What Is a Dermatologist Looking for During a Skin Exam?

When you think about a skin exam, you might picture your dermatologist checking a few moles and sending you on your way. But a skin exam can involve much more than that.

During an appointment, a dermatologist looks at your skin for signs of skin cancer, but they are also checking for common skin conditions, unusual changes, and anything else that may need attention. If you’re looking for a dermatologist in Fairfax, VA, knowing what to expect can make your next appointment feel a little less unfamiliar.

Your appointment will usually start with a conversation about your skin and any concerns you’ve noticed. Your dermatologist may ask if you’ve seen any new or changing spots, experienced persistent itching or irritation, or noticed changes in your hair or nails.

You’ll then have a chance to point out anything that has been bothering you. Don’t worry if it seems minor, if you’ve noticed a change, it’s worth mentioning.

For a full skin exam, you may be asked to change into a gown so your dermatologist can examine areas that are difficult to see on your own. This may include your:

  • Face and neck
  • Scalp
  • Chest and back
  • Arms and hands
  • Legs and feet
  • Nails

Dermatologists see a wide range of skin concerns, so they’re looking at more than just moles during an exam.

One of the most important things your dermatologist looks for is anything that could be a sign of skin cancer. They may pay particular attention to spots that have changed in size, shape, or color or that look different from the other moles on your skin.

If something looks suspicious, your dermatologist may recommend monitoring it more closely or performing a biopsy to learn more.

Redness, itching, scaling, or inflammation can have many causes. Your dermatologist may look for signs of eczema, psoriasis, dermatitis, infections, or other conditions that can cause similar symptoms.

Getting the right diagnosis is important because different skin conditions often require different treatments.

A skin exam is also a chance to talk about concerns like acne, rosacea, cysts, or other changes you’d like to address. If something has been bothering you, bring it up. You don’t have to wait until it becomes severe before asking about treatment.

Dermatology isn’t limited to the skin. Your dermatologist can also look for changes affecting your scalp, hair, and nails. If you’ve been experiencing unusual hair shedding, changes in your nails, or a persistent itchy scalp, let your provider know.

Before your appointment, think about any changes you’ve noticed since your last visit. It can be helpful to make a short list so you don’t forget anything.

Be sure to mention spots that:

  • Have changed in appearance
  • Bleed or crust
  • Itch or hurt
  • Don’t seem to heal
  • Are new or look different from your other moles

If you’ve taken a photo of a spot over time, bring it with you. Photos can sometimes help show how a spot has changed.

There’s no one schedule that’s right for everyone. How often you should see a dermatologist depends on your individual risk factors, personal and family history, skin type, amount of sun exposure, and previous skin concerns.

You don’t necessarily have to wait for your next routine appointment, either. If you notice a new or changing spot or have a skin problem that isn’t getting better, it’s a good idea to have it checked.

A skin exam is about more than looking for suspicious moles. It’s an opportunity to talk about changes in your skin, get answers to questions, and catch potential problems early.

At ACS Dermatology, our team provides medical, surgical, and cosmetic dermatology care for patients throughout Northern Virginia. If you’re looking for a dermatologist in Fairfax, VA, we’re here to help with everything from routine skin exams and skin cancer screenings to treatment for ongoing skin concerns.

Schedule an appointment today to talk with our team about your skin and find out what care may be right for you.

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