Dermatologist vs. Esthetician: Understanding the Key Differences
When it comes to skincare, it’s easy to get confused about the roles of different skincare professionals. While both dermatologists and estheticians deal with skin health and beauty, they have very different training, expertise, and areas of focus. Knowing when to see one or the other can make a significant difference in achieving your skincare goals.
What is a Dermatologist?

A dermatologist is a medical doctor (MD) or doctor of osteopathic medicine (DO) who specializes in diagnosing and treating conditions of the skin, hair, and nails. They undergo years of training, including medical school, residency, and sometimes fellowship programs, to become certified in dermatology. This extensive education equips them to treat various skin-related conditions, ranging from acne and eczema to skin cancer and autoimmune disorders.
Dermatologists are the go-to professionals for complex or medical skin concerns, such as:
- Acne: Chronic or severe breakouts that don’t respond to over-the-counter treatments.
- Psoriasis: An autoimmune condition that causes scaly, itchy patches on the skin.
- Skin Cancer: Detection and treatment of various forms of skin cancer, including melanoma.
- Eczema and Dermatitis: Inflammatory skin conditions that require prescription medications or specialized care.
- Moles and Growths: Monitoring and removing suspicious moles that could be precursors to skin cancer.
Dermatologists can prescribe medications (including oral drugs and topical treatments) and perform medical procedures such as biopsies, laser treatments, and surgery. Click here for more information on dermatology.

What is an Esthetician?
An esthetician, such as myself, is a licensed skincare professional trained in the art of skin beautification and maintenance. Estheticians do not have medical degrees but undergo specialized training in aesthetics, including facials, waxing, exfoliation techniques, and cosmetic treatments. They often work in spas, salons, or dermatology offices, assisting in non-medical skincare treatments that improve the appearance and health of the skin.
Estheticians are experts in the following:
- Facials: Deep cleansing, moisturizing, and exfoliating treatments to keep the skin looking fresh and rejuvenated.
- Acne Facials: Targeting acne through extractions, masks, and products that help prevent future breakouts.
- Waxing and Hair Removal: Removing unwanted hair from the face and body.
- Skin Treatments: Including peels, microdermabrasion, and LED light therapy to address signs of aging, pigmentation issues, and skin texture.
- Makeup Application: Offering advice on cosmetics and applying makeup for special occasions.
Estheticians are well-suited for cosmetic concerns and can offer advice on skincare products or help with routine skin maintenance. They are not qualified to diagnose or treat medical skin conditions but can be a great first step in the right direction to aid in skin health. Esthetician are easier on your wallet and they can refer you to a dermatologist if it is in fact necessary.
Key Differences
Here’s a quick comparison to help you understand when to consult a dermatologist versus an esthetician:
Feature | Dermatologist | Esthetician |
---|---|---|
Education | Medical school, residency, and board certification | State-certified training in aesthetics |
Role | Diagnose and treat medical skin conditions | Provide skincare treatments and beautification |
Treatments Offered | Prescription medications, medical procedures, surgery | Facials, chemical peels, waxing, makeup |
Common Conditions Treated | Acne, eczema, skin cancer, psoriasis, skin infections | Dull skin, fine lines, pigmentation, acne scars |
Scope | Medical treatments, surgeries, and prescriptions | Cosmetic treatments and skin maintenance |
When to See a Dermatologist vs. an Esthetician
- See a Dermatologist if you have any of the following:
- Persistent skin problems that don’t improve with over-the-counter products
- Unusual or changing moles
- Medical skin conditions like psoriasis, eczema, or rosacea
- Suspicion of skin cancer
- See an Esthetician if you want help with:
- Routine skincare maintenance like facials and exfoliation
- Professional waxing or hair removal
- Makeup tips or special occasion beauty treatments
- Non-medical concerns like acne scarring, fine lines, and dry skin
Can Dermatologists and Estheticians Work Together?
Absolutely! Many dermatologists collaborate with estheticians in dermatology offices to provide comprehensive care. For example, while a dermatologist might treat a patient for acne and prescribe medication, an esthetician can assist in maintaining the skin’s appearance through regular facials or acne-focused treatments. This partnership allows patients to benefit from both medical expertise and cosmetic skincare.
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Both dermatologists and estheticians play important roles in skincare, but their expertise and services differ. If you’re dealing with persistent skin issues and large areas of the body are affected, this may be a concern to take to a dermatologist. However, an esthetician can help keep your skin glowing and healthy if you’re looking for cosmetic treatments and routine skincare.
Ultimately, understanding these differences can guide you in choosing the right professional for your unique skin needs. And in some cases, both may be the perfect combination to help you achieve your best skin yet! Get started here.