What is a dermatologist?
Dermatologists are skin specialists who can diagnose and treat skin, hair, nail, and mucus membrane problems or diseases. In addition, they also help with cosmetic issues such as wrinkles, hair loss, scars, and aging skin. Dermatologists can detect other illnesses or conditions, such as organ failure or disease, in advance because the symptoms often first appear on the skin. They can also treat life-threatening diseases such as drug reactions and skin cancers.
According to the American Board of Dermatology, more than 3,000 skin diseases exist. A dermatologist can treat all of these or recommend you to another specialist if needed.
Dermatologists treat people of all ages. They can diagnose and treat acne, itchy or flaky skin, moles, open sores or blisters, unwanted growths, warts, molluscum, discolorations, psoriasis, and hand dermatitis. They also treat skin rashes, hives, rosacea, eczema, cold sores (herpes simplex), dermatitis, and fungal infections.
Dermatologists can have private practices, work in hospitals, act as consultants, do clinical research, or teach in medical schools or universities.
Education and training for dermatologists
To become a dermatologist, one must complete graduation and join a medical school. After training for four years at a medical school, they must then complete a one-year internship in dermatology and other fields. After the internship, dermatologists undergo a three-year residency, delving deeper into the subject with focused training. Dermatologists learn to conduct biopsies, diagnose skin conditions or diseases, and perform various types of skin surgeries during residency.
Dermatologists who wish to practice must clear a national and state licensing examination. They must also attain board certification by clearing a test conducted by the American Osteopathic Board of Dermatology or the American Board of Dermatology. All dermatologists are required to take recertification exams every ten years. They should also keep up with recent developments in the field by attending courses and studying peer-reviewed journal articles.
Subspecialty fields of dermatology
Dermatologists who wish to specialize further in their field can train in one of the following areas:
Medical dermatology: It deals with the diagnosis, treatment, and preventative care of diseases affecting the skin, hair, and nails.
Surgical dermatology: It is concerned with diseases of the skin, hair, and nails that require surgical treatment, such as skin cancer, melanoma, cysts, and lipomas.
Cosmetic dermatology: It includes different treatment procedures aimed to improve the esthetics of the patient's skin, hair, and nails. Cosmetic dermatologists perform filler injections, hair transplants, chemical peels, and laser surgery.
Dermatopathology: This branch combines dermatology and pathology. Dermatopathologists study samples of skin, hair, and nails under the microscope to diagnose and treat different skin conditions.
By enrolling in a fellowship program, dermatologists receive additional training and gain expertise in one or more surgical or dermatological subspecialties. The three board-certified fellowships currently available for dermatologists in the U.S. include procedural dermatology (Mohs/cosmetic), pediatric dermatology, and dermatopathology.
What are the conditions treated by a dermatologist near you?
You can visit the best dermatologists near you to get treated for the following common conditions:
- Acne: Commonly affecting adolescents worldwide, acne occurs when hair follicles become plugged, forcing bacteria to grow.
- Skin infections: These include all diseases caused by bacteria, fungi, or viruses.
- Hand dermatitis: It is a common condition due to external contact with household chemicals like detergents.
- Hair loss: It can occur for various reasons and affects an individual in different ways. Some may only affect a singular spot, scalp, or body part.
- Skin cancer: The rapid growth of abnormal skin cells occurs due to unrepaired DNA, which triggers mutation. The most common skin cancers are Merkel cell carcinoma (MCC), squamous cell carcinoma (SCC), and basal cell carcinoma (BCC).
Dermatology examinations and procedures
Dermatologists conduct various tests and examinations to diagnose skin diseases and disorders. Some standard ones include the following:
- Skin scraping: Dermatologists use a sample of scaly skin with a disposable scalpel blade. They study the sample to diagnose skin cells for fungal infections.
- Dermoscopy: It is used to identify and diagnose skin lesions. Dermatologists use a dermatoscope, a handheld device with a magnification-illuminated lens system.
- Skin biopsy: This includes removing a skin sample for histopathological examination. The examination is conducted under local anesthesia. Moreover, dermatologists employ different techniques for skin biopsy, including excision biopsy, punch biopsy, or shave biopsy. These samples help in diagnosing various skin disorders, such as blistering skin conditions and skin cancers.
- Microbiology samples: Taken from skin lesions, dermatologists use a swab to examine it for bacterial and viral cultures.
- Blood tests: Dermatologists can also conduct blood tests to diagnose various skin diseases and disorders. They can study blood glucose, antibodies, proteins, and other levels to identify vasculitis or connective tissue disease, acne, androgenetic alopecia, melanoma, cutaneous porphyria, and virilism.
Based on the diagnosis, dermatologists utilize various methods to treat skin conditions. They may advise the use of topical medications or injections. They also perform procedures such as biopsies, cryosurgery, chemical peels, mole removal, excision surgery, dermatologic surgery, electrosurgery, Mohs surgery, and dermatologic cosmetic surgery. Dermatologists can recommend treatments such as phototherapy, ultraviolet (UV) light therapy, sclerotherapy, immunotherapy, laser therapy, photodynamic therapy, and radiotherapy.
When should you see a dermatologist?
Dermatologists treat a wide range of conditions and perform various cosmetic procedures. Here are some of the common reasons for seeing a dermatologist near you:
Severe acne or acne not responding to over-the-counter medicines
You have minor rashes like contact dermatitis or pityriasis rosea
Severe sun damage to the skin
Change in the shape, size, or color of moles or warts
Persistent dry, itchy, rough, and flaky patches of skin
Sores that do not heal within two weeks
Stubborn fungal infection in the nails
The appearance of sudden and unexpected bald patches
Persistent dandruff and flaky scales on the scalp
Sudden changes in the color of the skin, such as the formation of lighter or darker patches
What to expect on the first visit to a dermatologist near you?
Avoid wearing makeup when visiting a skin doctor near you for the first time, as it can hinder the examination. Dermatologists will first look at the notes made by the referring physician. They will talk to you and ask you about your symptoms. They will understand your medical history and ask if you or anyone in your family has had skin cancer or other skin disorders.
Next, they will conduct a complete body examination for which you must change into a gown. During the examination, the dermatologist will use a dermatoscopy (special magnifying glass) to detect skin issues better. Once done, the dermatologist may recommend a biopsy, topical medication, or therapy. They will inform you if your condition requires further treatment through injections, prescription drugs, or surgery.
Who is a dermatopathologist?
A dermatopathologist specializes in both dermatology as well as pathology. Once dermatologists complete their dermatology training, they study for another year to gain further skills in diagnosing skin diseases by observing and studying samples under a microscope. All dermatopathologists must clear a board examination in dermatopathology to practice in the U.S.
These specialists help dermatologists to diagnose illnesses by conducting biopsies. Biopsies are the only way to get a proper diagnosis of skin cancer. The patient is generally referred to a dermatopathologist by dermatologists to detect illnesses that need further confirmation.
Dermatopathologists take a skin, hair, or nail sample under a microscope to determine the condition. After diagnosing the problem, they prepare a detailed report for the dermatologists, listing the findings. Dermatopathologists also suggest the best line of treatment if they detect a disease.
Difference between a dermatologist and an esthetician
If you’re looking to address a skincare concern, you can turn to either a dermatologist or an esthetician. While both are professionals in skin care, they have distinct areas of expertise and offer different services.
Estheticians focus on enhancing the external appearance of the skin, offering treatments like facials and microdermabrasion. Dermatologists, on the other hand, are specialists in the overall health of the skin.
Both professionals are licensed to help with skincare needs, but the choice between them depends on your specific concerns.
If your main focus is improving the appearance of your skin and you don’t have any medical symptoms, an esthetician could be the right choice for services such as facials or microdermabrasion. However, keep in mind that in most states, only dermatologists can perform invasive treatments like Botox, dermal fillers, or scar revision surgery.
Here are a few key distinctions to consider:
- Peels: Estheticians can perform mild peels with alpha hydroxy acids and, in some states, moderate peels using glycolic acid. However, deep chemical peels that penetrate the middle layer of skin—such as those containing trichloroacetic acid or phenol—are only performed by dermatologists.
- Microneedling: In most states, microneedling is classified as a medical procedure, meaning estheticians typically cannot provide this service. However, estheticians working in medical settings may perform microneedling under the supervision of a licensed medical professional in certain states.
- Laser Treatments: Laser treatments are generally restricted to dermatologists in most states. Some states, however, permit estheticians to perform certain laser procedures, like laser hair removal or laser-based skin rejuvenation.
If you’re dealing with acne, skin discoloration, or chronic dryness, it’s best to consult a dermatologist first. They can treat the issue with medications or medical treatments. Afterward, they may recommend seeing an esthetician for additional services and to help establish a skincare routine to maintain healthy skin.
How to find a top-rated skin doctor near you?
If you live in Sarasota and are looking for dermatologists, we're here to help! You can search for the best dermatologist near you on Zocdoc.com based on details about your symptoms, your ideal appointment time and location, and your health insurance. If you are unable to find your insurance plan on Zocdoc, you can upload a photo of your medical insurance card (please note that vision or dental cards cannot be used for this purpose). We will scan the image of your card and display a likely plan for you. If you encounter any difficulties while uploading an image of your card, you may reach out to our service team. If you have more insurance-related queries, you can visit Zocdoc’s insurance page.
Other searchable parameters included in the Zocdoc application are the doctor's language proficiency, hospital affiliation, gender, and whether or not they treat children.
On Zocdoc, specially curated physician profiles detail their background, training and education, accolades, areas of specialization, certifications, and licensure. You can also view ratings and reviews from genuine patients, which are regularly verified and updated. You can use these reviews to objectively choose a trustworthy skin doctor near you in Sarasota, Florida. You may plan an in-person and online medical visit using Zocdoc. Further, per the dermatologist's availability, you can book an appointment during office hours, after 5 pm, and even on weekends.
On Zocdoc, making an appointment for the best dermatologist near you is hassle-free, cost-free, and secure.
Statistics on dermatologists, melanoma and skin cancer in Florida
According to IBIS World, as of January 2023, Florida (20,240) had the third-highest number of dermatologist businesses after California (31,881) and Texas (21,979).
According to AIM at melanoma, Florida ranked second among states for the highest number of new melanoma (skin cancer) cases in 2017. Of the projected 91,270 cases in the country in 2018, about 7,940 were in Florida. Moreover, one in ten people in Florida (9.2%) had skin cancer. About 17% of the population in the state reported a sunburn in the year 2021. Moreover, those aged 18 to 44 (33%) were most likely to have sunburn.
One can avoid sunburn with the use of sunscreens. However, in the above study, 91.2% of public school students did not wear sunscreen most of the time (or never) when they were in the sun for longer than an hour.
Florida was amongst the top 10 states for UV-attributable melanoma in a study conducted by the International Journal of Cancer for cases diagnosed between 2011 and 2015. The state witnessed 29.2 UV-attributable melanoma cases per 100,000 persons and ranked second in the USA for the total number of melanoma cases during this period. The American Cancer Society expected no less than 8,750 cases of invasive melanoma in the state in 2020.
Sources
Cleveland Clinic
Mayo Clinic
DermNet
American Board of Dermatology
IBIS World
Associated Dermatologists
Moffitt Cancer Center
American Academy of Dermatology Association
Verywell Health[1]
Verywell Health[2]
Loma Linda University Health
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Healthline
