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FrankieBGirl

Worst experience in my LIFE

So I had my appointment tonight with this supposedly great dermatologist.

I walk in, the assistant asks me why Im back so soon. I told her my acne is getting worse, and Its making me really self concious and I dont like the current meds Im using. She gets nasty and says "You arent even using everything- THATS why youre breaking out." I was like.. Um? I told her Clindagel isnt covered by my insurance, and its 77$ and I cant afford it. She told me my insurance DOES cover it. I told her IT DOESNT, I CALLED.

The Dr steps in. Tells me im back too soon, and have only been on these meds for 2 weeks. Ummm.. Ive definately been on Retin A for over 2 months, and Doxy for over a month now. (Started it Feb...its now the end of March.) She told me I didnt give it long enough. I kept saying "I am on it for this long..Im getting worse..that should not be happening."

She wouldnt give me accutane because "lawsuits" ...She said people are looking for money and she wouldnt just give me it like that. Shes like you have to wait at least 3 months or longer to see results on antibiotics. I told its temporary anyway, and why bother?? I told her its too hard and I havent been going out, Ive been depressed and I started crying hardcore- I just could NOT keep it inside. She touched my face, and said "I see you have cysts, I wont disagree with you on that. Let me inject them. Itll take all that inflammation down." I was like "No I dont like needles, and I dont want that." She rolled her EYES.

Anyways..she stood there for a few mins, I cried like an asshole- and then she gave me a tissue and said "Im not saying I wont ever prescribe it. But now- No way." What the F**K... Obviously I HAVE cysts (7 right now to be exact) and theyre OBVIOUSLY big enough to be injected.. and OBVIOUSLY im in complete distress because of it cuz IM CRYING and she still had zero sympathy. The girl at the front desk was like "are you ok" I told her No- and was like This was a complete waste of $50.

So Now I feel completely hopeless. Am I going to exist with all these cysts and red marks and spots for the rest of my life? I dont think Im gonna... So Im completely screwed.

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Guest Avian

That sounds like an awful experience, can you see another derm? With 7 cysts, a derm should be more than willing to give you accutane.

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This is the 2nd derm Ive seen, because the first was nice, but unwilling to really listen to me or let me ask her questions. She was in and out in 5 mins or less basically..and I had questions.

This lady was horrible. From the moment she walked into the office, she had an attitude. She kept touching the cysts I had too, I felt like she was trying to make me feel worse or something.. She told me that Accutane is given too freely and it allows for people to sue them. Whatever- I obviously wont sue you... You have to sign papers, dont you?

I know.. I thought for sure I could get it with how my skin looks. I wore make up, and told her the retin-a dries them up but theyre there-and she felt them. She kept saying she would inject them if i wanted... No, that does not HELP ME- I want them GONE. She was like "Be happy you dont have ice pick scars." I was like "How can you even say that? Im unhappy because Im on the road to getting them...I want to prevent that." She just didnt care.

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Well, it looks like this one won't give you accutane, full stop. If she's afraid of lawsuits then she's basically saying, 'I'm not risking my career by giving you accutane'. evil.gif

The first one was nice, so that's good, but a rushy attitude isn't what you want with a medical professional. Alternatively, you should walk in and be assertive, and tell her (not ask her) that you would like some questions answered, please.

Seeing as it all boils down to the derm, and getting accutane, I'm all out of advice I'm afraid. Apart from seeing a third one of course, but I think retrying with the first would be a smart option unless you have severe doubts about her.

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Next time Ill go back to the first one. I feel bad telling her I went to someone else, but honestly- my friend bragged about how wonderful she is- and how she gave her accutane, so I thought... Ok I should try it, Im that desperate for it.

It wasnt that I didnt like her or something, ya know- But I wonder if she would question me on it.

Anyways..I cannot even stop crying..I felt totally attacked and I wasted $50 that I dont really have to spend. What an awful fukking night. Im embarassed too because crying in public is one of the worst things that can happen.

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Make a formal complaint about her, she deserves something like that after making you cry. That is unacceptable, I'm sorry you were so upset by this.

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So I had my appointment tonight with this supposedly great dermatologist.

  I walk in, the assistant asks me why Im back so soon.  I told her my acne is getting worse, and Its making me really self concious and I dont like the current meds Im using.  She gets nasty and says "You arent even using everything- THATS why youre breaking out."  I was like.. Um?  I told her Clindagel isnt covered by my insurance, and its 77$ and I cant afford it.  She told me my insurance DOES cover it.  I told her IT DOESNT, I CALLED.

  The Dr steps in. Tells me im back too soon, and have only been on these meds for 2 weeks.  Ummm.. Ive definately been on Retin A for over 2 months, and Doxy for over a month now. (Started it Feb...its now the end of March.)  She told me I didnt give it long enough.  I kept saying "I am on it for this long..Im getting worse..that should not be happening."

  She wouldnt give me accutane because "lawsuits" ...She said people are looking for money and she wouldnt just give me it like that. Shes like you have to wait at least 3 months or longer to see results on antibiotics. I told its temporary anyway, and why bother??  I told her its too hard and I havent been going out, Ive been depressed and I started crying hardcore- I just could NOT keep it inside.  She touched my face, and said "I see you have cysts, I wont disagree with you on that. Let me inject them. Itll take all that inflammation down."  I was like "No I dont like needles, and I dont want that."  She rolled her EYES.

  Anyways..she stood there for a few mins, I cried like an asshole- and then she gave me a tissue and said "Im not saying I wont ever prescribe it. But now- No way."    What the F**K... Obviously I HAVE cysts (7 right now to be exact) and theyre OBVIOUSLY big enough to be injected.. and OBVIOUSLY im in complete distress because of it cuz IM CRYING and she still had zero sympathy.  The girl at the front desk was like "are you ok"  I told her No- and was like This was a complete waste of $50.

  So Now I feel completely hopeless. Am I going to exist with all these cysts and red marks and spots for the rest of my life?  I dont think Im gonna... So Im completely screwed.

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Thanks for the support... I really feel like doing that. A dermatologist should be understanding..not yell at you. I was sitting there crying and she was tapping her foot and was like, "Yeah.. People sue too quickly. I dare you to find a derm that will prescribe it this fast."

Whatever- I told her I understand its a big deal, but even her saying something understanding would have helped.. Ya know? She basically told me to stop worrying about it and be happy that I dont have lots of scars. What the F**K are you serious? Be Happy you are sporting a bunch of cysts and oiliness all over your face...instead of clear skin with some scars. Um Ok.

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GirlyGal-

Hey.. Yeah I definately didnt plan it to go this way. Ive never cried in a Drs office before. I dont cry easily either, and I still havent stopped...

Im just so- disappointed and upset by the whole thing. She made me feel so hopeless and stupid.. like "well its your fault" Sorry Im not a Dr and cant afford to be spending all my money on Dr visits and acne medications. She even fought with me on what my insurance covers and what it doesnt. Unbelievable.. Who does that!? I had to argue the fact that I called in meds and they were not approved, and at the time, was told "No acne meds are covered by your plan." She told me I was wrong....Are you KIDDING ME!? Why would I lie to you wtf!?

I think its completely disgusting behavior and her assistant was a bitch, too. Immediately she got this awful attitude. I felt completely attacked by them...2 against 1, both yelling at me. Im sitting there crying, pouring my heart out that Im sooo depressed with my skin that I dont even go to the grocery store unless I absolutely have to, ive lost friends because I dont ever go out anymore..etc. totally didnt care.

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I'm so sorry to hear that FrankieBGirl, jeez I really feel for you. If there was a hugging emoticon I'd be putting it right here.

It's tragic and stupid but understandable (though not at all agreeable), because in this litigious day and age derms are paralytically scared of being sued, especially as you're female of childbearing age and thus the likeliest to get the worst side-effect and sue their ass off.

You can read my latest pissed-off rant about the increasing inaccessibility of Accutane: http://www.acne.org/messageboard/index.php...24entry540624

There were rumours a while ago of taking isotretinoin (under any of its generic or brand names) off the market and of course this is never going to happen as it remains the one truly effective treatment for severe disfiguring nodulocystic acne, but clearly what is happening is that the derms are so legally self-protective that they are making it as hard as possible for the patient to get it.

you always do hear of some person you know with extremely mild acne getting Accutane and you just wonder where they found the derm, like at the back of a casino in Chinatown or something.

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I really hope things look up for you. I really do feel for you, and you have every right to be as upset as you are.

PS, I always ice my eye lids after a good, long acne cry.It won't show that you've cried so much if your eyes aren't swollen.

Feel better, we are all here for you.

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im so sorry. my past derm was a peen too. he wouldnt perscribe me accutane when i had been on tetracycline for about 8 months and he had done blackhead extractions(which KILL and werent working). just keep looking around! find a derm that can fit your needs(which is obviouslynot the one you are talking about!) good luck!

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Antony- Thanks so much for your reply. Exactly.. Where are these derms that give it to patients with mild acne? She knows that I need it. Its not even like I have 2 small zits and am asking for accutane. I have 7 cysts on my face right now.

And she kept arguing with me about timeframe. She still thinks Im on doxy for 2 weeks. I went on Doxy on Feb 14. So, From Feb 14- March 14- that is a month already. it is now..the 30th of March. That makes it a month, and 2 weeks. Im sorry but you are a doctor and you cant figure out how many weeks/months something has been going on for. Any idiot would see that. I told her on 3 different occasions that Retin-A was prescribed for me in Jan/Feb and right before I left.. I said, "I also came here today because my tube of retin a is running out, and I dont feel its helping, and its gonna kill me to spend another 40$ on it that I cant afford to be spending,...I thought youd give me something else" She goes "You USED IT UP like that in 2 weeks?" For Christs Fu(king SAKE how many times do I REALLY have to say its been over 2 months...

She kept making me feel like a dumbass for coming there "2 weeks later"... Is it February right now? ..Am I fast forwarding my months? That doesnt even make sense at all. 2 weeks would make it, like Feb 28...or so. Am I completely fuzzing up the timeframe here or do I make sense? My original followup appt is set for May 5th...and its April soon... That leaves about a month and a few days left of my prescription. Am I that OFF to go in a month early because something is obviously not helping me and Im completely disgustingly depressed about it? I dont see how Im overreacting.

Anyway- I dont even see how or why she would assume I would end up suing her. I need it for cystic acne... Im not asking for it to make my blackheads go away. Come the Fu*k on, Lady- I meet the requirements for proper dispension of the drug. I understand that I probably should have waited the 3 months..but Im about half through, and I feel like I look worse (i.e. getting cysts on my cheeks as opposed to just the chin area.) Obviously Im distressed to the point where Im willing to shell out $50 just to get the prescription. Im depressed beyond anything.. Ive been crying since 830 and my eyes are stinging so bad. All for what? Something that can be, for the most part, fixed.

Patience- Thanks for your post as well. I need an iceberg to deflate these eyes right now. I have like, mascara running down my cheeks- this is great.. watch me breakout from it..yay! But No- I dont need accutane, due to LAWSUITS. I would love to sue her for like, misconduct or something. Thatd be a kick in the pants, huh?

You know, I barely got a word in when I tried to respond to them. She kept cutting me off... I would try to tell her "No, My insurance..." and her dumbass of an assistant would be like "VISTA COVERS THAT. YEAH. IT COVERS THAT.DONT SAY IT DOESNT." I was like ....."I...called...and they told me..." and she goes "Heres a script for generic..Theyll cover that for sure." ...Generic or Not- My Plan...Does not....Cover...Any ACNE MEDS. GO* DAMN!!!!!!!!!!!!!!!!!

Anyway...Sorry this is so long but I have alot pent up right now. ive never experienced anything like that before..

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holy fucking shit, girl. that sounds like hell. i'm sorry you had to deal with such a crack-head doctor. and her stupid assistant. you should run by the office, without an appointment, that way they can't bill you, and give them a CALENDAR. seems like they need one.

anyway, i guess you should go back to the other dermo? the nice one? it seems like if you go in and say, "i really felt rushed last time. i have a lot of concerns about my skin, my mental status because of my skin, and possible treatments for my persistent acne, specifically accutane. i would like all my questions answered." she should listen. if not, come on up to the big apple, they perscribe the stuff like candy here. (my derm tried to convince me for 2 YEARS that i needed it!!)

but really, you will get through this. and remember--acne is not you. you are the cool, smart, talented and beautiful girl that is going through a bit of a health crisis. the day i decided i wasn't having "a breakout"--that i actually had a disease with a name...that was an important milestone for me. maybe you should also talk to the doc about that. "this is a treatable medical condtion...i need you to give me accutane"...?

i donno. but i am sad that you are sad.

should i tell you one of my cheesy jokes??

How many televangelists does it take to screw in a lightbulb ?

None. They screw in hotel rooms.

(boooooo!)

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Guest Craigems

Holy Crap, now thats something thats different. Sooooooo sorry to hear that FrankieB. Dam some people can be sooo harsh.

Well i guess all you can do is wait till you get to the 3 month mark.

Okay on another note dont feel like people on here are forcing you to take the tane. Remember we had to go through heaps before we got on the tane. I went through about 6-7 years of torture before i was told to go on the tane.

Whats 3 months anyways. When your on tane you have to be tolerant for ages. So think of this time being your basic training before the battle begins with the big drug!

I believe alot of people should take tane, but i also do believe derms know better than i Unfortunantly.

I'm with ya "Imaginary holding your hand" frankie. I know it sucks soo much. Keep faith we here at the org, are here with you till your clear!

Craig.

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frankieb,

sorry to hear about your jackass doc. i had an awful derm once as well. i switched, and she wasnt even as bad as yours!! mine never explained a single thing even after prescribing a new treatment (none worked, big surprise), didnt examine me at all, except from a standing position 6 feet away, and never consulted my medical records--it seems yours fails to do this as well, since she cant even keep track of when she prescribed something to you!!!

dont go back to this derm (just in case you were considering it). it's a waste of money and by now, the relationship between you and her appears to be a goner. find a new derm. get a feel for his/her vibe. get recommendations or references from friends, family, or your internist.

get treatment from someone willing to treat you. dont wait it out and suffer needlessly. even a month or two can be detrimental to your social life and well-being. i've been in hiding for nearly a month now because of an inital break-out on Accutane so believe, i know!

by the way, Doxy, (an antibiotic, right?) should have definitely kicked in by now--you shouldnt still be getting cysts!! my current derm had me on some antibio for a few weeks. after the third week of still getting cysts, he was like, okay, enough is enough. this clearly isn't working...

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FrankieB, how far are you away from SoCal? I could give you my derms info, he's more a plastic surgeon but he does anything derm related too. When we were discussing accutane, he said he always reccomends it to anyone with acne that is either scarring, or making them self conscious and that for most people its works miracles. He seems to care a lot more about what I feel than any other doc in my past.

Cheer up, i know you'll get accutane eventually. smile.gif Find a better doc, and maybe even talk to them over the phone first to feel him out.

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Wow, I'm sorry about your experience. cry.gif That is really unbelievable. Well... actually, considering a lot of the health care these days, it's not. But it definitely is wrong, and you shouldn't have been treated like that. We're already self-conscious enough having to go into a dermatologist's office in the first place! Then, to have all of this attention drawn to you and your acne... I understand why you're so upset. sad.gifsad.gif I definitely second the opinion that you should look for a new derm right away. Your derm is paid to make sure you're taken care of well, and you obviously haven't been treated with empathy or respect. Too bad we can't interview our derms first, huh?

I know it's SOOOOO frustrating and depressing to be dealing with this, but keep your chin up okay? Your skin is not YOU, and this is not at all your fault... It's completely out of your control, so TRY not to let it get you down. I really think you will find something that works, and you'll be enjoying hassle-free, makeup-less skin again!! But first, call around to all of the derms you possibly can and see if you can find a better match.

Not to worry, things will get better! You can message me anytime if you want to vent!

Later!

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*this might be long so ill respond per name so u dont lose an eyeball!... And I might need anger management..I seem so hostile, I guess its the Sicilian in me.*

LEXI- Girl- You are just amazing! I always feel better after reading something you've written. The calendar idea is priceless. Ill highlight Feb thru March and write in big black letters "Reason why you are WRONG..See Feb thru March for clarification." You are totally right, it IS a disease with a name. It isnt something we did wrong. It just sucks because you feel diseased at the same time, which isnt a great feeling. Looking splotchy and bumpy and red sucks. It just plain SUCKS. Thank you for what you said about me- You mirror that, too and MORE. So bright and beautiful and creative. Your joke fn RULES by the way LOL. When I had to make the check out to them for $50 wasted dollars, I wanted to be like "So who do I make this out to? Lady who sucks?" LoL (from a movie)

CRAIG- Hey Aussy *i like it with a y, too.* (remember when I called you bossy aussy? That was a great time. My posts are getting longer again.) Anyway- Thank you so much for everything. You made me smile, honestly. I know that alot of you took years to get Accutane. I also know that some people have gotten it faster than anything... I just am totally impatient, and since everyone has told me Doxy should have worked by now, Ive already given up on it and another month really didnt seem that huge to me. I probably will have to take other things after the 3 month mark..which I dont want to...but like you said, Hoops.

KAREN- And what a jackass she is. Her assistant needs a swift kick in the yin-yang. Her attitude was insane. "Well you arent taking everything THAAATS why youre STILL breaking out!" ......How about F-Off? And the fact that she continuously argued with me over EVERYTHING. Its like she walked in and hated me from the moment she met me. How the hell do you run a practice when your a scatterbrain asshat? She also told me that I can take Doxy with dairy food. My other derm, the pharmacist, and the insert to the med CLEARLY states not to take it with dairy what-so-ever. She goes "That isnt true. You can- You wont be getting the full med, thats all." ....Well, dumb hoe- the full med hasnt worked in over a month, what makes you think i want less of it to work even less effectively? What a joke of a derm.

ROCSTAR- You are the cutest person ever. I live in South Florida, so Im way-far. Thank you though, I sincerely appreciate that. I wish I could go to your derm. Anyones derm, damit- Mine are all bozos. The first one was nice, but rushy- and this one was overall a big wang- So I dont know. I think Im gonna go back to the first one. It sucks that theyre in the same office, though. I cant bash the other one to her.. lol

JaimeLynn- Hey girl, its been awhile!!!! How are you doing? How's your skin? I hope its doing better. Mine sucks hardcore right now. Can you believe the friggin chaos that happens to me? lol- Ive never heard of such insanity at a doctors office.. Count on me to have it happen to. I told a few friends the entire story (feel bad cuz I type WAY too much as it is so i left stuff out), and they were APALLED at it. She was just crazy. Anyways.. Thank you for the response. You can PM me anytime, too. I wish we could interview derms first too.. Its such a sensitive subject and they all seem like total boneheads about it. I think a derm needs to be one of the most compassionate types of drs because of the situation and the complete social disaster acne patients can be. Oh well- We will win this war, damit.

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ok i was prescribed to menicyclin and this topical solution. Well after like 2 weeks my face started getting worse and my mm said lets go o the doctor and get you on accutane. Im like "ok" so we went and talked to the dermatologist (a nice asian lady) and she said "yeah its time to get you on accutane. im like ok smile.gif so yeah after 2 weeks she was willing to get me on accutane. im on my first week and 3 days on it and hoping for the best and yeah i just want this to go away forever!!!!!

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2 freakin weeks. 2 freaaaaaaakin weeks. What the hell am I doing wrong?

Its like- Yep You have cysts...I feel them. Antibiotics and topicals? Stay on them longer since they arent working and Im a loser who lied about going to derm school..... But-Accutane???!!!??? No way!

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Hey Frankie, Rocstar makes a good point in that derms in certain work environments are far more responsive to patients with certain needs. Whereas a conventional derm is just trying to cover his ass legally by putting a patient through hell with years of futile antibiotics and overdrying topicals before finally capitulating to allow Accutane as "a last resort," a plastic surgeon style of dermatologist is far more on the ball with this kind of thing.

I just remembered my actress friend in London who did a course of Accutane last year.

She's a very talented actress who always felt that her skin was holding her back, not least at 23, albeit with persistent mild to moderate acne. So she went to a cosmetic surgery clinic where the doctor also was a clinically certified dermatologist, told them she had taken 4 different antibiotics over the last 8 years (all true) and tried countless topicals, she was on birth control and always practised safe sex, etc., and just as she was about to launch into her rehearsed dramatic monologue with tears and all (she IS an actress), the doctor/derm cut her off, smiled and said, "You'd better get your boyfriend to wear a dozen condoms every night between now and Christmas," and he gave her the prescription, just like that. (granted she had to take the pregnancy and blood tests.

So maybe if you look up the cosmetic surgery centers in your town in the phonebook, call them up and say to the receptionist at each that you would like a consultation with a doctor about your skin-- be very vague, as she doesn't have to know exactly what it is-- and as if just out of curiosity ask whether the doctor is also a dermatologist-- you know, play dumb over the phone.

and when you find a cosmetic surgery place with a doctor who's also a derm, get the consultation and when you go there play dumb about accutane but make it very clear to the doctor that you are an extremely deserving and suitable candidate, citing an absurdly extensive and futile treatment background and lamenting your extreme pyschological scarring from acne.

maybe this will work.

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Antony- You make a good point, as well. Cosmetic surgeons are there to create a beautiful person. Derms are there to... do...dermy, stuff and never seem to care about the person *FEELING* better about themselves.

I live in South Florida where alot of cosmetic surgeons set up shop- but Im a little nervous going to one for acne treatment. Im so gullible and would probably end up strapped to a chair awaiting my botox after my dermabrasion while getting a medical facial. Im just..Gullible. lol (jk) But, Im going to look into it.... Should I keep my appointment May 5 with the FIRST derm (quick lady) and see what she says.. OR.. Should I just go ahead and go to a plastic surgeon office? The one who did my breast implants doesnt do any skincare, im pretty sure- cuz id love to go to him for this sort of thing.

I actually can identify with you a bit because I was starting a modeling career right before this all erupted and so- im super, super, super paranoid of my skin condition. I know its crazy- and I probably am a little nutty about it- but its so important to me...and I just want what i had back.

I think the worst part of the derm visit was the way they actually treated me. They just seemed like bitter old women... the first derm was young, beautiful-very sweet. This derms skin wasnt even perfect like the Firsts. So I was like Uhhhh- oh boy. They immediately questioned why I was even there, they had their dates totally wrong..and all the info she gave me was opposite of what ive heard from everyone else.

The fact that she told me to take doxy with milk is shocking. 2 medical professionals along with the package insert states that you should absolutely avoid dairy. She told me it wasnt true, ill just be getting less of the medicine... And as i said before, ...if the full dose isnt working, what makes her think partial dose would?? Idiot!

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Yes.

Dermatologists focus on treating diseases and disorders of the skin.

Plastic surgeons are completely focused on making you look more beautiful. They also tend to be extremely intelligent and easier to talk to. No derm is going to tell you how to get perfect skin, nor do most even know how to do that. they're going to be focused on treating your disorder, not making you look gorgeous.

My two cents...

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Yes.

Dermatologists focus on treating diseases and disorders of the skin.

Plastic surgeons are completely focused on making you look more beautiful.  They also tend to be extremely intelligent and easier to talk to.  No derm is going to tell you how to get perfect skin, nor do most even know how to do that.  they're going to be focused on treating your disorder, not making you look gorgeous.

My two cents...

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