What skin conditions require a dermatologist’s care. How to prepare for your dermatologist appointment. Why regular skin cancer screenings are crucial. When over-the-counter treatments aren’t enough for acne.

Common Reasons to Consult a Dermatologist

Dermatologists are medical professionals specializing in the health of skin, hair, and nails. While many skin conditions can be managed at home, others require expert care. Understanding when to seek professional help is crucial for maintaining optimal skin health.

Persistent Acne Issues

Acne is a common skin concern that affects people of all ages. When over-the-counter treatments fail to provide relief, it’s time to consult a dermatologist. These specialists can:

• Identify the specific type of acne you’re experiencing
• Prescribe more potent medications tailored to your skin type
• Recommend lifestyle changes to support skin health
• Perform professional treatments like chemical peels or laser therapy

By addressing persistent acne with professional help, you can prevent scarring and boost your confidence.

Skin Cancer Screening and Prevention

Regular skin cancer screenings are essential, especially for individuals at higher risk. Dermatologists play a crucial role in:

1. Performing thorough full-body skin examinations
2. Identifying suspicious moles or lesions
3. Conducting biopsies when necessary
4. Providing education on sun protection and self-examination techniques

Early detection significantly improves the prognosis for skin cancer patients. Schedule annual check-ups with your dermatologist, and don’t hesitate to book an appointment if you notice any changes in your skin’s appearance.

Managing Chronic Skin Conditions

Chronic skin conditions can significantly impact quality of life. Dermatologists are equipped to diagnose and manage a wide range of persistent skin issues.

Eczema Treatment and Management

Eczema, characterized by dry, itchy, and inflamed skin, requires specialized care. Dermatologists can:

• Identify triggers and recommend avoidance strategies
• Prescribe topical medications to reduce inflammation and itching
• Suggest moisturizing routines to maintain skin barrier function
• Offer advanced treatments for severe cases, such as phototherapy or systemic medications

With proper management, many eczema patients experience significant symptom relief and improved quality of life.

Psoriasis Care and Treatment Options

Psoriasis is an autoimmune condition causing rapid skin cell turnover and scaly patches. Dermatologists offer comprehensive care, including:

• Topical treatments to reduce inflammation and scaling
• Systemic medications for moderate to severe cases
• Biologic therapies targeting specific immune system pathways
• Light therapy to slow skin cell growth
• Guidance on lifestyle modifications to reduce flare-ups

By working closely with a dermatologist, psoriasis patients can achieve clearer skin and better disease control.

Cosmetic Dermatology: Enhancing Skin Appearance

While not all skin concerns are medical in nature, dermatologists also offer a range of cosmetic services to address aesthetic issues.

Treating Signs of Aging

As we age, our skin undergoes various changes. Dermatologists can help minimize the appearance of:

• Fine lines and wrinkles
• Age spots and sun damage
• Loss of skin elasticity
• Uneven skin texture

Through a combination of topical treatments, injectables, and advanced procedures like laser therapy, dermatologists can help patients achieve a more youthful appearance.

Scar Revision and Management

Scars from acne, injuries, or surgeries can be a source of distress. Dermatologists offer various treatment options for scar improvement:

• Topical treatments to fade discoloration
• Chemical peels to improve skin texture
• Microneedling to stimulate collagen production
• Laser resurfacing for deeper scars
• Surgical revision for severe scarring

While complete scar removal is often not possible, significant improvement can be achieved with professional care.

Hair and Nail Disorders: Beyond Skin Care

Dermatologists also specialize in treating conditions affecting hair and nails, which are often interconnected with overall skin health.

Addressing Hair Loss and Scalp Conditions

Hair loss can be distressing for both men and women. Dermatologists can:

• Diagnose the underlying cause of hair loss
• Prescribe medications to slow or reverse hair loss
• Recommend nutritional supplements to support hair health
• Perform scalp biopsies when necessary
• Offer advanced treatments like platelet-rich plasma (PRP) therapy

Additionally, dermatologists treat scalp conditions such as dandruff, seborrheic dermatitis, and psoriasis, which can contribute to hair issues.

Nail Health and Fungal Infections

Nail disorders can be indicative of underlying health issues or fungal infections. Dermatologists provide comprehensive nail care, including:

• Diagnosis and treatment of nail fungus
• Management of nail psoriasis and eczema
• Treatment of ingrown nails
• Biopsy of suspicious nail lesions
• Guidance on proper nail care and hygiene

Seeking professional care for persistent nail issues can prevent complications and improve overall nail health.

Preparing for Your Dermatologist Appointment

To make the most of your visit to the dermatologist, proper preparation is key. Consider the following steps:

1. Check your insurance coverage and referral requirements
2. Compile a list of current medications and supplements
3. Note any changes in your skin, hair, or nails
4. Prepare questions about your concerns
5. Avoid wearing heavy makeup if facial examination is needed
6. Bring relevant medical records or previous test results

By coming prepared, you can ensure a more productive and informative appointment with your dermatologist.

Advanced Dermatological Treatments and Procedures

Modern dermatology offers a wide array of advanced treatments for various skin conditions and cosmetic concerns.

Laser Therapy in Dermatology

Laser treatments have revolutionized many aspects of dermatological care. They are used for:

• Hair removal
• Tattoo removal
• Treatment of vascular lesions
• Skin resurfacing and rejuvenation
• Acne scar reduction

Dermatologists can determine which laser treatments are most suitable for your specific skin concerns and type.

Chemical Peels and Microdermabrasion

These exfoliating treatments can address various skin issues:

• Uneven skin tone and texture
• Fine lines and wrinkles
• Mild acne scarring
• Sun damage and age spots

Your dermatologist can recommend the appropriate type and strength of treatment based on your skin’s needs and sensitivity.

The Role of Dermatologists in Skin Cancer Management

Dermatologists play a crucial role in the prevention, detection, and treatment of skin cancer. Their expertise is invaluable throughout the entire process.

Early Detection and Diagnosis

Regular skin cancer screenings are essential for early detection. Dermatologists use various techniques to identify suspicious lesions:

• Visual examination with dermoscopy
• Digital mole mapping for high-risk patients
• Biopsy of suspicious growths

Early diagnosis significantly improves treatment outcomes for all types of skin cancer.

Treatment Options for Skin Cancer

Dermatologists offer a range of treatment options for skin cancer, depending on the type, stage, and location of the cancer:

• Surgical excision
• Mohs micrographic surgery
• Cryosurgery
• Photodynamic therapy
• Topical chemotherapy

They also collaborate with oncologists and other specialists for more advanced cases requiring systemic treatments.

Dermatology and Overall Health

The skin can often reflect internal health issues, making dermatologists important partners in overall health management.

Skin Manifestations of Systemic Diseases

Many internal diseases can have skin manifestations. Dermatologists are trained to recognize these signs, which may include:

• Skin discoloration in liver or kidney disease
• Rashes associated with autoimmune disorders
• Skin tags or patches indicating hormonal imbalances
• Changes in skin texture due to nutritional deficiencies

By identifying these signs, dermatologists can facilitate early diagnosis and treatment of underlying conditions.

The Impact of Diet and Lifestyle on Skin Health

Dermatologists understand the intricate relationship between lifestyle factors and skin health. They can provide guidance on:

• Dietary modifications to support skin health
• Stress management techniques to reduce skin inflammation
• Sleep hygiene for skin regeneration
• Exercise recommendations for improved circulation

By addressing these factors, dermatologists help patients achieve comprehensive skin health improvements.

In conclusion, dermatologists offer specialized care for a wide range of skin, hair, and nail conditions. From medical treatments to cosmetic procedures, their expertise is invaluable in maintaining healthy, vibrant skin throughout one’s life. Regular check-ups and prompt attention to skin concerns can lead to better outcomes and improved quality of life. Whether you’re dealing with a persistent skin issue or simply want to maintain your skin’s health, consulting a dermatologist can provide you with expert guidance and personalized care.

Should You See a Dermatologist?

Certain skin conditions can be treated safely at home, while others require a specialist’s care. Learn how to tell the difference.

By Madeline R. Vann, MPHMedically Reviewed by Niya Jones, MD, MPH

Reviewed: March 29, 2017

Medically Reviewed

Thinkstock

A dermatologist is a doctor who specializes in the health of your skin, hair, and nails, according to the American Academy of Dermatology (AAD). While there are a number of reasons you may want to see a dermatologist, the reality is, not every skin problem can be solved, advises Heather Woolery-Lloyd, MD, a dermatologist at the University of Miami.

“Available treatments for conditions like stretch marks, large pores, and cellulite can make them slightly better, but do not eliminate them completely,” says Dr. Woolery-Lloyd. So it’s important to have realistic expectations.

6 Reasons to Schedule a Dermatologist Visit

A dermatologist plays an important role in educating, screening, and treating various skin issues, including:

1. Acne. If you have acne that is not responding to an over-the-counter skin treatment, you may want to schedule a visit with a dermatologist, advises Woolery-Lloyd. A dermatologist can determine which kind of prescription treatment would be most effective for your acne and lifestyle, according to the AAD.

2. Skin cancer. A dermatologist can screen you for skin cancer. Talk to your family doctor or dermatologist about how often you need to be checked for changes to your skin. An annual body check is especially important if you are in a high-risk group — if you are fair-haired or light-eyed, or you have a history of blistering sunburns, according to the National Institutes of Health.

“As dermatologists, we know that the early detection of skin cancer by routine skin examinations is crucial for successful treatment,” says Robert S. Kirsner, MD, PhD, chair of the department of dermatology and cutaneous surgery at the University of Miami’s Miller School of Medicine.

In addition to regular screenings, you should also see a dermatologist if you notice a change in the shape, size, or coloring of any of your moles. A dermatologist can remove some or all of the suspicious tissue and examine it under a microscope to check for cancerous cells. Dermatologists also see people who are being treated for other cancers and experiencing skin side effects due to their medication.

3. Eczema. This chronic skin condition is characterized by irritation, itchiness, and flaky patches of skin, according to the AAD. A dermatologist can help find ways to manage your eczema and prescribe any necessary treatment.

4. Skin damage. If you are concerned about minimizing skin damage or caring for aging skin, a dermatologist can suggest products or lifestyle changes that reduce your exposure to damaging elements.

5. Specialized care of skin, hair, and nails. You can talk to a dermatologist regarding any concerns you have about almost any condition that affects your appearance, according to the AAD. For example, skin conditions ranging from discolorations, to warts, to stretch marks, to psoriasis can all be treated by a dermatologist.

6. Scar treatment. Dermatologists can offer skin treatments to improve the look of almost any scar, including acne scars and keloid (raised) scars, according to the AAD. A dermatologist may refer you to a plastic surgeon for enhanced treatment of more serious scars, such as those due to burns.

Preparing for Your Dermatologist Visit

Before seeing a dermatologist, it helps to prepare for your visit by:

• Checking with your health insurance plan to find out what services are covered and whether you need a referral from your primary care provider before making an appointment.
• Having all necessary identification and medical cards ready to bring with you.
• Writing down a list of the medications and supplements you’re currently taking.
• Bringing a list of questions and concerns to discuss.
• Skipping heavy cosmetics if you want the dermatologist to examine the skin on your face.

It’s also important to remember that while some procedures, such as a full-body skin exam, can be performed at your initial appointment; others may require a follow-up appointment.

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What Age Should I Start Regularly Seeing a Dermatologist? – Professional Surgical Dermatology Services

Seeing a dermatologist may not always be at the top of your list, but it is important to have an annual visit because they look at things your general practitioner may not look at or notice. What age should you start visiting a dermatologist though? The dermatologists at the Dermatology & Mohs Surgery Institute share their recommendations on when to start seeing them.

What Does a Dermatologist Do?

While a general practitioner looks at your overall health, a dermatologist focuses in on your skin and can provide medical, cosmetic, and surgical dermatology needs. They take a close look at any changes that may be occurring such as acne, hair loss, moles, or warts. They also help to provide any surgical needs such as excisions or Mohs Micrographic Surgery. The dermatologist can also help with cosmetic needs and wants such as dermaplaning, chemical peels, laser therapies, and more.

When Should I See a Dermatologist?

A dermatologist should be seen annually and, in some cases, every few months. Many begin seeing a dermatologist around the age of 12. This is around the age you begin to experience acne and possibly warts. A dermatologist can give you treatment options for acne and can help with wart treatments or wart removal. If you aren’t experiencing either of these, then you can wait until your early 20s to begin annual visits.

Why to See a Dermatologist Annually

Annual visits in your 20s are important for skin screenings and to help fight breakouts. The dermatologist will examine your body for unusual moles that could be related to skin cancer and sun damage. At this age, you have likely seen the sun a few times and are more susceptible to getting skin cancer. The dermatologist will look for moles that have changed in symmetry, diameter, color, or new moles altogether. If they find something concerning, they will test it for skin cancer. If it comes back as skin cancer, they can provide various treatment options depending on the type of skin cancer.

For those who may not have experienced acne in their teenage years but are finding themselves battling it in their 20s, the dermatologist can help. They can provide chemical peels or microdermabrasion to help clear up acne, scarring, or lesions that may have been left behind.  Chemical peels use a strong chemical solution with salicylic acid applied directly to the skin. After 15 to 30 minutes, it is neutralized and cleaned off. The skin will appear red for about one week, but it will result in smooth, youthful skin and acne clearing up.

Microdermabrasion is also performed by a dermatologist and is used to help erase wrinkles, fine lines, and acne. It is a painless, noninvasive procedure and takes up to 30 minutes. The dermatologist uses a wand with crystals that exfoliate the skin, revealing brighter, younger skin underneath. After treatment, you may notice some redness and a sensitivity to sunlight for up to one week. Treatments should be continued monthly for the best results.

If you are unsure if you should be seeing a dermatologist yet and are in Bloomington, Illinois or the surrounding areas, complete this form. A dermatologist from the Dermatology & Mohs Surgery Institute will be in touch to help you schedule your appointment.

How is an examination by a venereologist carried out – Private practice

There is still such a universal specialty in medicine as a dermatovenereologist, who deals with the diagnosis and treatment of skin diseases and venereal diseases.

Why yet? Yes, because for many years they have been constantly trying to reform it, transferring part of the sexual infections to urologists and gynecologists, and many skin problems to cosmetologists. As a result, it turns out that there are not so many real competent dermatologists – venereologists who can effectively compare skin and urological symptoms and formulate the correct diagnosis. And everything is reflected on the patients, on the quality of their treatment, because only a dermatovenereologist can conduct a qualified examination of such patients.

1. Patient reports worries about when and how the illness started.
2. The doctor starts examining the affected area (skin, hair, nails, genitals).
3. Next, all skin and accessible mucous membranes (oropharynx, rectum) are examined.
4. Peripheral lymph nodes are palpable.
5. Next, tests are taken, depending on the suspected pathology:

   1. Scraping from the skin, nails for microscopy to determine fungi and mites.
   2. Scraping from rashes and erosions for PCR analysis
   3. Scraping for atypical cells in case of suspected oncology
   4. Culture from the pathological focus for bacteria and fungi
   5. Test for STIs from the genital tract
   6. Blood tests for syphilis, HIV, hepatitis
   7. Clinical blood test
   8. Biochemical and immunological analysis, as well as for allergens.
   9. Urinalysis and prostate juice as needed.
6. If, based on the examination and express analyzes, which are prepared within 30 minutes, a preliminary diagnosis is already built, then the patient receives the first recommendations for treatment.
7. After casual sexual intercourse, it is possible to carry out drug prophylaxis in order not to get sick with a sexually transmitted disease.

During the examination, the venereologist dermatologist pays attention to the following signs of the skin and venereal process:

1. Eruptions on the skin:

   1. spots red, white, pigmented, pink can be a sign of syphilis, pink lichen, toxicoderma, dermatitis, vitiligo, fungal and infectious skin lesions and many other diseases.
   2. Nodules, tubercles on the skin are signs of skin tuberculosis, syphilis, psoriasis, lichen planus, nevi, skin tumors.
   3. Ulcers, erosions occur with herpes, syphilis, HIV infection, eczema, skin cancer.
   4. Papillomatous growths – with warts, papillomas.
2. Rashes on the oral mucosa – with lichen planus, syphilis, herpes.
3. The condition of the hair, areas of baldness, scars, ulcers on the scalp may indicate alopecia, undermining folliculitis, mycoses, syphilis.
4. Rashes on the genitals, the presence of pathological secretions from them are most often a sign of STIs. But not always … Sometimes, these are also manifestations of chronic or acute skin diseases.
5. Pathological rash in the perianal region – occurs when infected with a venereal disease after anal sex.
6. Attention is also drawn to the state of peripheral lymph nodes, which a dermatovenereologist palpates in the cervical region, armpits, groin, elbows, above and below the collarbone to diagnose syphilis, HIV and other chronic viral and bacterial infections.

Establishing a correct dermatological or venereological diagnosis is possible only if all these conditions are met and is qualitatively carried out only by a venereologist dermatologist.

Chief physician of the clinic “Private practice” dermatovenereologist, urologist Volokhov E.A. tells how the reception of a venereologist takes place.

The content of the article was checked and confirmed for compliance with medical standards by the chief physician of the clinic “Private Practice”

Volokhov Evgeny Alexandrovich

dermatovenereologist, urologist-andrologist with the highest medical category Vasilyevsky Face control

Dermatovenereology on today is a large area of ​​medical science. A dermatovenereologist is a medical specialist who treats diseases of the skin and mucous membranes. The name of the specialty includes two areas that are inextricably linked.

Dermatology is a field related to the diagnosis and treatment of everything related to our skin and its derivatives (hair and nails). A venereologist is more often consulted for diseases of the skin and genital mucosa.

Patients address a dermatologist with various problems, most often these are diseases such as dermatitis, psoriasis, allergic reactions, acne, rosacea, bacterial, fungal and viral infections, neoplasms and other diseases that have manifestations on the skin, nails or hair .

Historically in Russia, the treatment of diseases of the skin and mucous membranes is the responsibility of a dermatovenereologist. Not so long ago, the term “beautician” was not used to refer to a doctor, but often to a person who provided facial or body skin care services to a client. At the same time, such a specialist could not have a secondary or higher medical education, the results of such treatment methods were very modest, but the side effects were minimal.

However, the rapid development of cosmetology in the last 15-20 years, the emergence of many effective cosmeceuticals, the development of high-energy technologies and the emergence of many devices based on various physical factors affecting living tissues, the development of injectable methods of skin treatment, has transferred cosmetology from the care niche into a serious medical industry, where an amateur can cause irreparable harm to the appearance, and sometimes to the health of the client.

Thus, in 2009, by order of the Ministry of Health and Social Development of Russia, the medical specialty “cosmetology” was approved. First, the specialist receives a higher medical education, and then the specialty of a dermatovenereologist. Only after that the doctor can study further and receive the specialty of a cosmetologist. And this is absolutely justified, since it is necessary to be a professional in the field of treatment of diseases of the skin and mucous membranes in order to competently solve aesthetic problems in this area.

A dermatovenereologist is usually consulted for diseases of the skin and mucous membranes that need to be treated, and if they are not dealt with, this will cause a deterioration in health and quality of life in general.

A cosmetologist is contacted when aesthetic problems come to the fore, associated with various reasons – individual facial features (for example, you want to change facial features and make it more harmonious), aging processes, the influence of environmental factors, the manifestation of certain skin diseases (acne or rosacea). Therefore, a cosmetologist must be a qualified specialist in the field of diseases of the skin and mucous membranes, diseases of internal organs, and also have the necessary training in the field of aesthetic medicine. Therefore, if a patient addresses a cosmetologist with aesthetic or other complaints related to the skin or mucous membranes, the doctor examines the patient, performs the necessary studies and makes a diagnosis. Then he either performs the necessary procedures, or sends him for treatment to a dermatovenereologist or doctors of other specialties, if necessary.

How do you choose your cosmetologist?

First of all, do you pay attention to popularity and promotion in social networks?

The number of followers on Instagram? “Likes” and views on the specialist’s page? But in reality, this does not always indicate the professionalism of the doctor, since it often turns out that the popular “cosmetologist” does not even have a higher medical education, and the photos of the “before” and “after” works do not allow an objective assessment of the result of the intervention. Therefore, if you want your reflection in the mirror to bring joy after a visit to a cosmetologist, you need to seriously approach the choice of a specialist to whom you entrust your appearance. A prerequisite should be the availability of appropriate education from a cosmetologist and work in an institution with a medical license. How else can you assess how ready you are to trust the chosen specialist? One way is to look at the photos of the results of the “before” and “after” procedures.

Unfortunately, even among medical specialists, the exhibited photographs of the results “before” and “after” can distort reality. Compare the “before” and “after” in the picture below – isn’t it impressive results?

Unfortunately, these photos mislead the viewer…. Since the only thing that has been changed on them is just the conditions of photography – namely, the angle of incidence of light!

Thus, ordinary “naked eye” examination or standard photography does not provide an objective assessment, as it is very dependent on lighting or shooting conditions and does not allow measurement of data (for example, the depth of a wrinkle or wrinkle).

Even if photographing is not an objective method that we can trust, is it really possible to see whether our skin, its relief, texture, depth of wrinkles, the number of age spots and areas of redness change after procedures by a cosmetologist?

Yes, in the arsenal of modern cosmetology there are technologies that make it possible to assess the condition of the skin and the results of cosmetic procedures objectively, to “see” our skin in 3D format, to assess its condition by the number and depth of wrinkles or folds, the size of age spots and vascular spots, texture and skin relief and other indicators.

One such valuable tool in the practice of a cosmetologist is the ANTERA 3D™ skin imaging device.

This is an original device that allows you to analyze the condition of the skin, including its change during the treatment.

ANTERA 3D™ is based on advanced optical technology developed at Trinity College, Dublin, Ireland, which allows for image reproduction in both 2D and 3D.

The ANTERA 3D device scans the skin with LEDs with different wavelengths (color) to display the entire visible spectrum – the picture below shows what the LEDs look like when the device is turned on.

The scanning procedure is simple and takes only a few seconds. It does not require special conditions for patient preparation.

During shooting (scanning), the device takes thousands of pictures of the selected skin area in just a few seconds, while each picture is taken at a different angle and with a different degree of illumination.

Illumination of various types makes it possible to detect not only changes in the skin relief, but also those changes that are poorly recorded by conventional photography – for example, melanin (pigmentation areas) and hemoglobin (vascular pattern, skin reddening areas).

The light emitted by LEDs is partially absorbed, diffused and reflected off the skin surface – as shown in the figure below.

Reflected light is collected by special sensors inside the device and transmitted to a connected computer for analysis of images with different illumination.

Thanks to complex mathematical algorithms, the ANTERA 3D™ device allows you to get a three-dimensional model of the skin, as well as conduct a multispectral analysis of the epidermis and dermis.

How can we use this?

For example, you can compare before and after images and evaluate how the skin condition has changed after the procedure. The picture below compares images before and after laser skin resurfacing.

The program compares the two images and displays the result as a graph, which shows that after the procedure, the average wrinkle depth decreased by 52.8%.

Or you can compare the images before and after the contouring procedure (gel-filler injection to correct the nasolabial fold).

The program will also display the result in the form of a graph, which will show in percentage terms how much the skin condition has improved.

We can also evaluate the evenness of the skin color after the photorejuvenation procedure, which was performed in order to remove the pigmentation of the skin of the face.

There are several modifications of the ANTERA 3D™ device. Some are intended for use in the daily work of a cosmetologist or dermatovenerologist for effective patient consultation, determining the severity of wrinkles, skin texture, pigmentation, vascular pattern, measuring tissue volume when assessing the condition of scars or introducing dermal fillers.

A more complex modification of the device is intended for scientific research and is used, as a rule, by laboratories – manufacturers of cosmetology equipment or cosmeceuticals.

The use of the ANTERA 3D™ diagnostic system helps the specialist to accurately identify the patient’s skin problem, which allows them to draw up an individual correction plan, document and reasonably evaluate the results of treatment and the effectiveness of the prescribed procedures at each stage of the patient’s treatment.