Pico + CO2 multi-device stack
Cutera Enlighten 532
532 nm
Routes discrete epidermal pigment such as freckles and solar lentigines into a 532 nm picosecond pathway.
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Structures pigmentation protocols by device, lesion, and skin type.
DermatoScan considers photographs, lesion context, Fitzpatrick skin type, and the clinic’s device inventory together. It then organizes differential considerations, risk flags, device-routing options, and reference parameter ranges for clinician review. The knowledge base is expanding from pigmentation into CO2- and picosecond-laser scar protocols.
Knowledge base status
Demo
See the actual product flow: lesion input, analysis screen, agent consultation, and protocol references inside one review workflow.





DermatoScan runs on a versioned clinical knowledge base, device-specific protocol library, and physician-review output structure. AI does not make diagnosis or treatment decisions; it organizes candidate diagnoses, risk flags, device routing, and parameter references for clinician review.
Problem
The same lesion may require a different approach depending on pigment depth, skin type, stimulation risk, and available devices. Yet the criteria behind those choices often remain tacit knowledge.
Freckles, lentigines, melasma, PIH, ABNOM, and Hori-type lesions differ in depth and response to stimulation. Wavelength and pulse regime therefore change the clinical review path.
Clinics with multiple laser and energy devices need a standard that explains why a device is being considered. If the standard lives only in someone’s head, choices and explanations drift.
When expert experience is not captured as an institutional asset, new clinicians repeat the same trial and error. DermatoScan turns decision criteria into reusable protocol structures.
Clinical protocol engine
DermatoScan AI reads lesion context and device inventory together, then surfaces physician-reviewable device routing and protocol references.
The product connects the pigmented-lesion knowledge base and device library in one structure. After classifying lesion type, depth, and risk context, it narrows the clinically reviewable options inside the clinic’s available devices.
Outputs are separated into candidate diagnosis, differential and risk flags, device-selection rationale, parameter reference ranges, and patient-explanation points. Clinicians review the context, then accept, modify, or reject.
This is not a fixed four-device matrix. It is a routing structure that reads each clinic’s device inventory together with lesion characteristics and is adjusted during implementation.
| Routing axis | Review flow |
|---|---|
| Pigment depth | Distinguishes epidermal, dermal, and mixed pigment, sending stimulation-sensitive lesions such as melasma and PIH into more conservative paths. |
| Device inventory | Maps picosecond, Q-switched, long-pulsed, and CO2 devices according to each clinic’s actual equipment. |
| Safety gates | Surfaces malignancy concerns, keloid or PIH risk, Fitzpatrick type, pregnancy, medication, and other conditions before treatment planning. |
| Protocol reference | Organizes parameter ranges, pretreatment, aftercare, and explanation points as references for final physician judgment. |
Registered laser library
DermatoScan’s device library is more than a list of equipment. It connects each clinic’s inventory, wavelengths, pulse regimes, and primary indications to the routing framework.
Pico + CO2 multi-device stack
532 nm
Routes discrete epidermal pigment such as freckles and solar lentigines into a 532 nm picosecond pathway.
Pico + CO2 multi-device stack
1064 nm
Supports melasma toning, PIH, ABNOM, and Hori-type pathways where depth and stimulation risk both matter.
Pico + CO2 multi-device stack
670 nm
Adds a selective-pigment route that complements the 532 and 1064 nm choices.
Pico + CO2 multi-device stack
755 nm
Covers hair-removal and selected vascular-support contexts around pigment treatment planning.
Pico + CO2 multi-device stack
1064 nm
Organizes genesis, vascular pretreatment, and darker-skin hair-removal pathways.
Pico + CO2 multi-device stack
10,600 nm
Covers thick seborrheic keratosis, skin tags, raised lesion removal, and the CO2-based scar expansion loop.
Pigment + vascular + hair-removal stack
755 nm
A picosecond Alexandrite route for pigment toning, tattoo, scar, and pore workflows.
Pigment + vascular + hair-removal stack
1064 / 532 nm
Handles Q-switched routes for melasma toning, PIH, pigment spots, and carbon peeling.
Pigment + vascular + hair-removal stack
1064 / 532 nm
Adds vascular, rosacea, telangiectasia, and genesis support into the same review context.
Pigment + vascular + hair-removal stack
755 nm
A hair-removal-only route, explicitly separated from PicoSure despite sharing 755 nm wavelength.
Multi-wavelength pico platform
1064 / 532 / 595 / 660 nm
A multi-wavelength platform covering pigment, tattoo, vascular, scar, and pore workflows.
Development loop
Pigmentation routing is the current focus, while the knowledge base is expanding into CO2 focal ablation, fractional CO2, acne scars, and pore, scar, and rejuvenation pathways. Clinician feedback and agent-assisted development continuously refine the system.
The first productized layer covers pigmented-lesion assessment and device selection across pico, Q-switched, long-pulsed, vascular, and hair-removal contexts.
Raised-lesion removal, CO2 focal ablation, fractional CO2, acne-scar care, and pore and scar workflows are next in the knowledge-base and validation roadmap.
Clinician review, case logs, knowledge-base updates, and development agents feed one loop so the protocol tool can become more precise over time.
Validation
DermatoScan is not a lab-only demo. It is specialty AI undergoing validation in outpatient care.
Early validation cases
Pigmented-lesion knowledge base
Laser / energy devices
Clinic operating contexts reflected
Platform
DermatoScan AI sits in the clinical-intelligence layer and shares one patient state with the other engines. Interpretation and the final call stay with the physician.
It provides depth in skin-pigmentation and laser protocols. Together with WoundScan AI, it defines the validation pattern for vertical medical AI.
Dockie-talkie reduces language barriers, while Clinical Copilot strengthens reasoning and documentation context. DermatoScan adds dermatology and laser expertise on top.
The data structure, physician-review model, and protocol management validated in practice become the baseline for third-party vertical medical AI joining AetherHeal.
Impact
DermatoScan AI turns laser-treatment know-how from individual experience into a reviewable institutional asset.
Lesion-to-device routing becomes explicit, helping clinicians review the same lesion with a more consistent standard.
New clinicians can start from a verified knowledge base instead of guessing senior clinicians’ tacit criteria.
Cases and feedback from the field accumulate inside the knowledge-base and protocol structure, becoming long-term institutional capability.
FAQ
Common questions when evaluating DermatoScan AI.
We can design the pilot scope around your device inventory and clinical workflow.
Contact us