5 Signs It’s Time to See a Dermatologist (Not Just a Facialist)

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At St. Louis Dermatology & Cosmetic Surgery (SLD) in Troy, MO, we’re here to help you spot the signs that it’s time to level up your skincare.

Skincare is everywhere – from spa facials to at-home serums, more people than ever are taking their skin seriously. But when do you need more than just a facial? While estheticians are skilled in surface-level skin care, certain conditions require medical expertise. If you’re dealing with persistent or serious skin concerns, it may be time to book an appointment with a board-certified dermatologist.

Book a medical dermatology consultation today and take the first step toward clearer, healthier skin.

st louis dermatology
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Dr. Beal was very professional, knowledgeable and empathetic when it came to treating me. He took the time to review various test results I had that were performed by others doctors, Did his own testing, and came up with a treatment plan to help me. It was very refreshing to have a doctor explain things in great detail and answer all my questions. I would highly recommend Dr Beal to be trusted for all your skincare needs.
UPDATE: Today I had an appointment with Jennifer Swofford, PA. Herself and all staff were again very welcoming, friendly, and helpful. I was reassured not to worry about my initial concerns and was able to even have a mole removed same day as a consultation. It was very quick and easy. Highly recommend this group!
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Was great experience
Response from the owner:Thank you so much for leaving us a stellar review!
Welcoming staff, knowledgeable and compassionate doctors. Clean and pleasant office. Would recommend this establishment.
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Very good and professional.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
I've been there twice and they make it easy while getting results!
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Was not able to get to regular dermatologist. Called St Louis Dermatology in Troy MO, they got my husband in right away and preceded with mohs surgery. They were great. Definitely recommend trying them.
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Response from the owner:Thank you so much for leaving us a stellar review!
To start, nurse is the best i have experienced for needles. Didnt feel anything. Procedure in general much easier than expected. Great staff, professional and nice.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!

1. You Have Persistent Acne That Won’t Go Away

If you’re still breaking out after trying over-the-counter products or monthly facials, it’s likely time to see a dermatologist. Persistent acne can be hormonal, cystic, or inflammatory and often requires prescription medications or medical treatments.

Why a dermatologist matters:

  • Access to stronger treatments like retinoids, antibiotics, or Accutane
  • In-office options like chemical peels, cortisone injections, and laser therapy
  • Prevention of permanent acne scarring

Pro tip: A facial may help clean out pores but won’t treat the root cause of chronic acne.

2. You Notice a Suspicious Mole or Skin Spot

When it comes to skin cancer, early detection is everything. If you notice a mole that looks different or changes in size, color, or shape, don’t wait for your next facial.

Warning signs (ABCDEs):

  • Asymmetry
  • Border irregularity
  • Color changes
  • Diameter over 6mm
  • Evolving appearance

Why a dermatologist matters:

  • We perform full-body skin checks and biopsies
  • We identify and treat skin cancers early
  • Peace of mind from a professional evaluation

Remember: Estheticians are not licensed to diagnose or treat suspicious skin lesions.

3. Your Skin Is Red, Itchy, or Flaking

Conditions like eczema, psoriasis, and rosacea often go undiagnosed for years. It may be a medical issue if you have persistent irritation, burning, or scaly patches that don’t improve with moisturizers or gentle facials.

Why a dermatologist matters:

  • Diagnosis of chronic skin conditions
  • Prescription-grade topical and oral treatments
  • Long-term management plans

Bonus: We tailor treatments for sensitive skin types, minimizing flare-ups and discomfort.

Treatment for Eczema JAX

4. You Want Long-Term Anti-Aging Solutions

Facials can refresh your skin for a few days. But if you notice deeper lines, volume loss, or uneven pigmentation, a dermatologist can offer advanced treatments that last.

Why a dermatologist matters:

  • Access to Botox, fillers, laser resurfacing, and microneedling
  • Customized plans based on your skin type and goals
  • Results that go beyond the surface

Did you know? Combining medical and cosmetic dermatology delivers both skin health and aesthetic results.

5. You’ve Tried Everything, and Nothing Works

Whether it’s adult acne, stubborn pigmentation, or recurring rashes, if you’re overwhelmed with products and still not seeing improvement, it’s time to bring in a skin expert.

Why a dermatologist matters:

  • We can streamline your routine
  • We diagnose underlying causes that estheticians can’t see
  • We save you time, money, and frustration

Think of it this way: If you wouldn’t treat a chronic illness with spa visits, don’t treat serious skin concerns that way.

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