Dermatologists in Cape Town: Why Paediatric Expertise Makes All the Difference

It’s not just about skin—it’s about your child’s quality of life

Why Choosing the Right Dermatologist for Your Child Matters

Cape Town is home to many experienced dermatologists. But when your child’s skin is affected—whether it’s a persistent rash, unexplained bumps, or something more complex—it’s not enough to see a general practitioner or adult dermatologist.

Children’s skin is different. It’s more delicate, more reactive, and more vulnerable to both environmental triggers and emotional stress. That’s where a paediatric dermatologist comes in.

Prof. Carol Hlela, one of the few specialists in this field in South Africa, offers more than just treatment—she offers understanding, reassurance, and real solutions that are tailored for growing bodies and sensitive skin.

What Makes Paediatric Dermatology Different?

A Specialised Field for Specialised Care

While general dermatologists treat a wide range of skin issues, paediatric dermatologists undergo additional training to:

• Understand infant, child, and adolescent skin development
  
  
• Recognise age-specific conditions like cradle cap, molluscum contagiosum, and paediatric psoriasis
  
  
• Address both the physical and emotional impact of skin disorders on young patients
  
  

Children don’t always express discomfort in words. Sometimes it’s a scratchy night’s sleep, a refusal to go to school, or frustration with their appearance. A paediatric dermatologist knows how to read these signs and respond accordingly.

Why Children’s Skin Needs a Tailored Approach—Especially in African Climates

Cape Town’s sun exposure, allergens, and humidity affect children differently than adults. For children with African or mixed heritage, conditions such as:

• Post-inflammatory hyperpigmentation
  
  
• Seborrhoeic dermatitis
  
  
• Keloid scarring
  
  
• Photosensitivity
  
  

...can present differently, require a softer diagnostic eye, and respond to specific treatments that general approaches may miss.

Avoiding Over-Treatment and Misdiagnosis

Too often, parents are prescribed steroid creams or harsh topical treatments without fully understanding the root cause. These treatments may work temporarily, but can worsen the condition in the long term if misused.

Prof. Hlela’s approach is to diagnose first, then treat, with a plan that respects both the science of dermatology and the uniqueness of your child’s skin.

Advanced Diagnostics for Rare and Resistant Conditions

Prof. Hlela’s sub-specialisation means she frequently sees cases that other doctors couldn’t resolve:

• Genetic skin disorders
  
  
• Unusual birthmarks
  
  
• Rare paediatric autoimmune conditions
  
  

Her time spent both in South Africa and abroad gives her insight into diverse skin types and regional skin patterns, especially as they relate to African children’s dermatology—an often overlooked but deeply important niche.

“We tried five treatments before we found Prof. Hlela. Within weeks, we had real answers and a plan.” — Cape Town parent

What to Expect During a Paediatric Skin Consultation

A Calm, Child-Friendly Environment

Prof. Hlela’s clinic is designed to ease the nerves of young patients. Children are welcomed gently, given space to express themselves, and never rushed through their visit.

Thorough Medical History and Skin Assessment

Expect:

• Detailed questioning about your child’s routines, allergies, and previous treatments
  
  
• Close examination of affected areas—often under specialised light
  
  
• Advice on non-invasive diagnostics when needed
  
  

A Whole-Child Approach

Paediatric dermatology isn’t about quick prescriptions. It’s about understanding:

• Emotional distress (e.g. bullying from visible conditions)
  
  
• Family medical history
  
  
• Environmental triggers like dust mites, soaps, school uniforms, or sun exposure
  
  

Commonly Misdiagnosed Conditions in Children

Many conditions Prof. Hlela treats have been misdiagnosed for months or years by non-specialists:

• Fungal infections mistaken for eczema
  
  
• Eczema mistaken for allergies
  
  
• Acne is mistaken for simple hygiene issues
  
  
• Scabies is missed entirely in the early stages
  
  

Each misstep delays real treatment—and often worsens the condition.

Early, accurate diagnosis is more than convenient—it’s crucial for your child’s long-term skin health.

Why Early Diagnosis Leads to Better Outcomes

The longer a skin condition goes untreated or mismanaged, the higher the risk of:

• Permanent scarring
  
  
• Loss of confidence
  
  
• Increased medical costs in the long run
  
  

In contrast, early treatment:

• Prevents chronic flare-ups
  
  
• Improves sleep and mood
  
  
• Builds trust in healthcare from a young age
  
  

Treating the Child—Not Just the Skin

Prof. Hlela doesn’t simply prescribe and dismiss. Her method includes:

• Education for parents on skin routines
  
  
• Product guidance tailored to South African markets
  
  
• Tips for school and home environments
  
  
• Follow-ups to adjust treatment plans as your child grows
  
  

Because a child’s confidence, comfort, and daily joy are tied so closely to how they feel in their own skin.

Your Child Deserves Expert Skin Care

If you’ve been trying different creams, visiting multiple GPs, or feeling like you’re stuck in an endless loop of “this should be working by now”, you’re not alone.

Cape Town parents are increasingly recognising that paediatric dermatology is a necessity, not a luxury. And with the right specialist, your child can thrive, not just survive their skin condition.

Book a Consultation with Prof. Carol Hlela

Prof. Hlela is a recognised leader in paediatric dermatology, offering world-class expertise in Cape Town with a gentle, family-first approach.