Why Early Intervention Matters: The Power of Seeing a Pediatric Dermatologist Sooner

In Cape Town, delays in skin care can lead to lifelong scars—here’s how to avoid that

The Hidden Cost of Waiting

In Cape Town and across South Africa, too many parents face a frustrating pattern: months of trial-and-error creams, GP visits, and well-meaning advice that never quite resolves their child’s skin condition.

What starts as a minor rash or occasional itch can quietly turn into scarring, emotional stress, or a chronic skin problem. The good news? It doesn’t have to be that way.

This article explores why early intervention with a paediatric dermatologist like Prof. Carol Hlela can be life-changing, and how catching issues early leads to better outcomes for children of all skin tones.

Why Early Intervention Is Especially Critical for Skin of Colour

Skin of Colour Reacts Differently

Children with African, Coloured, or Indian heritage often experience more intense inflammation, post-inflammatory hyperpigmentation (PIH), or atypical presentations of common conditions.

Many general practitioners aren’t trained to recognise these subtleties, leading to misdiagnosis or inappropriate treatment.

Preventing Long-Term Pigmentation Scarring

Pigmentation changes are not just cosmetic—they can be deeply distressing, particularly for teens. Catching and treating conditions before inflammation sets in reduces the risk of long-term PIH.

“We were told it was just ‘teen skin’—but it was acne with scarring. Prof. Hlela helped us reverse what we thought was permanent.” – Parent from Athlone

The Risks of Delayed Treatment in Children

1. Eczema Can Escalate

Without professional guidance, eczema can become:

  • Resistant to over-the-counter treatments

  • Trigger infections (especially in Cape Town’s humid summers)

  • A cause of missed school, lost sleep, and social anxiety

2. Acne Becomes More Than Skin Deep

Teenage acne is often dismissed as hormonal, but severe cases can cause:

  • Permanent pitted or keloid scarring

  • Depression or withdrawal

  • Mistrust in skin care due to repeated product failures

3. Skin Infections Can Spread Fast

Conditions like impetigo, ringworm, or molluscum contagiosum spread quickly in schools and sports environments.
Delays in accurate diagnosis increase the risk of:

  • Infection spreading to siblings or classmates

  • Painful symptoms or skin breakdown

  • Stigma and teasing

What Makes Paediatric Dermatology Different?

It’s More Than “Smaller Doses”

Paediatric dermatologists are trained to:

  • Understand age-specific skin physiology

  • Recognise early warning signs of serious skin diseases

  • Address the emotional needs of children during treatment

Prof. Hlela’s Unique Approach

  • Takes time to connect with your child and reduce medical anxiety

  • Uses local knowledge of allergens, climate, and common conditions

  • Specialises in skin of colour, providing precise diagnosis and culturally appropriate care

“Within three visits, my son’s eczema went from out of control to completely under control. I wish we hadn’t waited.” – Mother from Durbanville

The Emotional Weight of Living With Visible Skin Conditions

Children and teens are keenly aware of how they look, especially in the age of selfies, school photos, and peer comparison.

The Mental Health Connection

Conditions like psoriasis, acne, or birthmarks can lead to:

  • Teasing or bullying at school

  • Avoiding sports, swimming, or social activities

  • Anxiety, low self-esteem, and even depression

Early intervention doesn’t just treat the skin—it protects your child’s emotional development.

How to Talk to Your GP About a Dermatology Referral

Some parents worry it’s “too much” to ask for a specialist referral, but your concerns are valid.

Here’s how to have that conversation:

  • Describe the history: “We’ve tried four products with no success.”

  • Mention impact: “It’s affecting sleep and confidence.”

  • Be specific: “We’d like a referral to a paediatric dermatologist, specifically Prof. Carol Hlela in Cape Town.”

Many medical aids in South Africa support specialist visits when justified by persistent or worsening symptoms.

Booking with Prof. Carol Hlela

  • Specialist in paediatric dermatology and skin of colour
  • Based in Cape Town, with years of trusted care
  • Accepts major South African medical aids

Visit www.carolhleladermatologist.co.za to book a consultation
Practice located in a child-friendly environment

Don’t Wait Until It Gets Worse

Skin is the body’s largest organ, and one of the first places children feel seen or self-conscious.

Whether it’s eczema, birthmarks, acne, or unexplained rashes, early specialist care can:

  • Prevent permanent damage

  • Provide faster relief

  • Support your child’s mental and emotional well-being

“It wasn’t about vanity. It was about my child feeling confident again.” – Parent from Constantia

Ready to take the first step?

Book a consultation with Prof. Carol Hlela today and give your child the expert skin care they deserve.

Book an appointment with Prof. Carol Hlela today

And get your child’s skin health back on track.