Holistic Acne Therapy in San Antonio: Addressing Root Causes
A physician who treats your hormones, your gut, and your skin — because acne is more than a skin problem. It's a whole-body conversation.
Acne Is a Whole-Body Problem — We Treat It That Way
At Prime Vitality, we don't just prescribe a topical and send you on your way. Dr. Goel's comprehensive acne therapy program investigates the root causes of your breakouts — hormonal imbalances, gut dysfunction, dietary triggers, chronic stress, and inadequate skincare routines — then builds a multi-layered treatment plan that addresses every factor.
This approach combines functional medicine diagnostics with medical-grade aesthetic treatments like chemical peels, LED light therapy, and microneedling. The result? Clearer skin that stays clear, because we've resolved the underlying issues — not just masked the symptoms.
🩺 Triple Board-Certified Physician-Led Care
Dr. Goel is board-certified in Internal Medicine, Functional Medicine, and Aesthetic Medicine — uniquely qualified to address your hormones, gut health, and skin in a single coordinated plan.
Your Personalized Acne Treatment Plan
We combine multiple evidence-based modalities to attack acne from every angle. Your customized program may include any combination of these treatments.
Hormonal Acne Protocol
Comprehensive lab panels to assess hormones, thyroid, cortisol, and DHEA-S levels. We identify the hormonal drivers behind your breakouts and create a targeted balancing plan.
Labs + Balancing
Chemical Peel Series
Progressive, medical-grade peels calibrated for acne-prone skin. Salicylic acid, glycolic, and TCA peels to clear active breakouts, unclog pores, and fade post-inflammatory hyperpigmentation.
Active Acne + Scarring
LED Light Therapy
Clinical-strength blue light penetrates skin to destroy acne-causing P. acnes bacteria without antibiotics. Red light reduces inflammation and accelerates healing. Pain-free and zero downtime.
Anti-Bacterial
Microneedling for Scars
Collagen induction therapy that remodels scar tissue from the inside. Controlled micro-injuries trigger your skin's natural repair process to smooth rolling, boxcar, and ice pick acne scars.
Scar Remodeling
Medical-Grade Skincare
Prescription retinoids, professional-grade serums, and pharmaceutical cleansers custom-selected for your skin type. We build a morning and evening regimen that prevents new breakouts.
Daily Prevention
Gut-Skin Axis Protocol
Functional medicine testing to identify food sensitivities, gut dysbiosis, and microbiome imbalances. We heal the gut-skin connection with targeted nutrition, supplements, and lifestyle changes.
Functional MedicineWhy Choose Prime Vitality for Acne Treatment?
Most clinics treat acne as a surface problem. We treat it as a whole-body condition — because that's what it is.
Physician-Administered
Dr. Goel personally evaluates, diagnoses, and manages your acne program — not a nurse practitioner or aesthetician following a script.
Root Cause Medicine
We don't just suppress symptoms. Lab work, dietary analysis, and hormone testing reveal WHY you're breaking out — then we fix it at the source.
Triple Board-Certified
Internal Medicine + Functional Medicine + Aesthetic Medicine = a doctor who can address hormones, gut health, AND skin in one coordinated plan.
Proven Results
500+ five-star reviews, America's Best Doctor 2025, and featured on KENS5 and Great Day SA. Our patients get results that last.
Acne Transformation Gallery
These patients followed Dr. Goel's comprehensive acne protocol. Each plan was personalized to their unique triggers and skin type.
Results may vary. Individual results depend on multiple factors including skin type, adherence to treatment, and severity of condition.
How Our Acne Program Works
A structured, physician-guided process that doesn't just clear your skin — it keeps it clear for good.
Deep-Dive Consultation
Dr. Goel personally evaluates your skin, medical history, lifestyle, diet, and stress levels. Digital skin analysis identifies acne type, scarring depth, and inflammation patterns.
Diagnostic Labs
Comprehensive blood work checks hormones, thyroid, gut health markers, and food sensitivities. We discover the hidden triggers most providers never investigate.
Custom Treatment Plan
Based on your results, we build a multi-modal protocol — combining in-office treatments, medical-grade skincare, dietary modifications, and supplements specific to your biology.
Ongoing Optimization
Monthly follow-ups track progress with comparison photos. We adjust treatments as your skin improves, ensuring lasting results — not temporary fixes.
What Our Patients Are Saying
Real reviews from Google, Yelp, Zocdoc, and RealSelf — from real patients who trust Prime Vitality with their care.
“I had PDO threads and Morpheus 8 done by Dr. Goel and the results have been phenomenal. He took the time to explain everything and made me feel completely comfortable. The staff is wonderful!”
“Dr. Goel is amazing! I got Morpheus8 and DermaFuse treatments. The results have been transformative. His knowledge and attention to detail are unmatched. Highly recommend!”
“I got a dermaplaning facial and it was an incredible experience! My skin felt so smooth and looked radiant. The team here is professional and so welcoming.”
“Dr. Goel takes a truly holistic approach. He looked beyond my symptoms and addressed root causes. My energy and mood have improved dramatically alongside my skin.”
“This place is life-changing. Dr. Goel and his staff truly care about their patients. My confidence has been completely restored. I can’t recommend them enough!”
“Best medical spa I’ve ever been to. Dr. Goel and his team are caring, empathic, and incredibly skilled. Every visit feels personalized and genuine.”
Acne Therapy Pricing
Transparent pricing. Every treatment includes a physician consultation, custom protocol, and dedicated follow-up care.
Acne Consultation
Applied toward treatment
- Complete skin analysis
- Acne type diagnosis
- Personalized treatment plan
- Photo documentation
Comprehensive Acne Program
3-month physician-guided protocol
- All consultations included
- In-office treatments (peels, LED)
- Medical-grade skincare regimen
- Monthly progress tracking
- Diet & lifestyle guidance
Lab Panel
Hormones + gut health markers
- Hormone panel (testosterone, DHEA-S, cortisol)
- Thyroid markers
- Food sensitivity testing
- Gut health markers
Chemical Peel (Acne-Specific)
Per session · Series pricing available
- Medical-grade formulation
- Salicylic or glycolic acid
- Post-peel skincare included
LED Light Series
6 sessions · Blue + red light
- Kills acne-causing bacteria
- Reduces inflammation
- Zero downtime
Microneedling for Acne Scars
Per session · Package discounts available
- Collagen induction therapy
- PRP add-on available
- Smooths all scar types
Frequently Asked Questions
Everything you need to know about our comprehensive acne therapy program.
Adult acne often has different triggers than teenage acne. Hormonal fluctuations (especially around menstrual cycles, pregnancy, or perimenopause), chronic stress, gut dysbiosis, food sensitivities, medications, and inadequate skincare routines are the most common culprits. At Prime Vitality, we investigate all of these factors through comprehensive evaluation and lab testing to identify YOUR specific triggers.
Most dermatologists focus on topical and oral medications to suppress symptoms. While these can work temporarily, acne often returns when medications stop. Dr. Goel's approach treats acne as a whole-body condition — investigating hormonal imbalances, gut health, nutrition, and stress alongside aesthetic treatments. His triple board certification in Internal Medicine, Functional Medicine, and Aesthetic Medicine means he can address the internal and external causes simultaneously.
Lab work is recommended for most patients, especially those with hormonal acne, cystic acne, or acne that hasn't responded to previous treatments. Our panels check hormone levels (testosterone, DHEA-S, cortisol, estrogen), thyroid function, food sensitivities, and gut health markers. This data is critical for creating a truly personalized treatment plan. Lab panels range from $350–$500.
Most patients notice visible improvement within 4–6 weeks of starting the comprehensive program. Significant clearing typically occurs by weeks 8–12. Acne scarring improvement with microneedling requires 3–6 sessions spaced 4–6 weeks apart. Remember, we're addressing root causes — the initial improvement phase may include a brief "purging" period as your skin adjusts, but the long-term results are more lasting than quick-fix approaches.
Absolutely. Acne scar treatment is a major component of our program. We use microneedling (with optional PRP) to stimulate collagen production and smooth rolling, boxcar, and ice pick scars. Chemical peels address post-inflammatory hyperpigmentation and surface irregularities. For deeper scars, we may combine modalities. We always treat active acne first to prevent new scarring before addressing existing scars.
Hormonal acne is one of our specialties. It typically appears along the jawline, chin, and lower cheeks, often flaring with menstrual cycles. Dr. Goel's Internal Medicine and Functional Medicine certifications make him uniquely qualified to evaluate and treat hormonal acne. We use lab testing to identify hormonal imbalances, then create a balancing protocol that may include dietary changes, targeted supplements, and when necessary, prescription medications.
Yes! Back acne (bacne) responds very well to our protocol. We use chemical peels, LED light therapy, and medical-grade body products specifically formulated for truncal acne. The hormonal and gut-health investigation is especially important for back acne patients, as it's frequently driven by androgen levels and dietary factors. Many patients see dramatic improvement within 8–12 weeks.
We prescribe medical-grade and pharmaceutical products tailored to your specific acne type and skin sensitivity. This typically includes a gentle cleanser, active treatment serum (retinoid, azelaic acid, or benzoyl peroxide), non-comedogenic moisturizer, and medical-grade SPF. We avoid one-size-fits-all recommendations — your regimen is customized during your consultation and adjusted as your skin improves.