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
This office was amazing! Will diffently be back every year!
Thank you for coming to Troy.

Robin R
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Jennifer Swoffard and all of the staff are very polite and care about your needs. So glad I found this office.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Absolutely wonderful Dr office.
I love the Troy MO location.....
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Great care, convenient drive, would not go anywhere else
Response from the owner:Thank you so much for leaving us a stellar review!
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
My first visit, I went in to have a few different spots looked at their removed them to test while I was the office. Made it very convenient, not to have to schedule another appointment for the biopsy. I received multiple phone calls to schedule my six week follow up, which was today. Everything was handled during biopsy. I would recommend this place to anyone.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
As always the staff and doctor are amazing! They TRULY care about what you are struggling with. Highly recommend them!
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Fantastic!!
Response from the owner:We are thrilled to learn that you had a positive experience with us!
As a farmer, I'm outside exposed to the sun. My family has a history of skin cancer. I have been seeing Jennifer for many years and extremely pleased with her knowledge and honesty.
Response from the owner:Thank you so much for leaving us a stellar review!
AMAZING! The staff was welcoming and pleasant. Since 2019, numerous doctors prescribed various treatments that never worked. Dr. Swofford not only listened, she made me feel that I was in the right place. In one day, she resolved an ailment that has plagued me since 2019. Great music selection as well (80s)!!!! 😊
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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