Annotations that live on the image
Drawn once, anchored through every view
Markup built for clinical photographs
A full drawing toolbar that stays anchored to the image, syncs as you work, and travels into every export
A full drawing toolbar
Arrow, rectangle, ellipse, freehand, text, and pin tools, each carrying its own color and style options. Apple Pencil and touch input stay precise while a palm rests on the screen.
Anchored to the photograph
Every mark holds its place through zoom, pan, automatic alignment, and rotation, on the single image, split, and overlay views. The clinical photograph underneath is never modified.
Synced as you draw
Annotations are saved with each image and reach every open device in real time. A visibility toggle hides markup for a clean read and brings it back in one tap.
Ready for export
Annotated images download at print quality, PDF exports carry markup through their options step, and annotation overlays appear on thumbnails across cards and tables.
Part of a complete clinical imaging platform
Annotations are one part of the Dermi Atlas platform, which includes patient management, split and overlay comparisons, consent management, and configurable export.
One markup system, two conversations
The same tools serve a dermatology record and an aesthetics consult, for different reasons in each room.
Durable markup on the clinical record
Annotations become part of the documentation itself. A mark placed today is the same mark the record shows next year, on the same photograph, in the same position.
- Callouts drawn on overview and dermoscopy images mark the exact site on the photograph
- Markup carries into split and overlay views, so a prior session and the current one read together
- Every mark is placed by the clinician and stays with the image through PDF export and annotated downloads
Consult markup clients understand
The photograph on the tablet becomes the consult surface. Treatment areas are drawn while the client watches, and the plan is on the record before anyone leaves the room.
- Treatment areas outlined on the photograph during the consult, on the screen already in the room
- Numbered pins mark placement and amounts, with per-pin color and size so a plan reads at a glance
- Markup hides in one tap for a clean before and after, then comes back for the next conversation
Markup, from first stroke to export
See how annotations are drawn, adjusted, hidden, and carried into downloads inside Dermi Atlas.
Draw on the image
Pin markers
Re-edit any annotation
Markup on an overlay
Toggle visibility
Download annotated images
Arrows, shapes, and labels placed directly on the photograph.
Illustrative demo with synthetic data. Learn more
Annotation features in detail
The tools that put markup on the image, keep it there, and carry it into what leaves the system
Persistent Annotations
Durable markup drawn directly on clinical photographs, anchored to the image and live on every signed-in device on the team.
Annotate in comparisons
Illustrative demo with synthetic data. Learn more
- Arrow, rectangle, ellipse, freehand, text, and pin tools with per-tool color and options
- Markup stays anchored through zoom, pan, alignment, and rotation on the single, split, and overlay views
- Saved with each image and synced across devices in real time
- A visibility toggle hides or shows markup without losing a stroke
- Annotation overlays appear on thumbnails across cards and tables
- PDF export options and annotated image downloads rendered at print quality
- Refined Apple Pencil and touch input keeps strokes precise while a palm rests on the screen
Split Comparisons
Place multiple images in flexible grid, vertical, or horizontal layouts with optional automatic alignment for precise feature-to-feature assessment.
Side-by-side comparison
Illustrative demo with synthetic data. Learn more
- Automatic alignment lines images up for precise feature-to-feature comparisons
- Multiple layout options: grid view, vertical, or horizontal
- Dedicated View, Arrange, and Annotate modes keep gestures predictable
- Undo and redo with smooth in-place restore
- Comparison-scoped markup sits alongside the annotations saved on each photograph
- All layout configurations persist automatically
Live Pointer
The transient pointer for co-review: highlight an area while everyone is looking at the same display, without leaving anything behind on the record.
Point at a comparison
Illustrative demo with synthetic data. Learn more
- Draw directly on images and comparisons to highlight areas of interest
- Strokes fade automatically within seconds, leaving records unmodified
- Designed for patient-facing presentations on shared screens and projectors
- Available in the single-image viewer, in split and overlay comparisons, and on the full body and zone review canvases
- Pairs with persistent annotations when markup should outlast the session
Custom Export
Compose exactly the export you need, from documentation files to consult-ready images, without altering the clinical original.
Compose the frame
Illustrative demo with synthetic data. Learn more
- The Export Options row opens Custom Export, a full-screen live preview where what you see is exactly what is saved
- Framing presets for square, portrait, story, and wide formats, plus the original frame
- Light, dark, and gray themes with adjustable content scale
- Date labels as exact dates or elapsed time from baseline
- Practice logo placement with corner position and size presets
- Annotation visibility per export: as arranged, all shown, or all hidden
- Quick Export saves the on-screen comparison to a square frame in one tap
- Composed exports strip camera metadata, and the underlying image is never altered
Common questions about annotations
How markup is stored, synced, hidden, and exported in Dermi Atlas
No. Annotations are stored alongside the image as their own data, and the clinical original is never modified. Markup can be edited, hidden, or removed at any time, and when an image leaves the system you choose whether the annotated rendering or the untouched original is the file that is saved.
Yes. Every mark is saved with the image and reaches the other open devices in real time, so a drawing made on the tablet in the exam room is already there on the workstation at the front desk. Devices on the practice network pick up the markup moments later.
Yes. A visibility toggle hides or shows annotations in one tap, and each open screen applies its own choice, so the exam-room tablet can present a clean photograph while the workstation keeps markup visible. Image cards keep a badge counting the marks they hold while the overlays are off.
Yes. Annotated images download at print quality, and exports carry an options step where annotation visibility is set for that file: as arranged, all shown, or all hidden. The same step controls framing, theme, date labels, and whether the practice logo appears.
Yes. Apple Pencil and touch input are handled with refined pointer handling, so strokes stay precise while a palm rests on the screen during a long markup pass on an iPad. The same tools work with a mouse or trackpad on a desktop workstation.
Annotations belong to the image in the practice's shared patient record, so every device signed in to the deployment shows the same markup the moment it is drawn. The whole team works from one library, annotations included, so markup drawn by one member is in the record the others open.
Need more details?
Our support team can answer specific questions about annotation tools and clinical documentation workflows.
Put the mark where the finding is
Persistent annotations are included in Dermi Atlas Professional from $79 USD per month, with the first 30 days free and one Clinician and one Assistant account included. Setup is done for you at no charge.
Resources and further reading
Documentation and articles about annotation and clinical documentation in Dermi Atlas
Related capabilities
Try Dermi Atlas today
Start with Dermi Atlas Cloud for free, or run Dermi Atlas Professional in your practice from $79 USD per month with a Clinician and an Assistant account included, first 30 days free.
Dermi Atlas Cloud Demo
- No time limit
Explore Dermi Atlas features in your browser with our hosted demo environment, signed in with a free Dermi account. Free forever, no commitment required.
- Runs in the browser with a free Dermi account
- Upload and test with your own sample data
- Access core features and workflows
- No credit card required
- Not for real patient data
- Data may be cleared periodically
Dermi Atlas Professional
- Base plan per deployment
- First 30 days free
- Cancel anytime
- Additional clinician seat$59 USD / month
- Additional assistant seat$12 USD / month
Runs on the computers your practice already has, with complete feature access, real patient data support, and dedicated technical support. Photos stay in your practice.
- No new hardware: runs on your existing server or workstation
- Use with real patient data securely
- One shared patient record for the team, with a login for every person
- Setup done for you at no charge, with technical support included
Need help choosing?
Learn more about Atlas Professional features, explore Atlas Manager for deployment and infrastructure management, or speak with our team about your practice needs
Purpose-built for med spas, aesthetic clinics, plastic surgery, and dermatology practices · HIPAA, PIPEDA & Australian Privacy Act compliance-ready architecture · Complete data sovereignty
Synthetic Data Notice
All demonstrations, screenshots, and media on this page use synthetic data only. No real patient information is shown.
The following are synthetic and do not correspond to real patients:
- All human faces and individuals are synthetic and do not represent real people
- All clinical and medical images, including photographs and scans, are synthetic or simulated
- All patient names, dates, identifiers, and other details are fictional
- All clinical notes and documentation are sample content for demonstration only
Media is provided solely to illustrate platform functionality and workflows.