Evidence map›Paper›PMID 40135957›Full record

ArticleJournal of cosmetic dermatology2025

Artificial Intelligence Predicts Fitzpatrick Skin Type, Pigmentation, Redness, and Wrinkle Severity From Color Photographs of the Face.

Rachel L Draelos, Chelsea E Kesty, Katarina R Kesty

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Limitations of ITA for Skin Type Estimation Under Uncontrolled Imaging Conditions.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rachel L DraelosVismedica AI, LLC, Durham, North Carolina, USA.
Chelsea E KestySt. Petersburg Skin and Laser, St. Petersburg, Florida, USA.
Katarina R KestySt. Petersburg Skin and Laser, St. Petersburg, Florida, USA.

Funding

Kesty AI
6 · The paper itself

Abstract

backgroundDue to high patient demand, increasing numbers of non-dermatologists are performing skin assessments and carrying out laser interventions in medical spas, leading to inferior outcomes and higher complications. A machine learning tool that automatically analyzes patient skin has the potential to aid non-dermatologists.

aimsTo develop a high-performing machine learning model that predicts Fitzpatrick skin type, hyperpigmentation, redness, and wrinkle severity simultaneously.

methodsWe developed the SkinAnalysis dataset of 3662 images, labeled by a dermatologist across five skin scales. We trained and evaluated machine learning models across 15 different configurations, including three neural network architectures and two loss functions.

resultsThe best-performing model was an EfficientNet-V2M architecture with a custom cross entropy loss. This model's mean test set accuracy across all labels was 85.41 ± 9.86 and its mean test set AUROC was 0.8306 ± 0.09599. An interesting trend emerged in which machine learning model performance was higher at the extremes of the scales, suggesting greater clinical ambiguity in the middle of the scales.

conclusionsMachine learning models are capable of predicting multiple skin characteristics simultaneously from color photographs of the face. In the future, similar models could assist non-dermatologists in patient skin evaluation to enhance treatment planning.

Indexed as

Artificial IntelligenceHyperpigmentationMachine LearningSkin AgingSkin PigmentationFaceHumansNeural Networks, ComputerPhotographySeverity of Illness IndexSkinartificial intelligencecomputer visionFitzpatrick skin typehyperpigmentationlaser rejuvenationlaser resurfacingmachine learningrednesswrinkles

Identifiers

PMID40135957
PMCPMC11938992

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.