A person should see a dermatologist if they develop cysts, nodules, or deep, painful acne, because these forms are more severe and risk scarring. They should also consult a specialist in cases of late‑onset acne (which starts in adulthood in people with no prior history) or persistent acne (which continues or returns beyond adolescence). Over‑the‑counter treatments often fail for these types. A dermatologist can assess the underlying causes, offer stronger prescription therapies, and help prevent long‑term skin damage.
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