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Engineer vs Dermatologist
Salary Comparison.

Side-by-side monthly salary breakdown for South Africa in 2026 — entry to senior level, gross before tax.

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Dermatologist earns 131% more than Engineer

Median R 120 000/month vs R 52 000/month — a R 68 000/month difference

Engineer

R52k/month

R 624 000/year

136% above SA workforce median

Higher earner

Dermatologist

R120k/month

R 1 440 000/year

445% above SA workforce median

Salary by experience level

LevelEngineerDermatologist
Entry-level(0–2 yrs)R 25 000R 63 000
Mid-level(3–6 yrs)R 52 000R 110 000
Senior(7+ yrs)R 92 000R 180 000

Median monthly gross before PAYE tax · South Africa 2026

Salary range comparison

Entry-level

Engineer
R 25 000
Dermatologist
R 63 000

Mid-level

Engineer
R 52 000
Dermatologist
R 110 000

Senior

Engineer
R 92 000
Dermatologist
R 180 000
EngineerDermatologist

Key differences

Engineer

Salary rangeR18kR130k
MedianR 52 000/month
Annual (median)R624k

South Africa faces a structural shortage of experienced engineers, particularly in electrical and civil disciplines. Government infrastructure spend and renewable energy projects are driving demand into the late 2020s.

Full Engineer salary guide →

Dermatologist

Salary rangeR55kR280k
MedianR 120 000/month
Annual (median)R1.4m

South Africa has a severe shortage of dermatologists — demand far exceeds supply. This shortage is projected to persist due to the long training pipeline and high emigration rates among qualified specialists.

Full Dermatologist salary guide →

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Frequently asked questions

Which earns more — a Engineer or a Dermatologist in South Africa?

A Dermatologist earns more on average. The median monthly salary for a Dermatologist is R 120 000/month, compared to R 52 000/month for a Engineer — a difference of R 68 000/month (131% higher).

What is the Engineer salary in South Africa in 2026?

The median Engineer salary in South Africa is R 52 000/month gross in 2026. Entry-level positions pay R 18 000–R 32 000/month, mid-level pays R 38 000–R 70 000/month, and senior roles pay R 70 000–R 130 000/month.

What is the Dermatologist salary in South Africa in 2026?

The median Dermatologist salary in South Africa is R 120 000/month gross in 2026. Entry-level positions pay R 55 000–R 75 000/month, mid-level pays R 85 000–R 145 000/month, and senior roles pay R 130 000–R 280 000/month.

How do I calculate take-home pay for a Engineer or Dermatologist?

Use the Rand Tools PAYE calculator. Enter the gross monthly salary and it will calculate your exact take-home pay after PAYE income tax, UIF (1% of gross, capped at R177.12/month), and any pension or medical aid contributions.

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