A person should see a dermatologist if they have cysts, nodules, or deep, painful acne. They should also seek medical advice if they experience late-onset or persistent acne. Late-onset acne appears in adults who have never previously dealt with breakouts, while persistent acne refers to acne that continues from adolescence into adulthood. Both types can be frustrating and may signal underlying hormonal imbalances or other health issues. A dermatologist can help identify the cause, recommend effective treatments, and prevent long-term scarring or skin damage.