How it works
One visit with Constellation.
No new appointment types. No imaging suite. No photography training. Here's what changes inside the visit you already run — and what deliberately doesn't.
Rooming
Your MA captures the series
While rooming the patient, the MA follows a guided photo walk on the iPad — a standardized set of poses covering the skin the exam covers. The viewfinder coaches framing and checks quality on every shot, so a good series doesn't depend on who's holding the camera. About five minutes, start to finish.
Between rooms
The record does its homework
Each new photo is aligned against the patient's prior visits so the same patch of skin can be compared honestly across time. Spots get measured; new and changed spots get paired with their history. When the comparison isn't trustworthy — bad angle, bad light — Constellation says so and withholds it, rather than showing a confident overlay that lies.
In the room
The doctor examines. The record answers.
The dermatologist does the head-to-toe exam she always does. When she wants the reference layer, it's one glance away: this spot today beside this spot last visit, with honest measurements. Point at a lesion and its history is already open. The patient sees the same comparison — which does more for a biopsy conversation than any speech.
The decision
Two actions, one tap
Every spot the doctor acts on resolves to one of two things: biopsy or monitor. Marking a biopsy site or pinning a spot to watch takes one tap, and dermoscopy hand-off to the doctor's iPhone is built into the flow. No forms in the room. No third button.
Next visit
The record compounds
Today's series becomes the next visit's baseline. Every visit thickens the record: measurements become trajectories, monitored spots carry their full history, and the comparison gets stronger every time the patient comes back. That compounding record is something no one can retroactively create — the practices that start capturing it first will simply have it.
Product visualization — illustrative data, not a clinical case.
Just as important
What Constellation is not
Not a diagnostic algorithm
Constellation never renders an opinion on what a lesion is. It shows change, size, and history — the evidence. The clinical judgment is, and stays, the dermatologist's.
Not another inbox
Nothing nags, queues, or demands review. The system's surfacing volume is a dial the doctor sets — and it defaults to zero.
Not an EMR replacement
Constellation owns the visual record of the exam. Assessment and plan, coding, prescriptions, and the formal note live in your EMR, where they belong. We integrate with the visit, not against it.
Not a patient-selfie app
This is clinic-grade capture, in clinic, by trained staff, with clinical consent — not home photos of uncertain angle and light.
In your practice
Designed for a busy clinic day
Runs on devices you already own
iPads and iPhones. No capital equipment, no dedicated imaging room, no service contract on a dome.
MA-first by design
The capture flow was built for the person who'll actually run it — the medical assistant — and tested against the pace of real rooming.
Works alongside your EMR
Constellation stops at the end of the exam and hands off cleanly. EMR integration is part of the pilot conversation for your practice's stack.
Patient-visible when you want it
The same comparison the doctor sees can face the patient in the room — the clearest biopsy-consent conversation you've ever had.
See it inside your own clinic.
Pilot practices run Constellation in real visits, with hands-on onboarding from the founders.
Join the pilot waitlist