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Aesthetics Compounding

Compounding Pharmacy for Medical Spas & Aesthetic Practices

Custom numbing creams, topical anesthetics, skin brightening, anti-aging, and aesthetic compounds — compounded to your specifications and shipped directly to your patients.

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About This Specialty

The Compounding Partner Medspas Actually Rely On

Medical spas have specific compounding needs that most pharmacies don’t understand. Numbing creams at the right concentration. Topical formulations for skin care protocols that don’t exist as commercial products. Hair restoration compounds. Custom strengths of tretinoin, hydroquinone, and minoxidil. The pharmacy a medspa picks for these compounds matters — quality, consistency, and turnaround all directly affect patient outcomes and clinic operations.

Richmond Pharmacy works directly with medspa operators and aesthetic providers to compound the exact formulations their protocols require. We handle the volume of high-frequency compounds like numbing creams and the precision of low-volume custom protocols — all to clinical-grade standards.

Aesthetic compounding context
Why Clinics Offer This

Why Aesthetic Practices Rely on Compounding

  • $19B+ The U.S. medical spa industry surpassed $19 billion and continues to grow — compounding pharmacy is a core operational requirement for most practices
  • Custom concentrations matter Standard OTC numbing creams rarely match clinical needs — custom compounded concentrations significantly improve patient comfort and procedure outcomes
  • Your brand, your product Custom compounded topicals can be formulated and packaged as part of your clinic’s branded treatment experience — no generic pharmacy labels
What We Compound

Aesthetic Compounds We Compound

  • Custom Numbing Cream

    Topical anesthetic formulations compounded to your exact concentration — lidocaine, prilocaine, tetracaine, benzocaine, or custom combinations. Designed for procedures including laser, filler, microneedling, RF, and more.

  • Lidocaine / Tetracaine Combinations

    A dual-anesthetic topical combining lidocaine and tetracaine for enhanced numbing effect. Commonly used in aesthetic procedures requiring deeper or longer-lasting anesthesia than single-agent formulations provide.

  • Skin Brightening Compounds

    Custom topical formulations containing hydroquinone, kojic acid, azelaic acid, or combination brightening agents — compounded in the base and concentration your clinical protocol specifies.

  • Anti-Aging Topicals

    Tretinoin, retinol, and combination anti-aging formulations compounded in custom strengths and bases. Available in cream, gel, and serum delivery forms to match your treatment protocols.

  • Scar & Wound Healing

    Custom topical compounds for post-procedure recovery — silicone gels, combination scar formulations, and healing compounds designed for aesthetic post-treatment protocols.

  • Acne & Rosacea Treatments

    Compounded topical formulations for acne and rosacea that go beyond what commercial products offer — custom concentrations of metronidazole, azelaic acid, niacinamide, and combination agents.

  • Hair Loss Topicals

    Compounded minoxidil formulations in custom concentrations and bases — including combination topicals with finasteride, tretinoin, or biotin — for aesthetic practices offering hair restoration programs.

  • Custom Topical Formulations

    Need something specific that isn't in our standard catalog? Our pharmacists compound custom topical formulations to your exact specifications — concentration, base, delivery form, and packaging.

Who We Work With

Which Partners Use Aesthetic Compounding?

Aesthetic clinic environment

  • Medical Spas

    Numbing creams and aesthetic topicals are a daily operational need for medspas — Richmond compounds them consistently, ships them fast, and keeps your treatment schedule running.

  • Dermatology Practices

    Dermatologists rely on compounded topicals for custom concentrations of tretinoin, hydroquinone, and combination agents that commercial products can't match.

  • Plastic Surgery Practices

    Plastic surgeons and cosmetic surgery practices need compounded topical anesthetics and post-procedure healing formulations that perform to clinical standards.

  • Laser & Skin Clinics

    Laser clinics and skin care centers use numbing creams across every treatment — a reliable compounding partner means consistent patient comfort and consistent results.

  • Telehealth Dermatology Platforms

    Telehealth dermatology platforms need a compounding pharmacy for custom tretinoin, acne, and skin care formulations shipped directly to patients under their brand.

  • Aesthetic Nurse Practitioners & PAs

    Independent aesthetic injectors and NPs offering cosmetic procedures need access to high-quality compounded numbing creams and topicals without a large practice infrastructure.

The Process

How Richmond Pharmacy Fulfills Your Prescriptions

See Our Services
Step 1

Your provider submits the prescription via our portal or API

Step 2

Our pharmacists compound to your exact specifications

Step 3

Quality reviewed by a licensed pharmacist before shipping

Step 4

Shipped directly to your patient — under your brand

Compounded medications are not FDA-approved. Available via valid prescription from a licensed provider.

Frequently Asked Questions

Common Questions About Aesthetics

What numbing cream concentrations do you compound?
We compound topical anesthetic formulations in a range of concentrations using lidocaine, prilocaine, tetracaine, benzocaine, and custom combinations. The concentration is determined by your provider's prescription and clinical protocol — we compound exactly what is specified.
What is the difference between single-agent and combination numbing creams?
Single-agent numbing creams use one anesthetic — commonly lidocaine — at a specific concentration. Combination formulations pair two or more anesthetics, such as lidocaine and tetracaine, to achieve a broader, deeper, or longer-lasting numbing effect. Many aesthetic procedures benefit from combination formulations, particularly laser treatments and microneedling. Our pharmacists can help your team identify the right formulation for your procedures.
Can you match a numbing cream formula our practice is already using?
Often yes. Share your current formula requirements with your account manager and our pharmacists will assess whether we can match or improve on the formulation. If you have a compound spec from another pharmacy, that's the fastest starting point.
Do you compound tretinoin at custom strengths?
Yes. Tretinoin is available in a range of compounded strengths and delivery bases — cream, gel, and serum forms — at concentrations not always commercially available. Custom combinations with other active ingredients such as niacinamide or azelaic acid are also available.
Can you compound minoxidil for hair loss programs?
Yes. We compound minoxidil in topical formulations at various concentrations, including combination compounds with finasteride, tretinoin, or other agents for hair restoration protocols. This is a growing area for aesthetic practices adding hair health to their service menu.
How quickly do aesthetic topical compounds ship?
Most topical compound orders are fulfilled and shipped within 1–3 business days of prescription receipt. Your account manager will confirm specific turnaround times during onboarding.
Do aesthetic compounds require a prescription?
Yes. All compounded medications — including numbing creams, tretinoin, hydroquinone, and minoxidil — require a valid prescription from a licensed healthcare provider. Richmond Pharmacy does not dispense any compounded medication without a valid prescription.

Ready to Add Aesthetic Compounding to Your Practice?

Tell us about your practice and we’ll follow up within one business day.

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