Dermoscopy

Dermoscopy (also known as dermatoscopy or epiluminescence microscopy) is a non-invasive, in-clinic examination that provides a magnified, illuminated view of the skin's outer layers. The procedure involves placing a handheld dermoscope directly on the skin surface. The device combines magnification (typically 10x) with polarized or immersion oil lighting, which reduces surface reflection and allows the observer to see deeper structures within the epidermis and upper dermis.

Dermoscopy is widely recognized as an essential clinical tool for:

• Differentiating benign from atypical skin lesions – Many pigmented lesions appear similar to the naked eye but show distinct dermoscopic patterns. Dermoscopy improves diagnostic accuracy for pigmented skin lesions compared with clinical inspection alone
• Early detection of skin cancer – Dermatologists trained in dermoscopy can identify early signs of melanoma and non-melanoma skin cancers at their most treatable stages
• Monitoring skin changes over time – Sequential dermoscopic imaging allows precise tracking of lesion evolution, particularly important for patients with multiple atypical moles
• Reducing unnecessary biopsies – Clear benign dermoscopic patterns can reassure both patient and clinician, avoiding invasive procedures where clinically appropriate

A dermoscopy examination may be clinically appropriate for individuals who:

• Have multiple moles or pigmented skin lesions
• Present with a mole that has changed in size, shape, colour, or texture
• Have a personal or family history of melanoma or non-melanoma skin cancer
• Report a new or suspicious skin lesion
• Have a history of significant cumulative sun exposure or repeated sunburn, particularly during childhood or adolescence
• Possess fair skin, freckles, or a tendency to burn rather than tan (Fitzpatrick skin types I–II)
• Have atypical (dysplastic) naevi requiring regular monitoring

The International Dermoscopy Society recognizes dermoscopy as a valuable tool for dermatologists in both screening and diagnostic settings

• Pre-examination – No specific preparation is required. You are encouraged to remove any makeup, self-tanner, or nail polish from the areas to be examined, as these can interfere with visualisation
• During the examination – Dr. Olivera Nikolic will conduct a thorough visual assessment of your skin using a handheld dermoscope. The device is placed gently against the skin surface; the procedure is completely painless and requires no needles, incisions, or anaesthesia. Depending on clinical indication, digital dermoscopic images may be captured and stored for future comparison. A full-body skin examination typically takes 15–30 minutes
• Post-examination – You will receive a clear explanation of the findings. Stable benign lesions require no further action. Lesions with any atypical features may be recommended for interval monitoring or, if clinically indicated, referral for biopsy. Dr. Nikolic will provide a personalised management plan based on your individual risk profile and examination findings

Dr. Olivera Nikolic is a DHA-licensed dermatology specialist practicing at ELEMENTAL Day Surgical Center. She brings extensive clinical experience in both medical and diagnostic dermatology, with a careful, methodical approach to every patient. Dr. Nikolic does not recommend procedures unless clinically indicated. Her priority is always patient safety, accurate diagnosis, and honest communication about what examination can and cannot reveal.

Book Your Dermoscopy Consultation
If you have a skin lesion requiring professional assessment, or if you simply want the reassurance of a thorough skin examination, a dermoscopy consultation with Dr. Olivera Nikolic is the appropriate first step. To schedule a private consultation at ELEMENTAL Day Surgical Center, please contact us via phone, WhatsApp, or our online booking system.