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When Should You See a Dermatologist?

January 9, 2026

In short,

  • See a dermatologist for new or changing moles, persistent rashes, or severe acne.
  • Early detection of skin cancer through professional evaluation dramatically improves outcomes.
  • Chronic skin conditions like eczema require specialized treatment for effective management.

Understanding the Role of a Dermatologist

A dermatologist is a medical doctor specializing in diagnosing and treating conditions affecting your skin, hair, and nails. These specialists manage over 3,000 different conditions, ranging from common concerns like acne and eczema to serious diseases including skin cancer.

Dermatologists perform medical procedures, including biopsies and excisions, as well as cosmetic treatments like laser therapy and chemical peels when appropriate.

When New or Changing Moles Require Evaluation

Changes in existing moles or the appearance of new moles warrant dermatologist evaluation. Use the ABCDE criteria to assess moles:

  • Asymmetry where one half doesn’t match the other.
  • Border irregularity with uneven or notched edges.
  • Color variation, including different shades of brown, black, or other colors.
  • Diameter larger than a pencil eraser.
  • Evolving characteristics, including size, shape, or color changes.

Any mole that itches, bleeds, or causes pain requires professional examination. Perform monthly self-examinations to detect changes early. Annual skin cancer screenings by a dermatologist provide a comprehensive evaluation of your entire body, including areas difficult to examine yourself.

Persistent Skin Rash and Irritations

A skin rash that doesn’t improve with over-the-counter treatments within one to two weeks needs professional evaluation. Chronic itching or burning sensations interfering with daily activities or sleep indicate underlying conditions requiring diagnosis. Consistently dry, scaly, or inflamed skin areas may represent eczema, psoriasis, or other chronic conditions benefiting from specialized treatment.

Rashes accompanied by fever, joint pain, or other systemic symptoms require prompt medical attention as they may indicate serious underlying conditions.

When Acne Requires Professional Treatment

While mild acne often responds to over-the-counter products, certain situations warrant a dermatologist consultation. Severe acne, causing painful cysts or nodules, requires prescription treatments to prevent permanent scarring. Acne that persists despite consistent use of over-the-counter treatments indicates the need for stronger interventions.

Acne causing emotional distress or affecting self-esteem deserves professional attention regardless of severity. Sudden onset of severe acne, particularly in adults, may indicate hormonal imbalances or other underlying conditions requiring evaluation. Acne, leaving dark marks or scars, benefits from early dermatologist intervention to minimize lasting skin damage.

Managing Eczema and Chronic Skin Conditions

Eczema, causing widespread itching, inflammation, or disrupting daily activities, requires specialized management beyond basic moisturizers. When topical over-the-counter creams fail to control symptoms, prescription-strength treatments, including corticosteroids or immunomodulators, may be necessary.

Signs of infected eczema, including pus, crusting, increased warmth, spreading redness, or fever, require immediate dermatologist evaluation. Chronic eczema affecting quality of life, sleep, or causing significant discomfort benefits from comprehensive treatment plans tailored to your specific needs.

Other Chronic Conditions

Psoriasis, rosacea, and seborrheic dermatitis are chronic conditions requiring ongoing management by a dermatologist. These conditions often need prescription medications and specialized treatments that over-the-counter products cannot provide.

Hair and Nail Problems

Dermatologists treat conditions affecting hair and nails. Sudden or excessive hair loss, particularly in patches, requires evaluation to identify underlying causes. Nail changes, including discoloration, thickening, separation from the nail bed, or persistent infections, warrant professional assessment. These changes can indicate fungal infections, psoriasis, or other systemic conditions.

The Diagnostic Process

Your dermatologist appointment begins with a comprehensive medical history review, including current medications, allergies, and family history of skin conditions. A complete skin examination evaluates your entire body, including scalp, between fingers and toes, and other areas often overlooked during self-examination.

When necessary, diagnostic procedures include skin biopsies, removing small tissue samples for microscopic analysis, allergy testing that identifies triggers for reactions, and specialized examinations using techniques like Wood’s lamp to detect certain infections or conditions.

Preventive Skin Care

Proactive skin care prevents many conditions and reduces skin cancer risk. Apply broad-spectrum sunscreen with SPF 30 or higher daily, even on cloudy days. Reapply every two hours when outdoors. Wear protective clothing, including wide-brimmed hats and long sleeves, during peak sun hours from 10 AM to 4 PM. Seek shade when possible.

Establish a daily skin care routine using gentle, fragrance-free cleansers appropriate for your skin type. Moisturize regularly to maintain skin barrier function. Avoid harsh scrubbing or picking at skin, which can cause scarring and infection.

Special Considerations for Miami

Living in Miami with year-round sun exposure and high humidity creates unique skin care challenges. The intense UV radiation increases skin cancer risk, making regular dermatologist screenings particularly important.

High humidity can exacerbate certain conditions like fungal infections and acne. Your dermatologist can recommend products and routines suited to the local climate.

Cosmetic Dermatology Concerns

Beyond medical conditions, dermatologists address cosmetic concerns affecting confidence and quality of life. Treatments for fine lines, wrinkles, age spots, acne scars, and uneven skin tone can improve appearance when desired.

Your dermatologist can discuss evidence-based cosmetic treatments appropriate for your skin type and goals.

When to Seek Urgent Care

Certain situations require immediate dermatologist attention.

  • A rapidly spreading rash or infection, particularly with fever, suggests serious conditions needing prompt treatment.
  • Severe allergic reactions with difficulty breathing constitute medical emergencies requiring immediate emergency care.
  • Suspicious growths or moles changing rapidly over days to weeks should be evaluated urgently to rule out aggressive skin cancers.

Regular Screening Recommendations

Even without specific concerns, annual skin examinations by a dermatologist provide important preventive care, particularly for those with a family history of skin cancer, numerous moles, a history of significant sun exposure, fair skin that burns easily, or a previous skin cancer diagnosis.

Early detection through regular screening dramatically improves treatment outcomes for skin cancer.

Expert Dermatology Care in Miami

At Children’s Skin Center, Dr. Ana Duarte, a world-renowned pediatric dermatologist, offers comprehensive skin care services to both children and adults. With expertise spanning medical, surgical, and cosmetic dermatology, Dr. Duarte provides personalized care addressing your unique skin concerns.

Whether you need evaluation of a suspicious mole, treatment for chronic eczema, management of persistent acne, or preventive skin cancer screening, our team delivers expert care with compassion and attention to detail.

Call Children’s Skin Center today at (305) 669-6555 to schedule your dermatology consultation and take the first step toward healthier skin.

Sources

  • American Academy of Dermatology
  • The Skin Cancer Foundation

Filed Under: Dermatology Tagged With: Best Dermatologist for Sun Damage in Miami FL, Dermatologist for Hair Loss in Miami, dermatologist for mole, Pediatric Dermatologist for Eczema

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Miami, FL 33155

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At the Children’s Skin Center, Dr. Ana M. Duarte is board certified in both adult and pediatric dermatology. Our board-certified dermatologists and certified physician assistants offer comprehensive dermatology services for a variety of skin conditions and common growths. Our skin specialists provide treatment for hair and nails, acne, birthmarks, eczema & atopic dermatitis, molluscum contagiosum & warts, vascular lesions and many other skin disorders. Our providers also offer a variety of cosmetic services in our satellite offices in Pinecrest, Doral, Miami Lakes, Miramar, Kendall, and Palm Beach Gardens, FL.