Dermatology deals with the diagnosis and treatment of all diseases of the skin, hair, nails, and mucous membranes. Acne, eczema, fungal infections, psoriasis, hair loss, skin allergies, mole monitoring, and aesthetic skin applications form the foundation of this field. The treatment process is personalized according to the type and severity of the disease and the patient’s lifestyle.
1. Consultation and Medical History
The patient’s complaints are listened to in detail: the onset time, duration, and triggers of symptoms such as itching, rash, redness, hair loss, nail changes, and mole monitoring are questioned. If there is a family history of similar skin diseases, allergic predisposition, or systemic diseases, it is noted. Cosmetics, soaps, detergents, medications used, and dietary habits are evaluated.
2. Skin Examination
The type, color, borders, distribution, and depth of skin lesions are examined. The scalp, nails, and mucous membranes are also evaluated. If necessary, dermoscopy (magnified examination of the skin surface) is performed. In chronic or suspicious cases, full-body skin mapping is recommended.
3. Planning Diagnostic Tests
Necessary tests are planned according to the type of disease:
- Skin biopsy: In rashes or tumors where the diagnosis is unclear.
- Allergy tests: In cases of contact dermatitis, eczema, and urticaria.
- Culture and microscopic examination: In fungal, bacterial, or parasitic infections.
- Blood tests: In skin findings accompanying autoimmune or systemic diseases.
- Mole (nevus) analysis: For monitoring with digital dermoscopy or for the surgical removal of suspicious lesions.
4. Diagnosis and Disease Classification
A definitive diagnosis is made by combining test results and clinical findings. It is determined whether the disease is acute or chronic, contagious, or related to the immune system. This classification directly affects the duration of treatment and the methods used.
5. Creating the Treatment Plan
Treatment is determined individually:
- Medication therapy: In topical (cream, ointment, lotion) or systemic (tablet, injection) forms.
- Cryotherapy / electrocauterization: In the treatment of warts, moles, or superficial lesions.
- Laser treatments: Applications for pigmentation, vascular lesions, acne scars, or epilation.
- Subcutaneous injections: PRP, mesotherapy, youth vaccine, intralesional steroid, filler, mineral vaccine, etc., injections suitable for the problem and disease.
- Surgical excision: Removal of suspicious or aesthetically disturbing skin lesions under local anesthesia and sending them for pathological examination.
6. Skin Care and Preventive Measures
Even if the disease is controlled, protecting the skin barrier is an integral part of treatment.
- Selection of appropriate moisturizers,
- Use of sunscreen,
- Avoiding irritating chemicals,
- Lifestyle changes such as maintaining stress control, balanced nutrition, and regular sleep are explained.
7. Follow-up and Monitoring
Patients are called for follow-up at certain intervals in terms of response to treatment, side effects, and risk of recurrence. In chronic diseases (e.g., psoriasis, vitiligo, atopic dermatitis), regular follow-up prevents disease flare-ups. For individuals undergoing mole monitoring, digital archiving and annual check-ups are recommended.
8. Aesthetic and Cosmetic Applications
Medical aesthetic procedures that support skin health fall within the scope of dermatology. Spot-lightening treatments, chemical peeling, fillers, botulinum toxin, and PRP applications are planned for suitable patients. Before the procedure, skin type is evaluated and an individualized protocol is prepared.
9. Multidisciplinary Approach
Some skin diseases may be related to internal medicine, endocrinology, rheumatology, or psychiatry. In necessary cases, collaboration with these branches ensures a holistic treatment approach.
10. Long-Term Results and Follow-up
The success of treatment is measured not only by the disappearance of the disease but also by the restoration of the skin’s healthy appearance and the prevention of recurrences. Regular check-ups, correct product selection, and adherence to physician recommendations ensure long-term success.
