Dermatologists in India diagnose and treat diseases of the skin, hair, and nails — running OPD clinics for acne, eczema, psoriasis, alopecia, vitiligo, and fungal infections, performing skin biopsies and excisions of moles / cysts, managing complex dermatological conditions like systemic lupus and dermatomyositis, treating sexually transmitted infections, and increasingly running cosmetic / aesthetic dermatology procedures (Botox, fillers, lasers, chemical peels, hair transplants, body contouring) which now drive 50-70% of urban dermatologist incomes. The path is MBBS (5.5 years including 1-year rotating internship) entered through NEET-UG, then MD Dermatology, Venereology and Leprosy (3 years) entered through NEET-PG / INI-CET — and MD Dermatology has consistently been one of the top 3 most-competitive PG seats in India alongside Radiology and Medicine, with AIIMS / PGIMER cut-offs in the top 100-300 INI-CET ranks because of the lifestyle-plus-income combination. Workplaces split four ways: cosmetic dermatology chains (Kaya Skin Clinic, Olivacare, VLCC Healthcare, Oliva Skin & Hair Clinic, Skin Decor, Dr Tvacha) which have been one of the fastest-growing healthcare verticals in metro India for a decade, multi-specialty private hospitals (Apollo, Fortis, Manipal, Max with dermatology departments), government / teaching hospitals (AIIMS, PGIMER, JIPMER, KEM Mumbai, RML Delhi), and private practice — usually a 1-2 doctor cosmetic-derm clinic in an upscale neighbourhood with a strong cosmetic procedure menu, where established dermatologists in Mumbai / Delhi / Bangalore / Hyderabad routinely clear ₹40L-1.5Cr through the cosmetic-procedure income model, and multi-clinic owners cross ₹2-3Cr. The defining 2026 reality: the cosmetic-derm boom in India has transformed the specialty from a primarily medical practice (treating disease) into a hybrid medical-aesthetic practice (treating appearance), with the income premium now heavily concentrated in dermatologists who can run the medical OPD plus deliver high-quality Botox, filler, laser, and PRP-based aesthetic procedures.