Drs. Julie Harper and Hilary Baldwin shared insights on shifting practices for acne and rosacea. Dr. Harper explained that topical acne treatments have become effective enough to serve as a first-line therapy before considering oral antibiotics, while topical retinoids and scar procedures can now be safely used alongside isotretinoin. For rosacea, Dr. Baldwin emphasized that targeted treatments are required for distinct symptoms like erythema or papules, often necessitating combination therapy. She also highlighted using modified-release tetracyclines to achieve anti-inflammatory benefits without contributing to antibiotic resistance during long-term care.