# Spruce Micro vs Hagerstown Derm.

The clearest difference is update cadence: Spruce Micro at weekly against Hagerstown Derm.'s every 20 months. Spruce Micro also leads on device support. On price, in-app purchases and iOS requirement there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Spruce Micro ships an update weekly, Hagerstown Derm. every 20 months. The most recent releases landed on July 8, 2026 and September 11, 2026 respectively.

## The numbers

| Metric | Spruce Micro | Hagerstown Derm. |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[2.0 (4 ratings)](https://appshunter.io/ios/app/spruce-micro/id1661928070/reviews)** | — |
| Number of ratings | **4** | — |
| In-app purchases | No | No |
| Ads | No | — |
| Update frequency | **Weekly** | Every 20 months |
| Monetization | Free | — |
| Size | 373 MB | 19 MB |
| Requires iOS | **14.0** | 15.6 |
| Devices | **iPhone, iPad, iPod** | — |
| Age rating | 4+ | 17+ |
| Developer | [Christiane Cutrone](https://appshunter.io/developer/1661928072) | [Johanna Fangmeyer](https://appshunter.io/developer/1699848459) |

## What reviewers say

### Spruce Micro

[App page](https://appshunter.io/ios/app/spruce-micro/id1661928070)

Connect with certified skincare specialists for expert advice and treatments. View before-and-after results from satisfied clients and discover why this service is top-ranked nationally.

**Highlights:** Certified ZO Skin Health specialists, Ranked #1 ZO Skin Health account in Louisiana, Top 1% ZO Skin Health account in the US, High success rate, Before-and-after photos, Training with world-renowned masters

**Features:** macOS Compatibility, Apple Wallet

**In-app purchases:** none


### Hagerstown Derm.

[App page](https://appshunter.io/ios/app/hagerstown-derm/id6455128148)

**In-app purchases:** none


## Frequently asked questions

### Is Spruce Micro free?

Spruce Micro is free to download, with no in-app purchases.

### Is Hagerstown Derm. free?

Hagerstown Derm. is free to download, with no in-app purchases.

### Which is updated more often, Spruce Micro or Hagerstown Derm.?

Spruce Micro ships an update weekly, and Hagerstown Derm. every 20 months. Most recently, Spruce Micro was updated on July 8, 2026 and Hagerstown Derm. on September 11, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*