Visiting a dermatologist can feel overwhelming if you’re not sure what to ask or what to expect. Knowing the right questions can help you decide when to book your appointment. In this blog, our dermatologists answer some of the most frequently asked questions, offering guidance on when to seek expert care, how to address persistent skin concerns, and tips for keeping your skin healthy year-round.
When should I see a dermatologist instead of my primary care doctor for a skin concern?
Dr. Fricke: You should see a dermatologist when your skin issue is persistent, worsening, or unclear after trying basic treatments. While primary care doctors can handle mild and/or common skin problems, dermatologists specialize in diagnosing and treating complex or chronic skin, hair, and nail conditions. If you notice unusual moles, severe acne, unexplained rashes, hair loss, or changes in your nails, a dermatologist will offer more targeted expertise.
What are the warning signs that a mole could be skin cancer?
Dr. Fricke: Watch for the ABCDEs of melanoma:
– Asymmetry: One half looks different than the other.
– Border: Irregular, scalloped, or poorly defined edges.
– Color: Multiple colors or uneven shading.
– Diameter: Larger than 6mm (about the size of a pencil eraser).
– Evolving: Changing in size, shape, color, or behavior (such as bleeding or itching).
If you notice any of these signs or a new or changing mole, see a dermatologist promptly.
How often should I schedule a professional skin check? What happens at a skin check appointment?
Dr. Fricke: For most adults, an annual skin check is recommended—especially if you have risk factors like fair skin, a history of sunburns, or a family history of skin cancer.
At the appointment, a dermatologist will examine your skin from head to toe, checking for unusual moles, spots, or growths. If anything suspicious is found, a biopsy may be done right then or scheduled. Skin checks are usually quick and painless but can be lifesaving.
When do you recommend seeing a dermatologist for common skin concerns (breakouts, dry skin, etc.) vs. just using skincare products?
Dr. Fricke: If you’ve tried over-the-counter (OTC) products for 4–6 weeks with no improvement, or if your symptoms are severe or affecting your quality of life, it’s time to see a dermatologist.
For example, acne often requires prescription treatments, and dry skin that doesn’t improve with over the counter moisturizers could be eczema and may need a more tailored regimen and/or prescriptions topicals from a dermatologist.
Seeing a dermatologist can save you time and frustration, and can guide you to effective treatment faster.
Can a dermatologist help with hair loss, and what are the options?
Dr. Fricke: Yes, dermatologists are experts in diagnosing and treating hair loss. Causes can include genetics, hormonal imbalances, autoimmune conditions (like alopecia areata), nutritional deficiencies, or scalp disorders.
Treatment options may include:
– Prescription medications (such as minoxidil or finasteride)
– In-office treatments (like steroid injections or platelet-rich plasma (PRP))
– Lifestyle or nutrition changes
– Hair growth-supportive skincare and shampoo recommendations
Early intervention often leads to better results.
What’s the difference between over-the-counter skincare and prescription treatments?
Dr. Fricke: OTC products are widely available and formulated for general use. They’re often less potent and take longer to show results.
Prescription treatments are stronger, targeted, and require a doctor’s evaluation. These may include topical retinoids, antibiotics, or oral medications for acne, eczema, rosacea, and more.
A dermatologist can guide you on when to level up to prescription-strength care—and how to combine products safely.
Can I schedule a skin consultation to get skincare treatment and product recommendations?
Dr. Fricke: Absolutely! Our dermatology practice offers personalized skin consultations. During these, your skin is evaluated, and a custom treatment plan is created—whether for acne, anti-aging, pigmentation, or sensitive skin. You’ll receive guidance on which products to use (and which to avoid), along with in-office treatments that may enhance your results. Think of it as a roadmap to healthier skin, based on science and your unique needs.
Your skin is unique, and having the right guidance can make all the difference. If you have questions about your own skin or want personalized recommendations, our team at Alamo Heights Dermatology is here to help. Schedule an appointment today and take the next step toward healthy, radiant skin.