When Should You See a Dermatologist? | University of Utah Health

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Scars, Acne, Moles?

As your body’s first line of defense, your skin takes a lot of hits. Not only is it the largest organ in your body, but your skin also protects you from germs; repels water; and covers your blood vessels, nerves, and organs. If you aren’t feeling good about the skin you’re in or are worried about something on your skin, you should consider seeing a dermatologist.

7 Reasons to See a Dermatologist

1. A mole or patch of skin that’s changed

If a mole or patch of your skin has changed in color, size, shape, or symptom you better see a dermatologist. Such changes like those are often signs of skin cancer, and when it comes to cancer you want treatment sooner rather than later. Your dermatologist can also help you learn how to do regular skin checkups or screenings.

2. Stubborn acne

You’ve tried over-the-counter products, fad diets, and cleanses, but your acne is still front and center. There is no shame is seeing a dermatologist to help you deal with this skin condition. Get some recommendations on how to put your best face forward.

3. Itchy hives or rashes that won’t go away

Are you having an allergic reaction? Do you have an infection in your skin? See a dermatologist and get some answers. They may prescribe medications or recommend another form of treatment to smooth things over.

4. Scars from acne, blemishes, or cuts and scrapes

If your scar is looking less than desirable, a dermatologist could help you. Medical techniques like laser treatment therapy, microdermabrasion, and others can reduce scarring. With the treatment options available today, there is no need to feel self-conscious.

5. Persistent skin irritation

You have itchy, red, flaky skin and over-the-counter creams and lotions just aren’t working. You may think that the cause of your dry skin is the weather, sensitivity to skincare products, or even genetics. But in reality, you could have a chronic skin condition.

6. Nail disorders, ingrown nails, fungus, or others

Whether you are getting treatment for an ingrown nail, a fungal infection, wart, or something else, having a dermatologist look over your nails is a good thing. Nails can show signs of other body disorders like liver disease, heart conditions, anemia, or diabetes.

7. Hair loss

Noticed more hair than usual on your pillow in the morning? You may have a scalp disorder or want to start some preventive therapies before your hair loss makes a bigger impact on your life. Your dermatologist can recommend laser therapies or other treatments to keep you looking your best.

Feel Good About the Skin You’re In

Whether you are struggling with stubborn acne, have some itchy patches, or want treatment for another skin condition, think about seeing a dermatologist. They can help you decide the best steps for you to feel good about the skin you’re in.

Resources

Same-Day Dermatology Clinic

Do you have a rash, blisters, or skin pain? We offer same-day dermatology appointments if you have an urgent skin condition and need to see a doctor right away.

Seven Questions For a Dermatologist

Are brown spots dangerous? What’s the best way to protect your skin from getting sun damage? We explore some of the most common questions people have for dermatologists.

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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.