- A $70 flat video visit with a board-certified dermatologist, no insurance needed.
- Cash-pay marketplace with 10,000+ doctors; visits cost up to 60% less than traditional rates.
- Prescription skincare programs from $59/month instead of per-visit billing.
- Great for acne, eczema, rosacea and skin changes during a GLP-1 journey.
- Pay-per-visit, not a clinic that follows you, and biopsy-level cases get referred out.
Acne that won't quit, dark spots that keep spreading, a hairline creeping back, and the one real fix, prescription-strength skincare, sits locked behind a dermatologist who can't see you for two or three months. Sesame's dermatology marketplace exists to solve exactly that: a licensed provider and, where appropriate, a same-day prescription, from your couch, without insurance and without the wait. Here's our full review, starting with the video.
How Sesame dermatology works
Sesame Care connects patients with over 10,000 board-certified doctors who list their own prices directly on the platform, with no middlemen, which is how visits end up costing up to 60% less than traditional rates. For dermatology, that means picking a provider, seeing their exact price up front, and getting a video consultation, often the same day.
Dermatology pricing
| Service | Cash price |
|---|---|
| Dermatologist video visit | $70 |
| Prescription skincare program | From $59/month |
| Primary care video visit (referrals, general skin questions) | $46 ($36 with Sesame Plus) |
These are real prices, not "starting at" teasers: each provider's rate is displayed before you book. Prescriptions, where appropriate, are sent to your pharmacy or handled through Sesame's ongoing programs.
The $59/month Skincare Rx program is the one to understand, because it's where Sesame is genuinely different from a one-off visit. That price buys a complete personalized prescription skincare plan: video visits with the provider you choose, unlimited messaging with that same provider for ongoing guidance, and access to prescriptions across a long list of conditions. The one nuance worth knowing up front: the medication itself isn't baked into the $59, but Sesame gives you a prescription savings card that can take up to 80% off the cost at your local pharmacy, which for generics like tretinoin often means a few dollars a month.
Is Sesame dermatology legit?
It's the question people actually type into Google before booking, so let's answer it directly: yes. Sesame is a real medical telehealth platform, not a supplement company dressed up as a clinic. Two things back that up concretely. First, it's verified by LegitScript, the certification that separates compliant telehealth from the "pill-mill" sites regulators warn about. Second, it holds a 4.5-star Trustpilot rating from real patients, alongside a 4.9 App Store score and a patient base in the millions.
What you're paying for is a genuine clinical interaction: licensed providers (medical doctors, nurse practitioners and physician assistants) who diagnose you over a face-to-face video call and write real prescriptions. Not the watered-down drugstore versions, but prescription-strength medication:
| Medication | Commonly used for |
|---|---|
| Tretinoin (generic Retin-A) | Acne, fine lines, texture, dark spots |
| Azelaic acid | Rosacea, acne, pigmentation |
| Spironolactone | Hormonal acne |
| Minoxidil | Hair thinning and regrowth |
| Finasteride | Male-pattern hair loss |
| Hydrocortisone | Eczema, inflammation, flare-ups |
Everything one provider can treat
The range is genuinely wide: the kind of list that would normally send you to three different specialists, handled by one provider who actually gets to know your skin:
- Acne: pimples, clogged pores, redness, oily skin
- Anti-aging: fine lines, wrinkles, loss of elasticity
- Rosacea: facial redness, visible vessels, acne-like bumps
- Melasma & dark spots: uneven tone and pigmentation
- Eczema & psoriasis: itching, flaking, inflammation
- Dandruff and hidradenitis suppurativa
- Hair: thinning, shedding, receding hairlines, bald spots
- Eyelash growth: for thin, sparse, brittle lashes
How the process works, step by step
- Short questionnaire: a few questions about your skin and routine, then you pick your provider.
- Face-to-face video visit: often the same day; you talk through your history, goals and a treatment plan.
- Prescription to your pharmacy: if medication is prescribed, it goes straight to your local pharmacy for pickup, frequently same-day.
- Ongoing support: follow-up visits and unlimited messaging with the same provider who already knows your case, all tracked in the Sesame app with seamless refills.
No waiting rooms, no two-month waitlist, no insurance card required. Care from home or on the go.
When it's the right tool
- Acne, rashes, eczema, rosacea: the classic video-friendly consultations.
- Skin changes during weight loss: irritation, loose-skin concerns and friction issues that often accompany a GLP-1 journey.
- Prescription skincare: ongoing treatment at $59/month instead of per-visit billing.
- A second opinion, fast: some slots open within 2 hours.
The downsides
- Pay-per-visit model: no ongoing program structure unless you take a subscription option; it's a marketplace, not a clinic that follows you.
- Some conditions need in-person care: anything requiring a biopsy or dermatoscope exam will be referred out.
Who Sesame Dermatology is actually for
- A board-certified dermatologist this week for $70, no insurance
- Help with acne, eczema, rosacea or GLP-1 skin changes
- Ongoing prescription skincare at $59/month
- A fast second opinion, with some slots open within 2 hours
- A biopsy or dermatoscope exam, which gets referred out
- An ongoing clinic that follows you, not pay-per-visit
- Insurance-billed dermatology rather than cash pay
For anyone without insurance (or with a deductible that makes dermatology unaffordable), Sesame's $70 flat video visit is one of the cheapest legitimate ways to get a board-certified dermatologist's eyes on your skin this week. Also see Sesame's women's health services and general best-price marketplace.
Medical disclaimer: this review covers the service, not medical treatment. For any concerning skin change, consult a licensed healthcare provider promptly.