Their acne is severe: A person should see a dermatologist if they have cysts, nodules, and deep, painful acne. They have late-onset or persistent acne: Late-onset acne may occur in adults who have never previously had the condition. Persistent acne is a relapse or continuation of acne from adolescence into adulthood.

Yes, both of these situations definitely warrant a visit to a dermatologist. Here’s why:

1. Severe Acne (Cysts, Nodules, and Painful Acne): If someone is experiencing cysts, nodules, or deep, painful pimples, this often indicates moderate to severe acne, which may not respond well to over-the-counter treatments. These types of breakouts can also leave scars if not properly managed. A dermatologist can recommend stronger treatments, such as prescription topical or oral medications (e.g., antibiotics, retinoids, or even oral contraceptives for hormonal acne).
2. Late-Onset or Persistent Acne: Acne that starts in adulthood (late-onset acne) or continues into adulthood (persistent acne) can have different underlying causes compared to adolescent acne. Hormonal fluctuations, stress, or even certain medications can trigger adult acne. A dermatologist can help identify the root cause and prescribe appropriate treatments tailored to the person’s age, skin type, and any other contributing factors.

Seeing a dermatologist allows for a personalized treatment plan that may include prescription medications, lifestyle adjustments, or procedures like chemical peels or light therapy.