Top teledermatology services for fast online skin consultations

If you need a quick teledermatology consultation and you don’t know where to start, you have landed in the right place. This article showcases top teledermatology services you can consult right away.

Written by:
Jennifer Highland
Medical Content Writer

Last updated: September 2026.

Waiting several weeks (or even months) to see a dermatologist has become increasingly common across the United States. Whether you have acne, eczema, rosacea, a suspicious rash, melasma, or another skin condition, delays in treatment can prolong symptoms and make some conditions more difficult to manage.

Online dermatology, also known as teledermatology, offers a faster alternative. Instead of waiting for an in-person appointment, patients can upload photos of their skin, complete a medical questionnaire, and receive a diagnosis and treatment plan from a licensed dermatologist, often within one or two days.

Many teledermatology platforms can also prescribe medications electronically, allowing patients to begin treatment without visiting a clinic.

However, not all online dermatology services work the same way.

Some platforms connect patients exclusively with board-certified dermatologists, while others may use nurse practitioners or physician assistants depending on the state and type of consultation. Some allow patients to choose and continue seeing the same dermatologist over time, while others automatically assign whichever clinician is available. Response times, pricing, insurance acceptance, prescription options, and continuity of care also vary considerably.

This guide compares the leading online dermatology services available in the United States.

Skin conditions that can be treated by online dermatologists

Virtual dermatologists can provide care for a wide variety of skin concerns.

Acne (mild to severe) Anti-aging Atopic dermatitis Eczema Folliculitis Fungal infections Genital warts Hair loss

Herpes Hyperhidrosis Impetigo Melasma Pediatric dermatology Rosacea Shingles Other skin conditions

How we compared online dermatology services

We compared U.S. teledermatology platforms based on:

Provider credentials
Pharmacy and medication choice
Ability to choose a dermatologist
Continuity of care
Pricing
Published response-time data*

*Where available, measured response-time statistics were used instead of advertised turnaround windows.

Best teledermatology services comparative table

This table provides an overview of each platform’s healthcare providers (dermatologists, nurses, or physician assistants), whether patients can choose their preferred dermatologist and continue seeing the same provider throughout treatment, and the platform’s average response time.

Platform	Provider	Choice of Derm	Continuity	Choice of Medication	Response Time
Miiskin	Board-certified dermatologist	Yes	Yes	Yes	Avg. 14.4 hrs*
Teladoc	Mixed clinicians	No	Yes	No	≤24 hrs
SkyMD	Mixed clinicians	Yes	No	No	<24 hrs
DermOnCall	Board-certified dermatologist	Yes	Yes	No	24–48 hrs
First Derm	Board-certified dermatologist	No	No	No	8–48 hrs
DirectDerm	Board-certified dermatologist	No	No	No	24–48 hrs
Sesame Care	Mixed clinicians	Yes	No	No	24–48 hrs

*Average online dermatologist response time from April–June 2026: 14.4 hours

How Miiskin differs from other teledermatology platforms

Miiskin delivers strong value by connecting patients exclusively with independent, board-certified dermatologists and allowing users to choose their provider and return to the same dermatologist for continuity of care. The simple pay-per-visit model keeps costs affordable, typically $59–$69 for new visits and $39 for refills, which is well below most in-person dermatology visits and many telehealth competitors.

Available nationwide in all 50 states, Miiskin lets patients use any pharmacy or choose Foothills Pharmacy to order medications directly through the platform for a seamless telehealth-plus-pharmacy experience. The service supports both standard generics and custom-compounded formulas with up to five active ingredients, and never requires subscriptions or recurring medication programs, giving patients full flexibility and control.

How to have an online consultation via Miiskin?

Miiskin connects you with independent, board-certified dermatologists who provide care via their own private practices.

Get the app / website – Download Miiskin (iOS/Android) or start a consultation below.
Pick a dermatologist – Choose a dermatologist licensed in your state.
Fill in info and upload photos– Answer questions about your skin concern and medical history. Take clear, well-lit pictures of the affected areas.
Choose your pharmacy – Select Foothills as your preferred pharmacy if you are interested in a compounded formula. Select a local pharmacy for standard medication.
Get an answer – Your chosen dermatologist reviews your case and gives you a treatment plan and e-prescription. Miiskin’s average response time among all dermatologists is 14.4 hours-
Order your medication – If you selected Foothills, you can order your medication via Miiskin and it will be shipped to your doorstep.

A full comparison of teledermatology providers

1. Miiskin

Price: $59 – $69 for new consultations / $39 follow-up
Provider: ✅ Board-Certified Dermatologists (including pediatric dermatologists)
Prescriptions: ✅ Yes
Choose Your Dermatologist: ✅ Yes — Select from available dermatologists in your state
Continuity of Care: ✅ Yes — Follow up with the same dermatologist
Choice of Pharmacy: ✅ Yes — Patients can select any local or online pharmacy in the country
Customized Formulas: ✅ Yes — Dermatologists can prescribe customized formulas via Foothills Pharmacy, our trusted partner
Response Time: Average response time from the Miiskin dermatologists in Q2 2026 is 14.4 hours. However the dermatologists have up to 48 hours to respond.

Summary:
Online dermatology consultations for acne, melasma, anti-aging, hair loss, and other common skin concerns. Offers specialist care, e-prescriptions, ongoing follow-ups, and access to customized compounded treatments through its Foothills Pharmacy partnership.

2. Teladoc Dermatology

Price: Dermatology consultations range from $75 – $95. Check their website for current pricing.
Provider: ⚠️ Dermatologists or NPs/PAs (varies by state and appointment)
Prescriptions: ✅ Yes (sent electronically to pharmacy of your choice)
Choose Your Dermatologist: ⚠️ No — providers assigned based on availability
Continuity of Care: ✅ Yes — Teladoc guarantees the same provider for scheduled follow-ups, though you can’t select a dermatologist upfront
Partnered with a Pharmacy: ❌ No exclusive pharmacy partner — prescriptions go to your chosen pharmacy
Customized Formulas: ❌ Not advertised as a standard service
Response Time: Typically within 24 hours or less for an initial dermatology consult

Summary:
General telehealth dermatology with licensed dermatologists (or mid-level clinicians in some cases), offering secure messaging, personalized treatment plans, and prescription support. Patients upload photos and details and usually receive a treatment plan within about a day, and can ask follow-up questions through the secure message center for up to 7 days.

3. SkyMD

Price: Consultations are $99 but are often covered by insurance. Check their website for prices.
Provider: ✅ Board-Certified Dermatologists + other licensed clinicians
Prescriptions: ✅ Yes (sent to local pharmacy of your choice)
Choose Your Dermatologist: ✅ Yes — Patients are encouraged to select a dermatologist during signup
Continuity of Care: ⚠️ Not guaranteed — SkyMD operates as part of a larger multi-specialty practice; follow-ups with the same exact dermatologist may depend on scheduling and provider availability
Partnered with a Pharmacy: ❌ No exclusive pharmacy partner — prescriptions sent to your chosen pharmacy
Customized Formulas: ❌ Not advertised as a standard offering
Response Time: Less than 24 hours, per SkyMD’s published commitment

Summary:
SkyMD is a nationwide telehealth platform specializing in dermatology and other medical services. Patients upload photos or have video visits with licensed clinicians and receive a diagnosis and treatment plan, including prescriptions sent to the pharmacy of their choice, usually within a day or two.

4. DermatologistOnCall

Price: ~Around $95 per consult (often covered by insurance). Check their website for prices.
Provider: ✅ Board-Certified Dermatologists
Prescriptions: ✅ Yes (sent electronically to pharmacy of your choice)
Choose Your Dermatologist: ⚠️ Yes — Patients select a dermatologist at signup, subject to that provider’s availability
Continuity of Care: ⚠️ You can request the same dermatologist for future visits; visits also stay open for 30 days of follow-up messaging
Partnered with a Pharmacy: ❌ No exclusive pharmacy partner — you can pick up locally or use mail-order pharmacy services
Customized Formulas: ❌ Not advertised as a standard offering
Response Time: Usually within 24–48 hours

Summary:
Online dermatology consults with board-certified dermatologists who evaluate photos and patient history, provide a diagnosis and personalized treatment and prescribe medications sent to the pharmacy you choose. Follow-up messaging is available post-visit, and most responses come within a couple of days.

5. First Derm

Price: Consultations start at $34.95. See their website for price
Provider: ✅ Board-Certified Dermatologists
Prescriptions: ❌ No — primarily diagnostic only; no prescriptions provided
Choose Your Dermatologist: ❌ No — reviewers are assigned to cases automatically
Continuity of Care: ❌ No — one-off consults only
Partnered with a Pharmacy: ❌ No
Customized Formulas: ❌ No
Response Time: Options vary by selected turnaround tier (often 8, 24, or 48 hours depending on price/speed chosen)

Summary:
Anonymous online skin assessments by board-certified dermatologists. Patients submit photos and medical history and receive a professional review and likely diagnosis within the chosen turnaround window, but no prescriptions or longitudinal care is provided.

6. DirectDerm

Price: Consultation price is $120, but can often be covered by insurance. See their website for current prices.
Provider: ✅ Board-Certified Dermatologists
Prescriptions: ✅ Yes (sent to pharmacy of your choice)
Choose Your Dermatologist: ❌ No — patients are assigned a provider based on availability/state
Continuity of Care: ⚠️ Limited — follow-up messaging may be possible after the visit, but a guaranteed ongoing relationship with the same dermatologist isn’t specified publicly
Partnered with a Pharmacy: ❌ No exclusive pharmacy partner — prescriptions sent to your chosen pharmacy
Customized Formulas: ❌ Not advertised as a service
Response Time: Typically within 24–48 hours

Summary:
DirectDerm connects patients with board-certified dermatologists who review photos and clinical information and provide diagnoses, treatment plans, and prescriptions to the pharmacy you select — often within a couple of days.

7. Sesame Care

Price: Dermatology visits typically range from $40 – $150+ depending on provider. See their website for current prices.
Provider: ⚠️ Mixed — Board-Certified Dermatologists and other licensed clinicians (varies by booking)
Prescriptions: ✅ Yes — same-day prescriptions available
Choose Your Dermatologist: ✅ Yes — you select from available providers at booking
Continuity of Care: ⚠️ Not guaranteed for one-time visits; formal continuity is available through Sesame’s Skincare Rx subscription, which pairs you with a dedicated provider
Partnered with a Pharmacy: ⚠️ Not a dedicated dermatology pharmacy partner; prescriptions can be delivered or sent to local pharmacy depending on provider and patient choice
Customized Formulas: ❌ Not advertised as a standard dermatology feature
Response Time: Same-day or next-day appointments and prescriptions often available

Summary:
Sesame is a broad telehealth marketplace where patients choose clinicians (including dermatologists) for virtual visits. Same-day appointments and prescriptions are possible, and patients can choose their provider. A one-time visit doesn’t guarantee continuity, but Sesame’s Skincare Rx subscription offers ongoing care with a dedicated provider for patients who want it.

Why patients prefer dermatology care delivered via Miiskin?

Consultation price is $59 to $69 for new patients and $39 for prescription renewals
Average response time in Q2 2026 is 14.4 hours
Multiple dermatologists available in all 50 U.S. states
Choose your favorite board-certified dermatologist for your first visit and every follow-up
Choose between oral, topical or compounded medications
Choose your preferred local pharmacy or our integrated pharmacy partner for customized formulas
Buy your medication on-demand, no monthly subscriptions

Frequently asked questions about teledermatology services in the United States

From these teledermatology services, which offers same-day appointments?

Miiskin: The measured average response from Miiskin dermatologists is 14.4 hours. Dr. Anne Allen is the fastest dermatologist in the platform with an average response time of 6.7 hours on average*.

SkyMD: Offers some of the fastest responses, often within a few hours.

Teladoc: Typically responds within 24–72 hours, though same-day care is possible depending on clinician availability.

DirectDerm: Usually provides diagnoses within 24–48 hours.

*Consultation requests received on Fridays, Saturdays or Sundays should on average expect an additional 12 hours extended response window.

Which teledermatology platform gives you the fastest response?

In the United States, most teledermatology providers publish only an advertised response window rather than their actual response times.

Among major U.S. teledermatology platforms, Miiskin publishes measured dermatologist response times. According to Miiskin’s Q2 2026 analysis:

Average response across all Miiskin dermatologists: 14.4 hours

Fastest average response: Dr. Anne Allen – 6.7 hours

Other online dermatologist platforms advertise response windows of 24 to 48 hours but do not publish measured averages.

Who is the fastest online dermatologist?

Among the board-certified dermatologists in the Miiskin network, Dr. Anne Allen has the fastest average patient response time: 6.7 hours in Q2 2026

That’s well under Miiskin’s platform-wide average of 14.4 hours, which itself is far faster than the 24 to 48 hour response windows most online dermatology platforms advertise.

Response time of the Miiskin dermatologists

Dermatologist	Average response time
Dr. Anne Allen	6.7 hours
Dr. Blake Galler	14.9 hours
Dr. Trisha Khanna	15.4 hours
Dr. Anna Chacon	16.1 hours
Dr. Craig Burkhart	16.2 hours
Dr. Eric Howell	20.5 hours
Dr. Amit Om	20.9 hours
Dr. Ryan Trowbridge	22.3 hours

Which teledermatology services accept insurance?

Teladoc, SkyMD, and DirectDerm accept insurance, although coverage depends on your specific health plan and location. SkyMD and DirectDerm accept Medicare and several major insurers, including Blue Cross and UnitedHealthcare. Teladoc works with many private health plans and Medicare Advantage plans, but does not accept traditional Medicare fee-for-service.
Miiskin and First Derm are generally self-pay services, offering transparent, upfront consultation fees rather than billing health insurance directly.

Which of these teledermatology services offer consultations in 24 hours?

Miiskin, SkyMD, and DirectDerm all aim to deliver care within 24 hours for most cases.
DermatologistOnCall typically takes 1–2 business days, while Teladoc can take up to 72 hours depending on provider load.

Which of these teledermatology services can issue prescriptions?

Miiskin, SkyMD, Teladoc, DirectDerm, DermatologistOnCall and Sesame Care all support prescriptions when medically appropriate.
First Derm provides diagnosis-only evaluations (no prescriptions).

Which of these teledermatology services allows you to choose your dermatologist?

Miiskin lets you choose a specific board-certified dermatologist before submitting your consultation and continue seeing the same dermatologist for follow-up care.
DermatologistOnCall also lets you choose a specific provider licensed in your state, including a dermatologist. If you have no preference, you can be matched with the next available provider.
Sesame Care lets you choose your provider when booking, although not all providers offering skin-related care are dermatologists.
SkyMD provides some provider choice. Patients can browse available doctors, and SkyMD states that patients are encouraged to select a doctor after signing up. Availability depends on factors such as state licensure and appointment availability.
Teladoc may allow you to select a specific provider depending on your benefits, so dermatologist choice is not universally available.
DirectDerm and First Derm do not appear to offer the same level of upfront dermatologist selection based on their publicly available information.

Which of these teledermatology services allows you to consult the same dermatologist each time?

Miiskin provides continuity of care with the same dermatologist for follow-ups and future consultations. Once you choose a dermatologist, you can continue seeing that dermatologist unless you decide to switch providers.
DermatologistOnCall also offers continuity of care. Patients can select the same dermatologist for future visits, although seeing that specific dermatologist is subject to their availability.
SkyMD generally allows patients to continue with the same doctor through its patient portal, but continuity is not guaranteed, as patients may occasionally be reassigned to another doctor.

Which of these teledermatology services offer both FDA-approved and customized medications?

Miiskin gives users the option of FDA-approved medications or customized compounded formulas* that can combine multiple active ingredients in a single treatment. For a customized formula, select Foothills as your preferred pharmacy; if prescribed, you can order the medication directly through Miiskin.
DirectDerm and SkyMD primarily provide prescriptions that can be filled through a pharmacy. Unlike Miiskin, customized multi-ingredient compounded formulas do not appear to be a core part of their offering.
*Compounded medications are not FDA-approved.

Which of these teledermatology services offers care by board-certified dermatologists exclusively?

Miiskin, DirectDerm, DermatologistOnCall, and First Derm use board-certified dermatologists.
SkyMD, Sesame Care and Teladoc use a mix of dermatologists and NPs/PAs, depending on state and availability.

How to find the best online dermatologists?

Look for platforms that:

Guarantee board-certified dermatologists (like Miiskin or DirectDerm)
Offer transparent pricing and prescription support
Provide fast response times (ideally under 48 hours)
Maintain HIPAA compliance for data security
Allow continuity of care, such as Miiskin’s option to re-consult your same dermatologist

For most patients, Miiskin is a top option in 2026 for fast, dermatologist-only online consultations, while SkyMD and Teladoc appeal to those using insurance or needing broader telehealth coverage.

Which teledermatology platform has the best reviews?

To see what users say about Miiskin, visit the Miiskin Reviews page. All reviews are sourced from Trustpilot, an independent third-party platform, so you can be confident they come from real users.