Patient informational/instructional sheets can be used not only to assist in providing patients with baseline material regarding their condition, but also aid in physicians communicating a treatment protocol. Educational material regarding acne, adult acne, perioral dermatitis, and isotretinoin is included for perusal and discussion. Within this framework, one learns the unifying concept of the Propionibacterium acnes biofilm, methods to maximize production of benzoyl peroxide radicals (the active biological form of this compound), unplugging ability of oral antibiotics, and low-dose isotretinoin therapeutics.