology works. Most people quit right before it kicks in. Dr. Varra will set honest expectations upfront and adjust your plan at follow-ups so you're not left guessing.

Some prescription treatments, especially tretinoin, can cause a purge in the first few weeks where your skin temporarily breaks out more. It sounds alarming but it's actually a sign the medication is working. Dr. Varra will walk you through what to expect so you don't panic and stop treatment early.

Not necessarily. Some treatments, like Accutane, can produce long-term remission after a single course. Others, like topical retinoids, work best as part of an ongoing routine. Dr. Varra will give you a realistic picture of what maintenance looks like for your specific case.

$49 for a new patient visit. $29 for follow-ups. That's it. No subscription, no hidden fees, no insurance required.

Yes. The visit is flat-fee, and medications through our pharmacy partner Cost Plus Drugs run just a few dollars a month for most common acne prescriptions.

Most common acne prescriptions run just a few dollars a month. We make nothing from what we prescribe — our only goal is to get you the most affordable option. For patients without insurance, we partner with Cost Plus Drugs, which offers some of the lowest medication prices in the country.

No. DermFlo is a cash-pay service. Insurance is never required and never billed.

No. Since DermFlo doesn't bill insurance, nothing shows up on your parents' explanation of benefits. You pay directly, and that's the end of it.

None. You pay per visit, on your schedule. No auto-billing, no mandatory check-ins, no monthly fees.

The average wait time for an in-person dermatology appointment in the US is 4–6 months. With DermFlo, you submit your intake in 10 minutes and hear back from Dr. Varra within 1–7 days. No waiting until next semester to start fixing your skin.

10 minutes to fill out your intake and upload photos. Dr. Varra responds within 1–7 days. Your prescription goes straight to your pharmacy. No appointment to schedule, no commute, no sitting in a waiting room between classes.

That's literally why DermFlo exists. Everything is done from your phone. No clinic, no Uber, no missing class. While everyone else is waiting months for an in-person appointment, you could already be two months into your treatment plan.

Follow-up visits are $29 and available whenever you need them. No mandatory check-in schedule. Come back when your prescription runs out, if your skin isn't responding, or if you want to adjust your plan.

Dr. Vamsi Varra is a board-certified dermatologist who personally reviews every single case. No bots, no automated diagnoses, no quiz results. You're getting a real clinical opinion from a real physician.

Dr. Varra is a board-certified dermatologist and the founder of DermFlo. He spent years in traditional dermatology practices before building DermFlo specifically because he kept seeing college students fall through the cracks of a system that's expensive, slow, and hard to navigate without a car or reliable insurance.

Completely. DermFlo is fully HIPAA-compliant. Your data is stored securely, only accessed by your care team and the vetted partners who help us deliver your care, and never sold.

DermFlo is LegitScript certified, which is the gold standard for verifying that online healthcare providers operate legally and meet medical standards. Dr. Varra is a licensed, board-certified dermatologist. Every treatment plan follows established clinical guidelines — the same protocols used in dermatology practices nationwide.