Synopsis : The accelerated implementation and use of teledermatology during COVID-19 has met with successes and challenges. This review explores first, how telemedicine was utilized in dermatology prior to the pandemic, the regulatory adaptions made in response to the pandemic and the effectiveness of the rapid implementation of teledermatology during COVID-19, and finally, how teledermatology has expanded in response to the pandemic. This review examines both lessons learned and how teledermatology’s reliance on digital technologies might paradoxically exacerbate healthcare disparities, and finally, considers the future outlook.

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