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.

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.

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.
When in Doubt, Reach Out
At SLD, our board-certified dermatologists serve patients across Troy, Wentzville, O’Fallon, and the surrounding Missouri communities. Whether you’re dealing with acne, aging, or unknown rashes, we’ll create a personalized plan to get your skin back on track.
Book a medical dermatology consultation today and take the first step toward clearer, healthier skin.
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