Comparison

Dermatology First Derm vs DermEngine

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Dermatology First Derm

Connect with board-certified dermatologists for anonymous consultations on skin concerns. Get expert advice and treatment recommendations within hours, skipping long wait times for in-person appointments. Available globally and in multiple languages.

Highlights
  • Anonymous skin consultations
  • Board-certified dermatologists
  • Consultations within hours
  • Skin condition identification
  • Treatment recommendations
  • Global availability
Features
Read full description

Dermatology online: First Derm - Quickly connects you to a Dermatologist. This is not artificial intelligence (AI) or a machine learning (ML) app. But human board certified dermatologists with more than 10 years of experience. The average wait time for a dermatology appointment in the US is 40 days. Skip the long wait - First Derm connects you to a board-certified dermatologist within hours. Anonymously address any skin concern with access to board-certified dermatologists within hours - no account creation needed. Available in 7 languages and over 160 countries, we're here for you wherever you are. Trusted by over 250,000 users worldwide and operational globally since 2014, First Derm offers dermatology expertise backed by years of clinical research. Our experts have years of academic training and clinical practice, strengthening the quality of First Derm's dermatology consultation services. Unlike AI dermatology solutions, we ensure that every assessment is made by a professional's trained eye, giving you peace of mind with expert human evaluation. Worried about a skin concern? We're here to help. Get professional advice at your fingertips—anytime, anywhere. How Online Dermatologist Works Download the dermatology app: No account creation required; your identity remains anonymous. Submit Your Concern: Simply take a picture of your skin, fill out the form, and send it to our team of dermatologists. Your information will always be kept anonymous and secured. Select Response Time: Choose from 8, 24, or 48 hours - consultation fees vary based on your selection. Save your unique 8-digit case number: use it to read your results. A dermatologist will get back to you with: - The likely skin condition - Guidance on what to do next - Over-the-counter treatment recommendations (if applicable) Online Dermatology consultation: - Skin Scanner - Skin Issues for All Types: – Dermatology consultation for managing skin conditions across all skin types, including acne, eczema, and psoriasis. - Mole checker - Skin Cancer and Mole Evaluation: Get an expert review of suspicious spots or moles to assess irregularities and support early detection of skin cancer risks. - Skin Rash Identifier: Understand the cause of your rash - whether from allergies, infections, or irritants - and get advice on how to address it. - Hair and Scalp Concerns: Get personalized guidance on issues like hair loss, dandruff, or scalp conditions. - Insect Bite Identification: Quickly identify insect bites and learn how to alleviate symptoms. - STD-Related Skin Concerns: Get discreet and professional advice on skin issues related to sexually transmitted diseases. Over 70% of our users find relief with over-the-counter treatments, potentially saving an unnecessary doctor's visit. For more serious cases, we can guide you toward a face-to-face consultation with a dermatologist. The fastest and safest way to get advice from a dermatologist. Tips for the best dermatology consultation experience:   Snap Two Clear Photos - Use good lighting and focus on the affected area. - Remove makeup or coverings. - Avoid camera filters. Provide Medical Information - Share any relevant medical history, including current and past skin conditions. - Include any known family history of skin conditions or allergies. - List any medications you are currently taking. What Our Users Say: Extremely quick and easy to submit. Received an answer within half the expected time, and it saved me from weeks of unnecessary panic waiting for an appointment with a dermatologist. - First Derm User - Disclaimer Insights from First Derm’s dermatology experts are provided for informational purposes only, offering guidance and potential next steps. Since the service is anonymous, it does not constitute a diagnosis or treatment plan. Always consult a doctor for personalized medical advice and before making any medical decisions.

About

DermEngine

This platform offers intelligent and secure dermatology tools for healthcare professionals. It enables online clinic setup, tele-dermatology consultations, and high-quality patient image access. Medical professionals can also securely share cases with colleagues for second opinions.

Highlights
  • AI-based imaging
  • Tele-dermatology consultations
  • Secure image sharing
  • Full-body imaging and tracking
  • Expert network for referrals
  • HIPAA-compliant
Features
Read full description

DermEngine is an advanced, intelligent and secure dermatology platform available anytime, anywhere. Compatible with numerous devices (smartphones, tablets, computers, etc.), it allows health professionals and institutions to set up their clinics online, provide tele-dermatology consultations through a customized mobile app or simply access patients’ images with more quality and accuracy. DermEngine allows medical professionals to share images and cases with their colleagues on their Network for a second opinion. Features: • AI based solution for easy and effective imaging • Seamless communication with the DermEngine Apple TV, macOS and web apps • Simplified documentation • Customizable tele-dermatology module • Full-body imaging, matching and tracking lesions • Expert network and referral • Compatible with any dermatoscope including MoleScope™ • Secure, HIPAA-compliant DermEngine™ takes care of your practice. Patients' images are stored and organized for quick retrieval, and comparison. The user-friendly, secure system manages case records and visits, allowing you to focus on your patients, not the paperwork.*

Screenshots

Dermatology First Derm4 screens
DermEngine4 screens

Verdict

The call

The clearest difference is in-app purchases: DermEngine at none against Dermatology First Derm's 10. DermEngine also leads on ads (none vs shown) and update cadence (monthly vs every 4 months). Dermatology First Derm's advantage is rating (4.2 vs 3.8) and ratings volume (409 vs 11). On price, review sentiment, device support and iOS requirement there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Dermatology First Derm sells 9 one-off in-app purchases. DermEngine asks for nothing beyond the download.

ReceptionRating · Positive reviews · Number of ratings

Dermatology First Derm holds the better App Store score, 4.2 against 3.8. That said, the two scores are not equally well evidenced: Dermatology First Derm has 409 ratings behind it against 11, so its average is the more settled of the two. Written reviews complicate that: 63% of Dermatology First Derm's written reviews are positive against 68% of DermEngine's, so the app with the better star average is not the one people write more warmly about.

UpkeepUpdate frequency

Dermatology First Derm ships an update every 4 months, DermEngine monthly. The most recent releases landed on September 3, 2026 and September 11, 2026 respectively.

Scorecard6 real differences · 4 level
Dermatology First Derm versus DermEngine: the parameters behind the verdict, then further details
ParameterDermatology First DermDermEngine
PriceFreeFree
Rating4.2 (409 ratings) — better3.8 (11 ratings)
Positive reviews63.4% of reviews68.4% of reviews — better
Number of ratings409 — better11
Update frequencyEvery 4 monthsMonthly — better
AdsYesNo — better
In-app purchasesYesNo — better
MonetizationFree with in-app purchasesAd-supported — better
DevicesiPhone, iPodiPhone, iPad, iPod — better
Requires iOS13.012.0 — better
Further details — not scored
Size36 MB144 MB
Age rating12+12+
DeveloperiDoc24 IncMetaOptima Technology Inc.

Customer experience

Dermatology First Derm

All ratings409 ratings
Positive81.7%
Neutral1.2%
Negative17.1%
Written reviews145 reviews
Positive63.4%
Neutral1.4%
Negative35.2%

DermEngine

All ratings11 ratings
Positive72.7%
Neutral0.0%
Negative27.3%
Written reviews19 reviews
Positive68.4%
Neutral0.0%
Negative31.6%

Bugs and requests

Dermatology First Derm

Reported bugs

2 issues
  • App crashes or fails to load
  • Payment issues and trouble getting refunds

Requested features

3 requests
  • Ability to ask follow-up questions
  • Option to chat with the dermatologist directly
  • More transparency on the qualifications of the reviewing doctors

DermEngine

Not enough reviews yet to summarise bugs or requests.

In-app purchases

9 purchases

Dermatology First Derm

One-time9
  • Firstderm Opinion$19.99
  • Firstderm Opinion$22.99
  • First Derm$23.99
Show 6 more
  • Firstderm Opinion Low-tier price$23.99
  • First Derm$25.99
  • First Derm$29.99
  • First Derm2 variants$39.99
  • Firstderm Opinion Express$47.99
  • First Derm$59.99
None

DermEngine

No in-app purchases

Questions

Is Dermatology First Derm free?
Dermatology First Derm is free to download, with in-app purchases available.
Is DermEngine free?
DermEngine is free to download, with no in-app purchases.
Which has better reviews, Dermatology First Derm or DermEngine?
Dermatology First Derm is rated higher. Dermatology First Derm averages 4.2 out of 5 from 409 ratings, while DermEngine averages 3.8 from 11 ratings.
Do Dermatology First Derm or DermEngine have ads?
Dermatology First Derm shows ads; DermEngine does not.
Which is updated more often, Dermatology First Derm or DermEngine?
Dermatology First Derm ships an update every 4 months, and DermEngine monthly. Most recently, Dermatology First Derm was updated on September 3, 2026 and DermEngine on September 11, 2026.

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