Business of Beauty

Spotless Opens Second NYC Acne Clinic, Betting on Walk-In Pimple Shots

Dr. Amy Wechsler and daughter Zoe have opened a second Spotless acne clinic in Greenwich Village, adding Fraxel and Vbeam lasers to walk-in pimple shots and $100-plus treatments.

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Spotless Opens Second NYC Acne Clinic, Betting on Walk-In Pimple Shots
Spotless Opens Second NYC Acne Clinic, Betting on Walk-In Pimple ShotsPeter Blanchard / Openverse

The takeaway

  • Spotless opened its second clinic in Greenwich Village 10 months after launching on the Upper East Side, meeting its one-year expansion goal.
  • Services start at $100 after a $250 initial consultation; the menu includes corticosteroid pimple shots, extractions, 20% salicylic acid peels, and new Fraxel and Vbeam laser treatments for acne scars.
  • 92 percent of teenagers and 80 percent of 20- to 29-year-olds have acne, according to figures cited by Dr. Amy Wechsler.

Ten months after opening its first location on Manhattan's Upper East Side, the mother-daughter-run acne clinic Spotless has opened a second clinic in Greenwich Village.

The expansion hits the original timeline the founders set for themselves: they hoped to add a second site within the first year of business. "We chose Greenwich Village because it's important for us to be accessible to as many people as possible," says Zoe Wechsler, who co-founded the clinic with her mother, Dr. Amy Wechsler. "It felt like a good hub to be in."

Dr. Amy Wechsler is one of the few double-board-certified psychiatrists and dermatologists in the country and a recent Columbia MBA graduate. The concept grew out of her private practice, where patients texted on weekends and evenings begging for last-minute corticosteroid injections to shrink giant pimples before weddings and dates. "Then, Zoe was like, 'Mom, we should just open a pimple shot bar,'" Amy Wechsler recalls.

The resulting business model resembles a blow-dry bar for acne. Patients can walk in for a pimple shot — a diluted steroid that reduces swelling and inflammation so a large pimple is often gone by the next day — plus extractions for blackheads, pustules and whiteheads, and 20 percent salicylic acid chemical peels. All treatments, procedures and consultations are performed by nurse practitioners and physician assistants trained on a curriculum Amy Wechsler wrote based on more than 20 years of treating acne. Consultations include patient history, examination and prescriptions ranging from topical Retin-A to Accutane.

Services start at $100 after an initial $250 consultation. The downtown location will also add new laser treatments, Fraxel and Vbeam, to target acne scars.

Accessibility drove the expansion strategy. Dermatology, Amy Wechsler argues, is constrained by limited physician supply, 9 A.M. to 5 P.M. weekday hours, long wait times, high cost and patient anxiety. "Acne is everywhere, so we need to be where the people are," she says. The clinic will open early two days a week, stay open every weekday until 8 P.M., and operate Saturdays from 10 A.M. to 6 P.M., with both walk-ins and appointments.

The founders reject the "acne positivity" framing outright. "Well, if acne positivity means you should like your acne and keep it—" Amy Wechsler begins. "Then we don't," Zoe Wechsler finishes. Amy Wechsler cites research showing acne affects self-esteem and confidence and causes people to withdraw. "Acne is a disease. I really love treating acne because it involves the unique combination of psychiatry and dermatology. When I cure it, [I see] how people blossom."

The scale of the problem is measurable: 92 percent of teenagers and 80 percent of 20- to 29-year-olds have acne, according to figures Amy Wechsler cites. The clinic is designed to be gender-neutral and inviting across age groups — from teenagers to, as she puts it, "a 50-year-old with hormonal acne who wants to come in after work."

A retail section, the Spot Shop, will carry noncomedogenic, fragrance-free products curated by Zoe Wechsler, plus stress-relief items like squeeze cubes, Chillhouse press-on nails and cuticle oil — practical tools, she notes, that help prevent skin picking, which can itself be a symptom of struggling with acne. The clinic will also stock La Roche-Posay Effaclar pimple patches. "We think it's great to prevent picking," Zoe Wechsler says, though her mother is blunt about their limits: "Pimple patches don't cure pimples."

On treatment innovation, Amy Wechsler is skeptical of the newest devices. "The best acne treatments are still the older ones, which are tried and true," she says, adding that the newest laser "hurts a lot and doesn't work that well." The real advances, she says, are dosing refinements: lower-dose Accutane now works as well without the harsh side effects, and clinicians use gentler strengths of tretinoin, Retin-A and Differin. "We're not making people's faces peel."

Patients should expect a realistic timeline. All acne medicines take six to eight weeks to start working, Amy Wechsler says: "We're going to work together. I'm going to clear you up." She also has plans for a future product line of her own.

Source: Elle Beauty; Source: instagram.com

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Olivia Hart

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Senior reporter covering business strategy at Eurasian Beauty Journal.

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