Seasons Dermatology and Aesthetics is a real medical practice with multiple locations in the United States, offering both medical dermatology (skin disease diagnosis and treatment) and cosmetic procedures (aesthetics). This article explains what the practice offers, how to choose a provider, what common treatments cost, and what to expect during a visit.
Background and Practice Overview
Seasons Dermatology and Aesthetics operates as a physician-led practice with locations primarily in Maryland and Virginia. The practice was founded by board-certified dermatologists, and its team includes dermatologists, physician assistants, nurse practitioners, and licensed aestheticians. The name “Seasons” reflects the idea that skin care needs change with age, weather, and lifestyle, so the practice tailors treatments to each patient’s current condition.
The practice is known for combining medical and cosmetic dermatology under one roof. That means a patient can see the same team for a skin cancer screening, acne treatment, and then schedule a laser resurfacing or injectable appointment. This integration is common among modern dermatology groups because it allows for continuity of care and more comprehensive treatment plans.
Medical Dermatology Services
Medical dermatology focuses on diagnosing and treating conditions that affect the skin, hair, and nails. At Seasons, common services include:
- Skin cancer screening and treatment: Full-body exams to detect suspicious moles, followed by biopsy and removal of basal cell carcinoma, squamous cell carcinoma, or melanoma. Treatment may involve surgical excision or Mohs micrographic surgery, which is performed by fellowship-trained Mohs surgeons at some locations.
- Acne and rosacea management: Prescription topical and oral medications, chemical peels, and lifestyle guidance. For severe acne, the practice may offer isotretinoin (Accutane) monitoring.
- Eczema and psoriasis care: Diagnosis and treatment with topical steroids, biologic injections, and phototherapy (light therapy) for moderate to severe psoriasis.
- Diagnosis of rashes and skin infections: Including fungal, bacterial, and viral infections, as well as autoimmune skin conditions like lupus or dermatomyositis.
These services are typically covered by health insurance, though copays and deductibles vary. Always confirm coverage with your insurer before an appointment.
Aesthetic and Cosmetic Procedures
The aesthetics side of the practice offers a range of non-surgical cosmetic treatments. Popular options include:
- Injectables: Botox and Dysport for wrinkles, and dermal fillers like Juvederm or Restylane for volume loss in the cheeks and lips.
- Laser and light therapies: IPL (intense pulsed light) for sun spots and redness, fractional CO2 laser for scars and wrinkles, and vascular lasers for spider veins.
- Chemical peels: Glycolic, salicylic, or TCA peels to improve texture, tone, and acne.
- Microneedling: Often combined with platelet-rich plasma (PRP) to stimulate collagen and treat fine lines, acne scars, and stretch marks.
- Body contouring: Non-invasive fat reduction using devices like CoolSculpting or radiofrequency treatments.
These procedures are considered cosmetic and are not covered by insurance. Prices vary widely by treatment, provider, and location, so you should request a quote during a consultation.
How to Choose a Provider
Choosing between a dermatologist, a physician assistant, or a nurse practitioner at Seasons depends on your needs. For medical issues like a suspicious mole or persistent rash, you should see a board-certified dermatologist. For routine cosmetic treatments like Botox or fillers, a trained physician assistant or nurse practitioner may be sufficient, but you should verify their credentials and experience. For complex cosmetic procedures like laser resurfacing or Mohs surgery, always choose a physician with specific training and experience.
Before booking, check the provider’s board certification, read reviews, and ask about the number of times they have performed the procedure you want. A consultation is the best time to ask about before-and-after photos, risks, and realistic outcomes.
Costs and Insurance
Medical dermatology visits are usually billed to insurance. A typical office visit has a copay of $20–$50, but diagnostic procedures like biopsies or surgeries may have additional costs. Cosmetic treatments are out-of-pocket. As a general guide, Botox costs about $10–$15 per unit, and a typical treatment uses 20–40 units. Dermal fillers range from $600–$1,200 per syringe. Laser treatments can cost $300–$3,000 depending on the area and technology. Microneedling with PRP often runs $500–$1,500 per session.
Seasons offers financing through third-party companies like CareCredit for eligible patients. Always ask for a written estimate before any cosmetic procedure, and confirm whether any follow-up visits are included.
Safety and What to Expect
All medical procedures carry some risk. For injectables, possible side effects include bruising, swelling, and, rarely, asymmetry or vascular occlusion (blocked blood vessel). For lasers, risks include burns, pigmentation changes, and scarring. To minimize risk, disclose your full medical history, including any medications, supplements, or prior cosmetic treatments, to your provider.
Before a cosmetic procedure, you may be advised to avoid blood thinners like aspirin or ibuprofen for a week. After the procedure, follow the aftercare instructions carefully, including sun protection and avoiding strenuous exercise for a specified period. If you experience severe pain, blistering, or signs of infection, contact the office immediately.
Common Problems and Misconceptions
One common misconception is that “medical” and “cosmetic” are always separate. In reality, many treatments overlap. For example, laser therapy can treat a medical condition like rosacea and also improve cosmetic redness. Another misconception is that cosmetic treatments are painless and have no downtime. While many are minimally invasive, some, like fractional CO2 laser, require several days of recovery.
Another issue is the assumption that all providers at a practice have the same level of training. Always ask who will actually perform your procedure, and do not hesitate to request a physician’s involvement if you prefer it. Finally, many patients are surprised that insurance does not cover acne treatment if it is deemed cosmetic, even though acne is a medical condition. Check your policy’s specific language.
Alternatives to Seasons
If Seasons is not convenient or does not offer a specific treatment, consider other board-certified dermatology practices in your area. Alternatives include hospital-based dermatology clinics, academic medical centers, and private practices. For cosmetic work, you might also consider a plastic surgeon’s office or a medical spa, but ensure that a physician supervises any medical-grade procedure. Always verify credentials and licensing, and avoid any provider who promises unrealistic results or pressures you into procedures.
Frequently Asked Questions
Is Seasons Dermatology covered by insurance?
Medical services are typically covered if they are medically necessary, but cosmetic procedures are not. You should verify your specific insurance plan and the reason for your visit. The practice’s billing team can help you understand your coverage.
What is the difference between a dermatologist and an aesthetician?
A dermatologist is a medical doctor who diagnoses and treats skin diseases, and can perform surgery and prescribe medication. An aesthetician is a licensed skincare specialist who provides cosmetic treatments like facials, chemical peels, and hair removal. At Seasons, aestheticians work under the supervision of dermatologists.
How long does Botox last?
Botox typically lasts 3 to 4 months, but results vary by individual metabolism and the area treated. Regular maintenance appointments are needed to sustain the effect.
Do chemical peels hurt?
Most patients feel a mild tingling or burning sensation during a peel, which subsides quickly. Deeper peels may require topical numbing. Your provider will discuss pain management options.
Can I get a skin cancer screening and a cosmetic treatment in the same visit?
Yes, many practices allow you to schedule both, but you should check with the office. Some appointments may require separate time slots, and your insurance may not cover cosmetic procedures on the same day as a medical visit.
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