Guest Blogger Dr. Irwin – When To See A Dermatologist


Finding a good cosmetic dermatologist is extremely important. There is a big difference between a great doctor and a just okay one. A great doctor will consistently get you good results and if you do have a problem or complication will know how to fix it. A not so great doctor will have more complications and may not know how to fix them.

Four questions to ask before going to visit a new dermatology office:

  1. Is there a doctor on site at all times?
  2. Is the doctor board-certified in dermatology? Go to
  3. Has the office been in business for more than 5 years?
  4. Who does the lasering or injections?

Click here for more detailed information on how to find a good cosmetic dermatologist.


When should you see a dermatologist?

A small outbreak of acne doesn’t always require a trip to the dermatologist, but if you have conditions such as the ones listed below, you should make an appointment to see a board-certified dermatologist:

See your dermatologist RIGHT AWAY if you have a:

1. Mole that has changed. The main things to look out for are the ABCD’s of Melanoma (the most deadly form of skin cancer):
- A for Asymmetry, if one half is different than the other half
- B for Border Irregularity, if the edges are notched, uneven or blurred
- C for Color, if the color is uneven or has shades of black, brown or tan
- D for Diameter, if the mole is larger than 6 millimeters (larger than a pencil eraser)
- Other warning signs are redness, swelling, pain, tenderness, itching, or a scaly appearance

2. Cystic acne that may lead to scarring

3. Rash, skin infection or blister that is painful, itchy, bleeding, hot, swollen, occurs frequently or doesn’t go away

4. A wound that won’t heal


Schedule an appointment with a dermatologist who can help if you have:

  1. A close relative who has had melanoma or a personal history of skin cancer
  2. Acne that does not go away despite good home care
  3. Atopic dermatitis / eczema — chronic itchy skin often associated with a rash
  4. Rosacea — chronic redness, swelling or skin eruptions
  5. Psoriasis — thick red skin with flaky scaly patches
  6. Herpes blisters
  7. Scars or birthmarks you are uncomfortable with
  8. Been considering a cosmetic procedure such as Botox, dermal fillers (Restylane, Juvederm, Radiesse, Sculptra)
  9. Cosmetic laser treatments for enlarged blood vessels, brown spots and wrinkles
  10. Excess hair and are considering laser hair removal
  11. Hair thinning, hair falling out, or small patches of hair loss
  12. Leg veins that bother you and you would like removed

Click here to see my regional guide to excellent cosmetic dermatologists in the US.

Click here to see my in-depth guide to cosmetic areas.

Dr. Irwin


Do you have a beauty question for Dr. Irwin too?
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Read more beauty tips at :

Skin Care Information & Anti-Aging Tips with Dr. Irwin

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