# Dermatology First Derm vs DermEngine

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.

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

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.

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.

## The numbers

| Metric | Dermatology First Derm | DermEngine |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.2 (409 ratings)](https://appshunter.io/ios/app/dermatology-first-derm/id564481892/reviews)** | [3.8 (11 ratings)](https://appshunter.io/ios/app/dermengine/id998126403/reviews) |
| Number of ratings | **409** | 11 |
| Positive reviews | 63.4% of reviews | **68.4% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | Yes | **No** |
| Update frequency | Every 4 months | **Monthly** |
| Monetization | Free with in-app purchases | **Ad-supported** |
| Size | 36 MB | 144 MB |
| Requires iOS | 13.0 | **12.0** |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 12+ | 12+ |
| Developer | [iDoc24 Inc](https://appshunter.io/developer/969804193) | [MetaOptima Technology Inc.](https://appshunter.io/developer/438148878) |

## What reviewers say

### Dermatology First Derm

[App page](https://appshunter.io/ios/app/dermatology-first-derm/id564481892)

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:** macOS Compatibility

**In-app purchases (9)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Firstderm Opinion | $19.99 | one-time |
| Firstderm Opinion | $22.99 | one-time |
| First Derm | $23.99 | one-time |
| Firstderm Opinion Low-tier price | $23.99 | one-time |
| First Derm | $25.99 | one-time |
| First Derm | $29.99 | one-time |
| First Derm | $39.99 | one-time |
| Firstderm Opinion Express | $47.99 | one-time |
| First Derm | $59.99 | one-time |

**What reviewers like**

- 🚀 Fast & easy to use
- 👍 Convenient for getting professional opinions
- 🔒 Reviewed by medical experts
- 💡 Helpful during COVID-19 pandemic

**What reviewers complain about**

- 🐛 Incorrect diagnoses
- 💰 Expensive for the service provided
- 🔍 Limited ability to follow up or ask questions
- 🕰️ Delayed responses beyond promised timeframe

**Reported bugs**

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

**Requested features**

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


### DermEngine

[App page](https://appshunter.io/ios/app/dermengine/id998126403)

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:** Vision Pro support

**In-app purchases:** none


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