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For medical dermatology (acne, eczema, mole checks), most provinces require a referral from your family doctor. Wait times are typically 3-12 months. For cosmetic procedures (Botox, fillers, laser), you can usually book directly without a referral.

Medical dermatology is covered by provincial health insurance with a doctor's referral. Cosmetic procedures are not covered: Botox $300-$600, fillers $500-$1,500, laser treatments $200-$800 per session, chemical peels $150-$400.

Dermatologists are medical doctors with 5+ years of specialized training who can diagnose diseases, prescribe medications, and perform surgery. Estheticians provide skin care treatments like facials and peels but cannot diagnose or prescribe. For medical skin concerns, you need a dermatologist.

In Canada, wait times range from 3-12 months for non-urgent referrals. Urgent cases (suspected skin cancer) are typically seen within 2-4 weeks. Cosmetic dermatology clinics often have shorter waits since they operate outside the public system.

See a dermatologist for: persistent acne not responding to treatment, changing moles, chronic skin conditions (psoriasis, eczema), hair loss, suspicious growths, or cosmetic concerns. Your family doctor can handle mild skin issues and refer you when needed.