Ever since I moved to Spain, my face has been in a constant battle with acne. I’m not sure if it was the stress or just my skin not adjusting to the new environment, but the breakouts were relentless and incredibly frustrating. I tried all sorts of skincare products with no luck, so I finally decided it was time to see a doctor. Today, I’m sharing my experience with getting acne treated in Spain, hoping it can help others facing the same issue.
Public or Private? My Decision-Making Process
Initially, I wanted to go through the public healthcare system to save money. The process involves booking an appointment with your GP (General Practitioner) for an initial assessment. My GP was very nice, but as a generalist, he could only prescribe some basic antibiotic creams. He said he would refer me to a dermatologist if getting my acne treated this way didn’t show improvement. As you can probably guess, it was completely useless. On top of that, the waiting time for a public dermatology referral was ridiculously long—I was told it would be at least three to four months. My skin couldn’t wait that long!

In the end, I couldn’t bear the wait and decided to bite the bullet and go to a private dermatologist. Although it meant paying out of pocket, the main advantage was speed! I found a well-reviewed clinic near me online, called to make an appointment, and was seen within a week. For impatient people like me, or for those with more severe skin issues, time is truly more valuable than money.
My Experience at the Private Dermatology Clinic
I went to a private clinic called Clínica Dermatológica, and the doctor was a highly experienced dermatologist. The consultation was very thorough. The doctor carefully examined my skin, then asked detailed questions about my lifestyle, diet, and the skincare products I had been using. It wasn’t like the GP, who dismissed me in a couple of minutes. The final diagnosis was moderate acne, and I was prescribed two medications: an oral medication, Isotretinoin, and a topical cream.
The doctor specifically emphasized the precautions for taking oral Isotretinoin, such as the need for strict birth control during treatment and regular liver function tests. The entire consultation lasted about 20 minutes, and I felt it was very professional and reassuring. Here, I’ve compiled the main differences between public and private options into a table for your reference:
| Aspect | Public Hospital | Private Clinic |
| Appointment Speed | Slow, specialist referrals can take months | Fast, usually seen within a week |
| Cost | Free | Out-of-pocket, initial consultation around €80-150 |
| Choice of Doctor | No choice of doctor | Free to choose your doctor and clinic |
| Consultation Experience | Standardized, brief appointments | More personalized and thorough |
If you have public health coverage and aren’t in a hurry, the public system is a viable option. However, if you’re like me and want a quick solution and a more detailed diagnosis, spending the extra money on a private clinic is definitely worth it. I’ve been on the medication for almost two months now, and my acne has mostly cleared up, leaving just some post-acne marks that need time to heal. I hope my experience can serve as a useful reference for you!