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Journal of Varna Medical College

Artificial intelligence in contemporary dermatocosmetology – new opportunities for diagnosis and personalized skin care

Denitsa Dimitrova, Svetlana Laskova, Iliyana Nachkova, Silvia Stamova, Neli Ermenlieva, Emilia Georgieva

Abstract

This study explores the integration of Artificial Intelligence (AI) into dermatological and cosmetic practice with the aim of increasing the objectivity and reproducibility of skin diagnostics. Traditional evaluation of the skin’s condition is primarily based on clinical examination and visual diagnostics, which, in spite of the high importance of clinical experience and expertise, are closely related to subjectivity and limitations in tracing changes or developments of a condition over a prolonged period of time.

The aim of this study is the analysis of contemporary publications discussing the application of Artificial Intelligence, with a focus on digital dermatological diagnostics, personalized skin care, and the role of intelligent diagnostic systems as a complementary tool for medical specialists.

Materials and Methods: A search for scientific publications was conducted in the online databases Google Scholar and ResearchGate, utilizing the following keywords: artificial intelligence; dermatological diagnostics; digital imaging; personalized therapy; dermato-cosmetics. The research period spans the months of September to November 2025.

Results: This article covers 51 publications representing studies conducted between 2015 and 2025 related to the application of AI in dermatological diagnostics and in the development of personalized therapeutic approaches. The development of AI models is supported by the existence of large databases, which create conditions for improving algorithms and increasing their diagnostic reliability. Various deep learning approaches emerge as a key factor in the integration of AI into dermatological practice for the automated analysis of skin images and stratification of skin parameters.

Conclusion: The use of Artificial Intelligence contributes to more precise diagnostics, an individualized therapeutic approach, and objective monitoring of the effects of dermatological and dermato-cosmetic interventions. It does not replace but complements the clinical expertise of specialists. Artificial Intelligence has significant potential to enhance the efficiency and precision of dermatological and dermato-cosmetic practice, while requiring regulation, responsibility, and prioritization of patient safety and well-being.


Keywords

artificial intelligence, dermatological diagnostics, digital imaging, personalized therapy, dermato-cosmetics

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References

Bhadula S, Sharma S. IoT-based skin monitoring system. Int J Recent Technol Eng. 2020;8:4258–4264.

Bera K, Schalper KA, Rimm DL, Velcheti V, Haven N. Artificial intelligence in digital pathology—new tools for diagnosis and precision oncology. Nat Rev Clin Oncol. 2019;16:703–715.

Ching T, Himmelstein DS, Beaulieu-Jones BK, Kalinin AA, Do BT, Way GP, Ferrero E, Agapow P‑M, Zietz M, Hoffman MM, et al. Opportunities and obstacles for deep learning in biology and medicine. J R Soc Interface. 2018;15:20170387.

De A. Next-generation technologies in dermatology: use of artificial intelligence and mobile applications. Indian J Dermatol. 2020;65:351. doi:10.4103/ijd.IJD_524_20

Eisenthal Y, Dror G, Ruppin E. Facial attractiveness: beauty and the machine. Neural Comput. 2006;18:119–142. doi:10.1162/neco.2006.18.1.119

Gao Y, Wang S, Li J, Li A, Liu H, Xing Y. Modeling and evaluation of hand–eye coordination of surgical robotic system on task performance. Int J Med Robot. 2017;13:e1829. doi:10.1002/rcs.1829

Goldsberry A, Hanke CW, Hanke KE. VISIA system: a possible tool in the cosmetic practice. J Drugs Dermatol. 2015;13:1312–1314. doi:10.36849/jdd.2015.13.11.1312

Gutkowicz-Krusin D, Elbaum M, Jacobs A, Keem S, Kopf AW, Kamino H, Wang S, Rubin P, Rabinovitz H, Oliviero M. Precision of automatic measurements of pigmented skin lesion parameters with a MelaFind™ multispectral digital dermoscope. Melanoma Res. 2000;10:563–570. doi:10.1097/00008390-200012000-00005

Haenssle HA, Fink C, Schneiderbauer R, Toberer F, Buhl T, Blum A, Kalloo A, Ben Hadj Hassen A, Thomas L, Enk A, et al. Man against machine: diagnostic performance of a deep learning convolutional neural network for dermoscopic melanoma recognition in comparison to 58 dermatologists. Ann Oncol. 2018;29:1836–1842. doi:10.1093/annonc/mdy166

Haenssle HA, Fink C, Toberer F, Winkler J, Stolz W, Deinlein T, Hofmann‑Wellenhof R, Lallas A, Emmert S, Buhl T, et al. Man against machine reloaded: performance of a market‑approved convolutional neural network in classifying a broad spectrum of skin lesions in comparison with 96 dermatologists working under less artificial conditions. Ann Oncol. 2020;31:137–143. doi:10.1016/j.annonc.2020.03.012

Haw WYD, Al‑Janabi AD, Arents BWM, Asfour L, Exton LS, Grindlay D, Khan SS. Global Guidelines in Dermatology Mapping Project (GUIDEMAP): a scoping review of dermatology clinical practice guidelines. Br J Dermatol. 2021;185:736–744. doi:10.1111/bjd.20541

Holcomb JD. Helium plasma dermal resurfacing: VISIA CR assessment of facial spots, pores, and wrinkles—preliminary findings. J Cosmet Dermatol. 2021;20:1668–1678. doi:10.1111/jocd.14263

International Skin Imaging Collaboration (ISIC). Sixth ISIC Skin Image Analysis Workshop. 2020. doi:10.34970/2020-ds6

Jaworek‑Korjakowska J, Kłeczek P. Automatic classification of specific melanocytic lesions using artificial intelligence. Biomed Res Int. 2016;2016:1–10. doi:10.1155/2016/6585925

Jain S, Singhania U, Tripathy B, Nasr EA, Aboudaif MK, Kamrani AK. Deep learning‑based transfer learning for classification of skin cancer. Sensors. 2021;21:8142. doi:10.3390/s21238142

Juyal S, Sharma S, Harbola A, Shukla AS. Privacy and security of IoT‑based skin monitoring system using blockchain approach. In: 2020 IEEE International Conference on Electronics, Computing and Communication Technologies (CONECCT). Bangalore, India; 2020 Jul 2–4. p. 1–5. doi:10.1109/CONECCT50063.2020.9198508

Juyal S, Sharma S, Shukla AS. Smart skin health monitoring using AI‑enabled cloud‑based IoT. Mater Today Proc. 2021;46:10539–10545. doi:10.1016/j.matpr.2021.02.677

Kaliyadan F, Ashique KT. Use of mobile applications in dermatology. Indian J Dermatol. 2020;65:371–376. doi:10.4103/ijd.IJD_524_20

Kagian A, Dror G, Leyvand T, Meilijson I, Cohen‑Or D, Ruppin E. A machine learning predictor of facial attractiveness revealing human‑like psychophysical biases. Vis Res. 2008;48:235–243. doi:10.1016/j.visres.2007.10.027

Kaplan A, Haenlein M. Siri, Siri, in my hand: who’s the fairest in the land? On the interpretations, illustrations, and implications of artificial intelligence. Bus Horiz. 2019;62:15–25. doi:10.1016/j.bushor.2018.08.004

Linming F, Wei H, Anqi L, Yuanyu C, Heng X, Sushmita P, Yiming L, Li L. Comparison of two skin imaging analysis instruments: the VISIA® from Canfield vs. the ANTERA 3D® CS from Miravex. Skin Res Technol. 2018;24:3–8. doi:10.1111/srt.12385

Liu Y, Jain A, Eng C, Way DH, Lee K, Bui P, Kanada K, de Oliveira Marinho G, Gallegos J, Gabriele S, et al. A deep learning system for differential diagnosis of skin diseases. Nat Med. 2020;26:900–908. doi:10.1038/s41591-020-0842-3

Le DNT, Le HX, Ngo LT, Ngo HT. Transfer learning with class‑weighted and focal loss function for automatic skin cancer classification. arXiv. 2020; arXiv:2009.05977.

Li X, Yu L, Chen H, Fu C‑W, Xing L, Heng P‑A. Transformation‑consistent self‑ensembling model for semisupervised medical image segmentation. IEEE Trans Neural Netw Learn Syst. 2021;32:523–534. doi:10.1109/TNNLS.2020.2978980

Lei B, Xia Z, Jiang F, Jiang X, Ge Z, Xu Y, Qin J, Chen S, Wang T, Wang S. Skin lesion segmentation via generative adversarial networks with dual discriminators. Med Image Anal. 2020;64:101716. doi:10.1016/j.media.2020.101716

MacLellan AN, Price EL, Publicover‑Brouwer P, Matheson K, Ly TY, Pasternak S, Walsh NM, Gallant CJ, Oakley A, Hull PR, et al. The use of non‑invasive imaging techniques in the diagnosis of melanoma: a prospective diagnostic accuracy study. J Am Acad Dermatol. 2020;85:353–359. doi:10.1016/j.jaad.2020.01.066

Mao Y, Zhang L. Optimization of the medical service consultation system based on the artificial intelligence of the Internet of Things. IEEE Access. 2021;9:98261–98274. doi:10.1109/ACCESS.2021.3095802

Melina A, Dinh NN, Tafuri B, Schipani G, Nisticò S, Cosentino C, Amato F, Thiboutot D, Cherubini A. Artificial intelligence for the objective evaluation of acne investigator global assessment. J Drugs Dermatol. 2018;17:1006–1009.

Messaraa C, Metois A, Walsh M, Hurley S, Doyle L, Mansfield A, O’Connor C, Mavon A. Wrinkle and roughness measurement by the Antera 3D and its application for evaluation of cosmetic products. Skin Res Technol. 2018;24:359–366. doi:10.1111/srt.12447

Matrix AI Network. Built to last: data and computing power. Hong Kong: Matrix AI Network; 2019.

Monett D, Lewis CWP, Thórisson KR, Bach J, Baldassarre G, Granato G, Berkeley ISN, Chollet F, Crosby M, Shevlin H, et al. Special issue “On defining artificial intelligence”—commentaries and author’s response. J Artif Gen Intell. 2020;11:1–100. doi:10.2478/jagi‑2020‑0001

Nelson CA, Pérez‑Chada LM, Creadore A, Li SJ, Lo K, Manjaly P, Pournamdari AB, Tkachenko E, Barbieri JS, Ko JM, et al. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156:501–512. doi:10.1001/jamadermatol.2020.0211

Pachtrachai K, Vasconcelos F, Chadebecq F, Allan M, Hailes S, Pawar V, Stoyanov D. Adjoint transformation algorithm for hand‑eye calibration with applications in robotic assisted surgery. Ann Biomed Eng. 2018;46:1606–1620. doi:10.1007/s10439-018-2040-6

Polesie S, Gillstedt M, Kittler H, Lallas A, Tschandl P, Zalaudek I, Paoli J. Attitudes towards artificial intelligence within dermatology: an international online survey. Br J Dermatol. 2020;183:159–161. doi:10.1111/bjd.18875

Polesie S, McKee PH, Gardner JM, Gillstedt M, Siarov J, Neittaanmäki N, Paoli J. Attitudes toward artificial intelligence within dermatopathology: an international online survey. Front Med. 2020;7:591952. doi:10.3389/fmed.2020.591952

Primiero CA, McInerney‑Leo AM, Betz‑Stablein B, Whiteman DC, Gordon L, Caffery L, Aitken JF, Eakin E, Osborne S, Gray L, et al. Evaluation of the efficacy of 3D total‑body photography with sequential digital dermoscopy in a high‑risk melanoma cohort: protocol for a randomised controlled trial. BMJ Open. 2019;9:e032969. doi:10.1136/bmjopen‑2019‑032969

Rayner JE, Laino AM, Nufer KL, Adams L, Raphael AP, Menzies SW, Soyer HP. Clinical perspective of 3D total body photography for early detection and screening of melanoma. Front Med. 2018;5:152. doi:10.3389/fmed.2018.00152

Russell S, Norvig P. Artificial intelligence: a modern approach. 4th ed. Hoboken, NJ: Prentice Hall; 2020.

Sies K, Winkler JK, Fink C, Bardehle F, Toberer F, Buhl T, Enk A, Blum A, Rosenberger A, Haenssle HA. Past and present of computer‑assisted dermoscopic diagnosis: performance of a conventional image analyser versus a convolutional neural network in a prospective data set of 1,981 skin lesions. Eur J Cancer. 2020;135:39–46. doi:10.1016/j.ejca.2020.05.009

Sun Q, Huang C, Chen M, Xu H, Yang Y. Skin lesion classification using additional patient information. Biomed Res Int. 2021;2021:6673852. doi:10.1155/2021/6673852

State Council of China. The development plan of the new generation of artificial intelligence. Beijing: State Council of China; 2017.

Tang P, Liang Q, Yan X, Xiang S, Sun W, Zhang D, Coppola G. Efficient skin lesion segmentation using separable‑UNet with stochastic weight averaging. Comput Methods Programs Biomed. 2019;178:289–301. doi:10.1016/j.cmpb.2019.06.005

Šuchmannová J, Fikrle T, Pizinger K. Diagnostika maligního melanomu s využitím celotělového skenu. Czecho‑Slovak Dermatol. 2019;94:18–22.

Sinclair R, Meah N, Arasu A. Skin checks in primary care. Aust J Gen Pract. 2019;48:614–619. doi:10.31128/AJGP‑06‑19‑4953

Winkler JK, Sies K, Fink C, Toberer F, Enk A, Deinlein T, Hofmann‑Wellenhof R, Thomas L, Lallas A, Blum A, et al. Melanoma recognition by a deep learning convolutional neural network—performance in different melanoma subtypes and localisations. Eur J Cancer. 2020;127:21–29. doi:10.1016/j.ejca.2019.11.014

Wang X, Shu X, Li Z, Huo W, Zou L, Tang Y, Li L. Comparison of two kinds of skin imaging analysis software: VISIA® from Canfield and IPP® from Media Cybernetics. Skin Res Technol. 2018;24:379–385. doi:10.1111/srt.12444

Winkler JK, Sies K, Fink C, Toberer F, Enk A, Abassi MS, Fuchs T, Haenssle HA. Association between different scale bars in dermoscopic images and diagnostic performance of a market‑approved deep learning convolutional neural network for melanoma recognition. Eur J Cancer. 2024;145:146–154. doi:10.1016/j.ejca.2023.12.019

Winkler JK, Fink C, Toberer F, Enk A, Deinlein T, Hofmann‑Wellenhof R, Thomas L, Lallas A, Blum A, Stolz W, et al. Association between surgical skin markings in dermoscopic images and diagnostic performance of a deep learning convolutional neural network for melanoma recognition. JAMA Dermatol. 2019;155:1135–1141. doi:10.1001/jamadermatol.2019.1735

Yan X, Ren X. 5G edge computing enabled directional data collection for medical community electronic health records. J Healthc Eng. 2021;2021:5598077. doi:10.1155/2021/5598077

Zhang L, Zhang D, Sun MM, Chen FM. Facial beauty analysis based on geometric feature: toward attractiveness assessment application. Expert Syst Appl. 2017;82:252–265. doi:10.1016/j.eswa.2017.03.060




DOI: http://dx.doi.org/10.14748/jmk.v8i1.10624

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