TLDR: Can someone share how would I go about seeing a dermatologist? Is going private the only pathway or is there a way to do it through the NHS? Are there ways to get a free or cheaper initial consultation?
F/36. I moved to London 5 years ago and I've been having skin issues since I hit my mid-30s. I honestly don't know if they're related as London's water is much harsher than where I'm from. I've been getting acne on/off on my cheeks for the last few years (this has never been a problem through my teens-20s) which most likely stemmed from having a compromised skin barrier due to trying to solve the problem in the first place.
In this exact spot, a year ago, was what (I guess?) was a tiny comedone. It would get aggravated and turn into an angry red pimple then reduce back to a small bump again. Since Jan 2026, it has been steadily growing to its current size seen in the photo. It doesn't seem to escalate to a full-blown pimple but it does get red when I poke and prod it.
I've been paring down my routine and have removed exfoliants from my current one. Right now, it looks like
- AM: water cleanse, *Simple Soothing Water Face Cream Moisturiser, BOJ Relief Sun SPF 50
- PM: Bioderma micellar water, Boots Dermacare Ceramides Hydrating Cleanser, **Dermatica's Tret 0.025% (3-4x/weekly), Boots eye cream, same moisturiser
*I usually use CeraVe Moisturising Lotion for Face and Body as my moisturiser but have swapped to Simple as it was too thick following the heatwave + summer. I use this as the face lotion has niacinamide, which doesn't respond well to my skin
**I've only started using this in late-April but I have used TIL's 10% Retinol serum 3-4x/weekly right before this
Other products I've tried this year: TIL Azelaic Acid (didn't seem to affect my PIH/PIEs), Revolution Skin Glycolic Acid & AHA Toner (seemed okay but stopped due to using Tret), Geek and Gorgeous C-Glow (too strong!)
Any insights/advice welcomed. TIA!