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
Bruce Hubbard
2 days ago
So greatful to have this office in Troy. Dr Beal and Dr Swofford are awesome. I've had skin cancer surgery, red light procedure and a plantar wart removal on my foot. All with great results. Staff in the office is always polite and professional. If you need a dermatologist, I highly recommend them.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
ref9742
3 days ago
As always -staff is friendly,prompt and professional.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
I got there early for my appointment time expecting to wait until the time of my appointment, but instead I was seen promptly with very kind and personable staff. I was home by the minute my appointment was supposed to start. My issue was addressed and a plan of care was decided between the Dr and I instead of just getting ordered what to do. I felt heard. I enjoyed this office very much!
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Donna Ryan
4 days ago
Very thorough/ good experience
Response from the owner:Thank you so much for leaving us a stellar review!
Terri Brooks
4 days ago
Jennifer Swofford is wonderful! She is very thorough and good at explaining.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Sabrina D
4 days ago
Love this office! Great people and they make me feel at ease. I had a full body scan today, which would make anyone a little self-conscious, but it was so comfortable and easy. I can’t say enough nice things about this location, and these people.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Anne Williams
4 days ago
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
bryan
5 days ago
Everyone was very professional.
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!
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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