Dermatology is already one of the most lucrative medical specialties, but that doesn’t mean the salaries don’t vary. For physicians considering a career in skin health—or those looking to specialize further within the field—it’s natural to ask: What is the highest paid type of dermatologist? Let’s look at a breakdown of the top-paying subspecialties, degrees and qualifications, and explore where dermatologists are currently most in demand.

If you’re looking to break into the field or advance your current position, don’t miss our full guide on dermatology jobs or check out how compensation varies with dermatology salary by state.

What is the highest paid type of dermatologist?

When it comes to earning potential, the highest paid dermatologist is typically one who has combined medical expertise with entrepreneurial strategy. That usually means a dermatologist who specializes in cosmetic dermatology and owns or operates a private practice.

Cosmetic dermatologists focus on elective procedures like Botox injections, dermal fillers, laser treatments and skin resurfacing. Since these services are typically paid for out-of-pocket by patients and therefore not subject to insurance reimbursement rates, this gives them greater control over pricing and margins.

According to Medscape’s Physician Compensation Report and data from the American Society for Dermatologic Surgery, dermatologists who focus primarily on cosmetic services can earn upwards of $500,000 to $700,000 annually, with some surpassing $1 million, particularly when combined with retail skincare product sales or ownership of medspas.

By contrast, general dermatologists or those employed in academic or hospital settings are more likely to earn between $300,000 and $450,000 per year, depending on location and workload.

What is the highest degree for a dermatologist?

To become a dermatologist, physicians must complete medical school and a residency in dermatology. However, dermatologists can often increase their earning potential by opting to pursue additional degrees, fellowships or certifications

While the standard path includes earning an MD or DO degree, those with advanced training in subfields like Mohs surgery (a specialized technique for removing skin cancer) or dermatopathology (the microscopic analysis of skin diseases) usually earn more than general dermatologists.

These subspecialties require additional years of training beyond residency and may lead to more complex, higher-billed procedures. As a result, the dermatologist salary in these cases can range from $400,000 to $600,000 or more, depending on experience, region and patient volume.

Holding dual degrees—such as an MD/MBA—can also increase income for dermatologists who open their own practices or become involved in healthcare leadership or product development.

What is the highest qualification in dermatology?

In terms of academic and professional credentials, the highest qualification a dermatologist can achieve is board certification by the American Board of Dermatology (ABD), along with fellowship training in a dermatologic subspecialty.

Board certification demonstrates a dermatologist’s commitment to maintaining high clinical standards and staying abreast of the latest medical advances. In some cases, board-certified dermatologists with fellowships in Mohs surgery, pediatric dermatology or dermatopathology command significantly higher earnings than their peers.

Other career-enhancing credentials include membership in professional organizations such as the American Academy of Dermatology (AAD), publications in peer-reviewed journals and participation in clinical research.

These additional qualifications not only improve care quality but can also open doors to prestigious roles or higher-paying opportunities—specifically in states with strong patient demand or limited specialist access. For more details, review our in-depth guide on dermatology salary by state.

Where is there a high demand for dermatologists?

Geography plays a huge role in compensation and job opportunity. The highest dermatologist salary figures are often found in rural or underserved areas where specialists are scarce. States like North Dakota, Alaska and Wyoming frequently offer six-figure signing bonuses, student loan repayment or other incentives to attract dermatologists.

On the other hand, urban areas with a high concentration of affluent patients—such as New York City, Los Angeles and Miami—also offer strong earning potential, especially for those specializing in cosmetic or aesthetic dermatology. Here, patient volume and demand for elective procedures can push incomes far above the national average.

Additionally, teledermatology is growing rapidly, and demand for virtual dermatology consultations has opened new income streams for physicians licensed in multiple states. With more patients seeking convenient, remote care, dermatologists can now serve patients across the country without the need for multiple brick-and-mortar locations.

While dermatology is already a well-paying specialty, choosing the right subspecialty, location and qualifications can greatly influence your earning potential. Cosmetic dermatology and private practice ownership offer some of the highest salaries in the field, while board certifications and advanced degrees can further increase income opportunities.

Whether you’re just starting out or looking to pivot into a more lucrative role, the dermatology field offers diverse options for growth. Explore current dermatology jobs or dive into dermatology salary by state to discover where your best opportunities may lie.

Ready to take the next step in your dermatology career? Browse more articles about dermatology and other specialties in PracticeLink’s Resource Center.