Acne: when to see a dermatologist, not a salon

The NHS describes acne as a common skin condition that causes spots, from a few mild ones to deep, painful lumps, and says there are many treatment options and ways to manage it. It also says acne can leave scars and can affect mental health, causing anxiety, low self-esteem and low mood.

This page cannot tell you what is happening on your skin. General information, not medical advice.

Why see a doctor first?

Different spots and lumps can need different approaches, and a salon or social media page cannot examine you. A doctor or dermatologist can look at your skin, ask about your health and medicines, and explain the options. They can also tell you when something is not acne.

What to ask

1. What type of acne do you think this is, and why?
2. What are the options for me, and the possible side effects of each?
3. Do any of them affect pregnancy, other medicines or other conditions?
4. How long should I try something before we review it?
5. What should I do about marks or scars, and when is it too early to treat them?

If a clinic offers a package, ask the same questions plus who is licensed to treat you. Our licence routine shows how to check, and the chemical peel questions can help if a peel is offered.

The exception

If you feel low, anxious or unable to cope because of your skin, tell a doctor. The NHS says acne can affect mental health, and that is a good reason to be seen sooner. If you have fever, severe pain, spreading redness or swelling, get urgent medical help.