What To Expect During Your First Visit to a Dermatologist

By Richard
4 Min Read

A dermatologist is a medical doctor who specializes in conditions affecting the skin, hair, and nails. These specialists diagnose and treat different diseases, ranging from acne and eczema to skin cancer and nail infections. During your appointment, the doctor assesses your specific concerns and medical history to formulate a treatment plan for your needs. This first visit establishes a baseline for your skin health, and it allows the physician to identify any potential issues that may require immediate or long-term management. Here’s information on what to expect during different dermatology visits:

Cosmetic Dermatologist Consultation

When you schedule an appointment specifically for cosmetic concerns, the focus shifts to aesthetic improvements rather than medical necessity. You should arrive at the consultation prepared to discuss your specific goals, whether they involve reducing fine lines, addressing pigmentation issues, or exploring injectable treatments like fillers. The dermatologist will examine your skin texture and tone to determine which procedures are suitable for your skin type.

During this discussion, the doctor will likely outline the expected outcomes, potential risks, and recovery times associated with various treatments. Because cosmetic procedures are often elective, the dermatologist will commonly provide a detailed cost breakdown and a recommended treatment timeline. This consultation serves as an information-gathering session. It’s a time when you may ask questions about the results and the frequency of maintenance required.

Routine Physical Exam

A routine physical exam differs from a cosmetic consultation because the primary goal is medical evaluation. The dermatologist or a physician assistant will begin by updating your medical history, noting any medications you currently take and any past skin conditions. You will be asked about specific skin complaints, such as:

  • Persistent Rashes
  • Changing Moles
  • Areas of Irritation

The physical examination typically involves a visual inspection of a specific area of concern. Your dermatologist may use a dermatoscope, a specialized handheld tool that magnifies the skin, to examine lesions or spots that are not easily visible to the naked eye. If the doctor identifies a condition like psoriasis, rosacea, or acne, they will discuss management strategies. These strategies may include topical creams, oral medications, or lifestyle modifications to alleviate symptoms.

Full Body Cancer Screening

A full body cancer screening is a comprehensive examination intended to detect skin cancer in its earliest, most treatable stages. You will generally be asked to disrobe and wear a medical gown to allow the physician access to all areas of your skin. The dermatologist will systematically examine your body from head to toe, checking for asymmetry, border irregularity, color variation, diameter, and evolution of moles (the ABCDEs of melanoma).

Some common steps during this exam include:

  1. Scalp and Face Check: The doctor will part your hair to examine the scalp and closely inspect the face, ears, and neck.
  2. Upper Body Inspection: The exam continues down to the chest, abdomen, back, and arms, including the underarms and hands.
  3. Lower Body Examination: The physician checks the legs, feet, toes, and soles of the feet, often looking between toes where hidden lesions can occur.
  4. Documentation: If suspicious spots are found, the doctor will document their size and location or perform a biopsy for further laboratory analysis.

Contact a Dermatologist Today

Regular visits to a skin specialist are fundamental for maintaining skin health and detecting potential issues early. Whether you require a check-up, a cancer screening, or advice on enhancements, a dermatologist provides expert guidance for your needs. Schedule a dermatologist appointment to start discussing your skin health goals.

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