{"id":18421,"date":"2019-11-08T15:01:18","date_gmt":"2019-11-08T20:01:18","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18421"},"modified":"2023-03-03T15:25:19","modified_gmt":"2023-03-03T20:25:19","slug":"should-you-get-dermatological-photography","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/should-you-get-dermatological-photography\/","title":{"rendered":"Should You Get Dermatological Photography?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Freckles and moles are part of the job for dermatologists. Their ability to remember, from one visit to the next, whether the spots on a patient&#8217;s back have stayed the same might seem like a mystery. It turns out they don\u2019t have to remember \u2014 that\u2019s what dermatological photography, also known as total-body photography, is for.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">I\u2019m very freckly, and I\u2019ve had several atypical moles biopsied over the years. Total-body photography documents all the moles on your skin to help doctors keep track of changes. It\u2019s useful, and sometimes critical, but it\u2019s also not something that everyone needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThis is for someone who\u2019s at increased risk of melanoma,\u201d says Dr. Douglas Grossman, a dermatologist, University of Utah professor and investigator at the Huntsman Cancer Institute. \u201cThey either have numerous moles or atypical moles that are risk factors for melanoma that need to be monitored.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether or not you should have total-body photography depends on several factors, including your risk level for melanoma and your dermatologist\u2019s opinion. Cost can also be a prohibitive factor; health insurance typically doesn\u2019t cover the service<\/span><b>,<\/b><span style=\"font-weight: 400;\"> which can <\/span><a href=\"https:\/\/www.canfieldsci.com\/common\/docs\/imaging-centers\/DermaTrakBrochure.pdf\"><span style=\"font-weight: 400;\">cost<\/span><\/a><span style=\"font-weight: 400;\"> anywhere from $250 to $400 or higher, says Dr. Jennifer Stein, a dermatologist and associate professor at the NYU School of Medicine. If you meet the criteria below, however, it may be something worth asking about.\u00a0<\/span><\/p>\n<h2>How it works<\/h2>\n<p><span style=\"font-weight: 400;\">Total-body photography, which began <a href=\"https:\/\/www.jaad.org\/article\/S0190-9622(09)01157-8\/fulltext\">picking up<\/a> steam in the early 2000s, is primarily reserved for adults age 20 and over. <\/span><span style=\"font-weight: 400;\">Teens and children aren\u2019t candidates because they\u2019re still developing new moles, and melanoma is exceedingly rare before adulthood.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Who takes the images varies by practice. Some academic centers have medical photographers who do total-body photography. In small towns or other places where medical photographers aren\u2019t available, a medical assistant might be trained to shoot images, or your dermatologist may send you to a professional photographer. During a photo session, you\u2019ll need to disrobe completely, so that the images document every inch of your skin, although some centers may allow you to wear underwear. Some centers don\u2019t take photos of the genital area unless there are moles present.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The photographer will take about 25 pictures, focusing on different body parts, and you\u2019ll receive the photos as prints and\/or digital images. Your dermatologist will ask you to bring your images to appointments, so she can compare your skin to the photos to see how your moles have changed or stayed the same over time. (Doctors typically prefer that patients keep their photos in their possession at all times, so they don\u2019t have to keep the sensitive images in the office. Some digital images include <\/span><a href=\"http:\/\/www.canfieldsci.com\/FileLibrary\/TBP-Brochure.pdf\"><span style=\"font-weight: 400;\">HIPAA security features<\/span><\/a><span style=\"font-weight: 400;\">, which should give patients peace of mind when their photos are viewed on a physician\u2019s computer.) Your doctor can also show you how to use the images for at-home self-checks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you live near one of a handful of academic or cancer centers nationwide with more advanced photography systems, you may have a different experience: Some<\/span> <a href=\"https:\/\/www.canfieldsci.com\/imaging-systems\/vectra-wb360-imaging-system\/\"><span style=\"font-weight: 400;\">systems<\/span><\/a><span style=\"font-weight: 400;\"> can create one continuous image of your skin, rather than snapshots of different sections. You stand with your legs straddled and your arms lifted away from your torso, so that your skin is optimally exposed, and the machinery documents your skin from multiple angles.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Other<\/span> <a href=\"https:\/\/www.dermengine.com\/blog\/total-body-photography-streamline-practice\"><span style=\"font-weight: 400;\">systems<\/span><\/a><span style=\"font-weight: 400;\"> use algorithms to map moles and spot changes over time.<\/span><\/p>\n<h2>Benefits of total-body photography<\/h2>\n<p><span style=\"font-weight: 400;\">Your dermatologist might take photos of specific suspicious moles during an appointment to note if they change. Total-body photography is the next level up \u2014 a more comprehensive way for a derm to keep track of your entire body and notice subtle changes early.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe whole point of total-body photography is that you\u2019re prepared for a melanoma that can arise anywhere on the skin, not just from the moles,\u201d Grossman says. \u201cMost melanomas arise <\/span><i><span style=\"font-weight: 400;\">de novo<\/span><\/i><span style=\"font-weight: 400;\">, not from a preexisting mole, so if you\u2019re only focused on the moles, you\u2019re going to miss the new lesions that could be melanoma.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For high-risk patients, total-body photography might prevent unnecessary biopsies.<\/span> <a href=\"https:\/\/www.jaad.org\/article\/S0190-9622(16)01329-3\/fulltext\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> by Grossman has shown that people at risk of melanoma who were monitored by total-body photography had nearly five times fewer biopsies of questionable moles, compared to their previous monitoring methods.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Photographic evidence helped me avoid an unnecessary biopsy. My dermatologist wanted to biopsy a suspicious-looking mole near my neckline. My total-body photography images were too new to help her determine if the spot had always looked that way. Fortunately, I remembered that a headshot taken on my wedding day showed the same mole. When I shared the image with my dermatologist (the mole looked exactly the same, 10 years earlier), she agreed that it wasn\u2019t necessary to biopsy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Comparing photos over time and taking follow-up images as needed may help catch melanoma early, particularly among people at high risk, according to<\/span> <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0733863517300803?via%3Dihub\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSome people have lots of moles and atypical moles, which means it\u2019s hard to tell the difference between a funny-looking mole and an actual melanoma,&#8221; says Stein, who co-authored the study. \u201cAll of those moles can act as a camouflage for an actual melanoma.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25389923\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> found that total-body photography can decrease patient anxiety about melanoma risk.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSome patients are so anxious about melanoma, they won\u2019t even look at their skin,\u201d Stein says. \u201cYou can really reassure them with the photos. They can refer back to the photos and see that it\u2019s not changing and feel better.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not every dermatologist is a fan of TBP. It\u2019s a personal preference, according to Stein. And dermatologists who do use TBP vary in how they incorporate the practice into care. Some will rely entirely on it, while others may use total-body images as a general reference point and then also take close-up photos of any concerning moles.\u00a0<\/span><\/p>\n<h2>Apps for skin monitoring<\/h2>\n<p><span style=\"font-weight: 400;\">If you can\u2019t afford total-body photography or your dermatologist doesn\u2019t recommend it, you might consider using an app to monitor your skin. More than half of the available skin-monitoring apps allow you to take at-home total-body photography images, but you shouldn\u2019t put too much stock in them. Some of these <\/span><a href=\"https:\/\/www.ohsu.edu\/war-on-melanoma\/molemappertm-mole-tracking-app\"><span style=\"font-weight: 400;\">apps<\/span><\/a><span style=\"font-weight: 400;\"> are affiliated with dermatology departments or cancer centers, and they\u2019re probably the most reliable. But a recent<\/span> <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0733863517300906?via%3Dihub\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found that more than half of skin-monitoring apps weren\u2019t created with input from dermatologists, and varied considerably in their effectiveness as cancer-screening tools. There\u2019s no system in place to ensure that apps are safe and effective, and many are not HIPAA-compliant. There are also no quality standards for the algorithms used to determine whether moles look suspicious. You may get false-positive or false-negative results, causing unnecessary worry or delayed treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThese apps are functioning as diagnostic devices, but they do not have validation studies showing how accurate they are or are not,\u201d says study author Dr. Laura K. Ferris, a dermatologist and associate professor at the University of Pittsburgh. \u201cThis is a problem, as the prognosis for melanoma \u2014 the deadliest skin cancer \u2014 is very good when caught early and dismal when caught late. So delays in care can mean the difference between life and death.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mole-tracking apps are better than diagnostic apps; they may help you monitor moles between dermatologist appointments. The photos you take might not be as high-quality as those shot by professionals, but they can still help you document changes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf a patient came in and showed me a photo of a mole that they took at home six months ago and it had changed, I would certainly take that seriously and would use that information in my medical decision-making,\u201d Ferris says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But if you download one of these apps, don\u2019t use it as a substitute for medical care: <\/span><a href=\"https:\/\/www.skincancer.org\/early-detection\/annual-exams\/\"><span style=\"font-weight: 400;\">See your dermatologist<\/span><\/a><span style=\"font-weight: 400;\"> as often as they recommend if you have risk factors for skin cancer, and perform regular skin <\/span><a href=\"https:\/\/www.cancer.org\/healthy\/be-safe-in-sun\/skin-exams.html\"><span style=\"font-weight: 400;\">self-checks<\/span><\/a><span style=\"font-weight: 400;\"> on your own.<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a dermatologist&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/dermatologists\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Total-body photography documents all the moles on your skin to help doctors keep track of changes over time.<\/p>\n","protected":false},"author":50,"featured_media":17837,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[21],"class_list":["post-18421","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-dermatology","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Should You Get Dermatological Photography? - Guides<\/title>\n<meta name=\"description\" content=\"Total-body photography documents all the moles on your skin to help doctors keep track of changes over time.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/should-you-get-dermatological-photography\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Should You Get Dermatological Photography? 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