After almost forty years of existence, I finally decided to schedule a dermatology appointment for a full body skin cancer screening. For many years, I wrongly assumed that you needed a specialist referral from a primary care provider for a “skin problem” to see a dermatologist. Then about two years ago, my doctor told me that I should actually see a dermatologist every year for skin cancer screening, and that it’s covered by pretty much every insurance — no referral needed. After trying and failing to make appointments at several derm offices that were in very high demand, I decided to go the ZocDoc route and find someone who got decent reviews and was semi close by. And so the appointment happened today.

It was pretty straightforward. I came in, confirmed the reason for my appointment, and then an assistant noted anything of concern or any spots you may want to have extra special attention looked at. Then, I undressed completely except for my underwear and put a fun gown on. The doctor came in and greeted me, asked me a few questions, and then proceeded to go section by section of my body, looking for any potential scary spots. The good news is that she said my skin looked great — I didn’t have any spots of concern. She was pleased to hear that I wore a hat and wore sunscreen every day (even inside, really). She did note a few freckles and sun spots I developed, especially the ones I pointed out to her on my face. We talked about potentially using a prescription grade 20% azelaic acid cream to lighten them. She emphasized sunblock and reapplication, plus covering up/wearing hats when outside. And given I knew it could be possible that insurance would cover a prescription grade retinol (and I am almost 40!), I decided it wouldn’t hurt to ask and spin it as, “Can retinol help with fading sun spots?” She said that it would help pretty dramatically and asked if I’d be interested in Tretinoin, the prescription retinol. She divulged that it is typically covered by insurance if you state it’s for the treatment of acne. “You do get the occasional pimple, right?” she winked at me. “Everyone does!” And then she quickly wrote me prescriptions for both the Tretinoin and the azelaic acid cream. She also told me that I had to be patient and consistent; I’d likely see changes over the course of three to four months. I could do that.

Within the hour, I got a text notification that my health insurance approved the Tretinoin, no problem. The azelaic acid cream was denied, though. Wahhh. So I will see how much it costs out of pocket vs. other methods and go from there. This is pretty exciting, though, to get a heavily subsidized prescription grade retinol for the first time. I am wondering if it will live up to the hype I read about in mom groups that it “changes your life” and skin completely!