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
Dr. Beal and everyone in his office were very friendly and courteous. I got into the office relatively fast as a new patient. They all listened to me when I talked about my concerns and why I was there for my visit. Every follow up has been thorough and my surgical scars have healed beautifully after my procedures.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Kathleen Horn
4 days ago
They have a very professional staff. Kayleigh Nissel was very nice and personable. Overall experience was pleasant. Thank you!
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Trisha Johnson
5 days ago
Doctor and staff were great. Explained everything so I understood.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Lisa Wilson
5 days ago
The staff at STL DERMATOLOGY is warm, welcoming, caring and professional. If you are looking for a new dermatologist, I would check them out!
Response from the owner:Thank you so much for leaving us a stellar review!
AmericanVantige
5 days ago
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
D V
6 days ago
Everyone is very welcoming and nice . No long wait time . The facility is very clean and Spacious.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
June Wood
6 days ago
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
K T
1 week ago
Dr. Beal is always so friendly and pleasant. He takes care of what is going on at the time and gives you options as to what you can do then and in the future. Office staff is always friendly and accommodating. Wait times are usually short and it is easy to get an appointment. Nice to have a doctor who cares and listens to you.
I just saw Kaylee for my yearly checkup and she was extremely friendly and pleasant. Gave me options as to treatment and was a pleasure to deal with .
Response from the owner:Thank you so much for leaving us a stellar review!
Dennis Hines
1 week ago
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Terry Prudhomme
2 weeks ago
Everyone was very nice and friendly. I was happy with the attention was paid to my concerns and was happy to learn I was worried about nothing. I wouldn’t hesitate contacting this office again if I had any further issues in the future.
Response from the owner:We are thrilled to learn that you had a positive experience with us!

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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