3. Why is it important?
• Authenticate the patient’s
status according to CEAP
• Documentation
• Before, during and after the treatment
• Marketing
4.
5.
6. How often shall we take photos
during phlebology practice?
Digital photography
since 2014
Photo documentation
in 100 % of cases
undergoing
phlebology
interventions since
2016
7. How to do it ?
• Which camera to use?
• Principles for taking optimal
photographes
• How to archieve
photographes?
8. Smart phones
• Advantages
• Everday-carry-essential
• Easy to use
• Limitations
• Not designed for medical
photography ?
• Lack of regulatory procedures and
protocols to ensure the full legality
• The safety and privacy of patients ?
• Patient perspective: not so
professional ?
• Canadian Society of Plastic
Surgeons
• 103 surgeons, 44 residents
• 89.1 % takes photographs of patient
with smart phones
• 57 % store these photos on their
phones
10. Smart phones in
medical photography
• The most neutral background or a monochromatic wall
• The main source of light should be behind the smart
phone camera and flash should be avoided
• The photographer should stand approximately one
arm’s length away from the patient
• The smart phone should be properly stabilised to
avoid blurriness
• The photo must be as sharp as possible
• The photographer should also take several photos
11. Advantages
• Inexpensive entry-
level-camera
• Small and lightweight
• Standard automatic
settings
• User friendly
• Built-in-flash and
zoom lens
• A very small
sensor = not
great picture
quality
• You can’t control
every camera
setting
• Not suitable for
professional use
Limitations
Compact camera
www.expertphotography.com/types-of-cameras
12. Advantages
• Interchangable lenses
• Better definition
• Control of focal
distance
• External flash
• RAW + jpeg (to the
cloud)
• Add value to your
service (credibility)
• Size and bulk
• Weight
• Complex mirror and
shutter design
• Price
Limitations
DSLR camera
(Digital Single Lens Reflex)
Leger et al. Dermatol Surg 2014;40:1028-37.
13. Advantages
• Interchangable lenses
• Smaller size and
lighter weight
• No mirror mechanism
• Less noise
• Less camera shake
• Easier to clean
• Cheaper to build
and support
• EVF (electronic
viewfinder) lag
• Continuos autofocus
performance
• Battery life
• Red dot patterns
• Strong EVF contrast
Limitations
Mirrorless camera
www.photographylife.com/mirrorless-vs-dslr
14. Fundemantal principles for optimal photographs
• The best way to standardize photography is to invest in a photo
studio
• Cost ? (~ 10000 $)
15. The key to consistency
• To make results crystal clear, it is
essential that all photos should have a
standard appearance
• These should be same in every image:
• Patient pose
• Background color
• Focal length
• Distance from the camera
• Lighting
• Outfit of patient
16. Optimal photographs in aesthetic phlebology
• Standard positioning
• Standard angle
• Standard lighting
• Standard background
• Landmarks for
identification of area
captured
• Right or left leg?
• Which part of leg? L
Thigh posterior Cruris medial
R
Thigh lateral
R
26. Advantages of photographic documentation
• Ability to review the results of treatment
• Marketing your clinical practice in aesthetic
phlebology
• Reviewing the outcome of treatment with the
patient (female and more demanding in
general )
27. Same angle, same
lighting and same
background
should be used
Proper archieving
of patient
photographs is
important
Photographic
documentation
increase your
clinical practice in
Phlebology to
Photographic
documentation
should be done
before, during and
after Phlebology
interventions
