What is photodocumentation and why is it conducted?

Dermatological photodocumentation is a professional digital recording of moles and other skin changes for monitoring their changes over time. Photographs are taken under controlled conditions, archived in medical documentation, and used for precise comparison during each subsequent dermatological examination. This method is crucial for early detection of melanoma, assessing the stability of moles, and monitoring lesions that change color, shape, or size. Photodocumentation is completely safe, quick, and non-invasive.

Local photodocumentation

Local photodocumentation refers to the recording of a single change or a small number of lesions that a dermatologist wishes to monitor over time. Images are taken under standardized conditions to accurately assess during check-ups whether there are changes in color, boundary, symmetry, or structure of the moles. It is used for:

• suspicious or atypical moles
• changes that have recently appeared
• new or rapidly growing lesions
• monitoring the effect of therapy (e.g., for dermatitis, psoriasis, alopecia)

Local photodocumentation is often combined with dermatoscopy for even more precise evaluation.

Whole body photodocumentation

Whole body photodocumentation involves standardized recording of all skin areas, from the scalp to the soles of the feet. Photographs serve as your “baseline” – a starting map of the skin – based on which the dermatologist can easily identify new, changed, or suspicious lesions during check-ups. It is recommended for individuals who:

• have a large number of moles
• have a lighter phototype or easily sunburn
• have a family history of melanoma
• seek a systematic, preventive approach
• have atypical or irregular moles

Full body photodocumentation is particularly useful in screening for melanoma, and the dermatologist determines the dynamics of check-ups (most often 6–12 months).