Digital Dermoscopy — Full-Body Mole Mapping (FotoFinder)

AKESO Dermatologie uses the FotoFinder digital dermoscopy system — one of the world's leading AI-assisted mole monitoring platforms — for full-body mole mapping and skin cancer screening. The examination involves systematic photographing and dermoscopic analysis of every pigmented lesion across the body, creating a digital baseline that can be compared in future visits to detect changes over time. Suspicious lesions are assessed using AI-assisted pattern recognition alongside dermatologist review. The 3,000 Kč session includes a full-body scan and written report; surgical removal of flagged lesions is available from an additional 1,300 Kč.

Dermoscopy is a non-invasive examination technique that uses a polarised or immersion-contact lens system to illuminate the skin surface and visualise subsurface structures — including pigment distribution, vessel patterns, and architectural features — that are invisible to the naked eye. Digital dermoscopy extends this by capturing standardised photographic records of every lesion, enabling longitudinal monitoring and AI-assisted pattern analysis. The FotoFinder system used at AKESO Dermatologie is an internationally validated platform used in leading European dermatology departments. The device's AI algorithms have been trained on millions of classified dermoscopic images and can flag features associated with melanoma, basal cell carcinoma, and squamous cell carcinoma with a sensitivity that supplements — and in pattern recognition tasks, compares favourably to — experienced dermatologists. A full-body session proceeds as follows: 1. **Preparation:** The patient changes into a gown. All body surfaces accessible to the camera are documented. 2. **Wide-field body photography:** The FotoFinder's body scanner captures standardised images of the entire skin surface to map lesion locations. 3. **Dermoscopic close-ups:** Every clinically relevant pigmented lesion is photographed under dermoscopic magnification and documented with GPS coordinates relative to the body map. 4. **AI-assisted analysis:** The system flags lesions with concerning feature profiles for focused dermatologist review. 5. **Clinical assessment:** The dermatologist evaluates flagged and borderline lesions, classifying each as benign, watchful waiting, or requiring excision. 6. **Written report:** A structured report documents the findings, lists any lesions requiring monitoring or removal, and provides baseline images for future comparison. The session costs 3,000 Kč. If any lesion is assessed as suspicious and requires surgical excision, removal is performed in the same appointment or a follow-up visit from an additional 1,300 Kč, with histopathological analysis available to confirm the diagnosis. Mole mapping is recommended for adults with more than 50 moles, a personal or family history of melanoma, significant sun exposure history, or immunosuppression. Annual re-mapping at AKESO allows any new or changed lesions to be identified early — the window in which melanoma treatment success rates are highest.