Unfortunately, the ongoing global pandemic of SARS-CoV-2 virus, which causes the COVID-19 respiratory infection, is expected to last for a long time. Some experts suggest that the virus will remain active for decades to come, and repeat epidemics will be the norm.

Governments all over the world have imposed strict lockdowns and introduced multiple infection control measures. Most restrictions are still active, but some were lifted. However, society is far from being as open as it used to be before the pandemic. The reopening of the society will happen slowly, in multiple phases, as we learn how to adapt and respond to the virus. Multiple sectors of the economy have been deeply affected by the restrictions, including the beauty sector. Every professional active in this industry – hairstylists, makeup artists, and dermatologists are affected by the pandemic.

Many doctors, active in virtually every specialty, are using modern technology to continue their activity and provide medical services to their patients. Aesthetic clinics and dermatologists are no exception – this specialty is highly visual, making it ideal for telemedicine. The service is known as teledermatology and experts say that it will change how patients interact with their dermatologists, especially during the pandemic. Some say teledermatology will be successful even after the pandemic, as both patients and doctors understand the benefits of a virtual dermatology consultation.

Virtual dermatology visits will be the norm during the pandemic. But what should patients expect from a virtual dermatology consultation? What do you need to learn about this new approach? Let's try to answer these questions in this short guide:

There are different methods of telederm visits

There are two main types of virtual dermatology visits. Firstly, you have the live virtual visit, where you are speaking to your dermatologist in real-time, over video. Keep in mind that every dermatologist has different preferences, and may want to use a specific tool or technology. Secondly, you have the “store and forward” virtual visit, usually known as the SF visit. This type of virtual visit involves taking photos for your dermatologist to evaluate. After sending the photos, you communicate with the doctor via text messages or email.

When it comes to telemedicine platforms, you will have to download HIPAA-compliant software packages, like MyChart or RingCentral. Always ask your dermatologist which software you should download – many doctors already use a specific tool and you will have to use the same one. Some doctors prefer to use general videoconference or message platforms, like Skype or FaceTime. Keep in mind that if you do opt for live consultations (via video), you should also take pictures in order to see whether there are any changes in your skin.

Fortunately, dermatology is a highly visual specialty. Many dermatological conditions can be diagnosed visually, without any additional skin samples or lab reports. You can get a reliable diagnosis in a matter of minutes if you take a few high-quality photos and talk to your dermatologist.

Not every skin condition can be diagnosed digitally

Although dermatology is a visual specialty and many conditions can be diagnosed digitally, some conditions require a more invasive approach. Teledermatology is a great option in about 90 percent of cases (such as melasma, skincare curation, acne, rosacea, rashes, and cosmetic consultation) but there are specific situations where you have to go to your dermatologist. Face-to-face consultations are required for more serious conditions, like melanoma, cystic pimples, and warts, among many others. These conditions cannot be diagnosed remotely and treatment should not be started without a proper diagnosis. The same goes for situations which require an invasive procedure – such as surgery. Televisits are helpful in many cases, but you will have to visit your doctor if there are signs of serious conditions.

Some patients have to be routinely and continuously monitored. For instance, patients suffering from psoriasis should have regular video visits and should not interrupt treatment under any situation. Body checks, such as skin cancer screenings, should be done only in a hospital setting. Talk to your dermatologist if you need this type of consultation or medical service.

Telemedicine communication requires a little preparation

No matter how you are communicating, you will need to provide a clear picture of your skin's condition. For instance, if you want a video consultation, you will need to prepare yourself the same way you would for an in-office visit. Make sure you wear comfortable clothes that can be easily moved to show off the doctor your skin.

Lighting is very important during a virtual dermatology consultation. Try to use natural lighting as much as possible. Stand in front of a window and use a simple, non-distracting background. A good idea is to use the bathroom, which is small and usually well-lit. Also, have a list of questions to ask your doctor – don't forget anything and pay attention to the doctor's answers. If you find it helpful, use a pen and paper to take notes. This is great for writing down drugs or recipes.

Don't use any exfoliants, scrubs, or unknown drugs. Only use the products or drugs that were recommended by your doctor. Make sure you take a high-quality, clear photo – the skin must be visible and the lighting must be perfect. Use something for scale, if needed (such as a ruler).

What will a virtual visit cost you?

Many large healthcare insurers in the United States cover video visits the same way they would cover in-person visits. Simply put, the costs are the same for a digital visit to a physical one. Some insurers are waiving fees during the pandemic, and let you pay less during these difficult times. Some dermatologists offer self-pay options, so check with your insurance company to determine how much you have to pay for the digital visit.

The visit will likely be quicker

Digital visits are usually quicker than face-to-face visits, especially if you submit all the required information before the actual visit. Dermatologists say that an average digital visit should not exceed 15 minutes. The issues will be discussed directly and the doctor will tell you what drugs to take.

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