Adult acne (25+) differs from teen acne - hormonal, stress-related, slower healing. Korean dermatologists follow a structured 4-step protocol distinct from Western approaches.
Step 1 - Assessment: Photo-documentation, IgE test for hidden allergies, gut microbiome consult. Korean derms consider internal factors more than US derms.
Step 2 - Oral: Isotretinoin (Accutane) for severe; Spironolactone for hormonal in women; probiotics regardless. Seoul clinics prescribe lower Accutane doses (10-20mg daily) than US (40-80mg).
Step 3 - Topical: Adapalene 0.1% + azelaic acid 10-20%. Beauty of Joseon Propolis Ampoule ($17) often added for barrier support.
Step 4 - In-clinic procedures: Pore extraction monthly, photodynamic therapy (PDT) for active breakouts, laser toning for PIH (post-inflammatory hyperpigmentation).
Total monthly cost in Seoul: $150-400 for oral + topical + 1 procedure. Compared to $500-1,200 in US for comparable treatment.
Realistic timeline: 60% improvement in 8 weeks, 90% in 16-24 weeks. Complete clearance rare - maintenance regimen ongoing.