Confocal Microscopy (VivaScope)


Now you can do skin cancer (melanoma) testing earlier and without painful a biopsy using a noninvasive VivaScope.

Dr. Michelle Azsterbaum is one of only three dermatologists in California that offers scanning using Confocal Microscopy (VivaScope).

Melanoma strikes over 62,000 Americans a year. The current standard for diagnosing skin cancer is to take a skin sample, or biopsy, and have this analyzed by a pathologist under a microscope. This method of analysis may not always be feasible, especially if the mole or lesion is at a cosmetically important site, or on someone with many lesions. In these cases, several noninvasive tools can be used as an improvement upon a diagnosis by the naked eye. Of these alternative approaches, only the VivaScope can illuminate the deeper layers of skin with enough resolution for diagnosis. These captured images can be analyzed by a specialist with a high degree of accuracy.

Patients should schedule a screening with Dr. Azsterbaum using the VivaScope if they answer yest to any of the questions below:

  • Do you have any moles that are changing?
  • Do you have fair skin?
  • Do you have a history of sunburn or excessive sun exposure?
  • Do you have a family history of melanoma?

What are the warning signs of Melanoma? The Skin Cancer Foundation has outlined the ABCD's of Melanoma.

  1. Asymmetry - If a mole is not symmetrical that is a warning sign.
  2. Border - If a more has an uneven border that is a warning sign.
  3. Color - If a mole has two or more shades of color that is a warning sign.
  4. Diameter - If a mole is larger than 5 or 6 millimeters

VivaScopes are now used in major U.S. teaching hospitals and international institutions such as the Duke University Comprehensive Cancer Center, the Mayo Clinic, Memorial Sloan-Kettering Cancer Center, and have been featured on the NBC Nightly News, the Today Show and a wide variety of other domestic and international news outlets. More than 150 peer-reviewed articles have been published on the subject in leading scientific and medical journals.

The VivaScope is a quick, painless and non-scarring diagnostic imaging tool that assists physicians in diagnosing skin cancers and other dermatologic conditions. This noninvasive imaging procedure takes only a few minutes and begins with the capture of a dermatoscopic image of the area of concern. This full-color, high-resolution photograph of the area is used for reference and can also be used to navigate the lesion with the VivaScope.

The specially designed confocal imaging head is used to capture high-resolution, cellular images of thin layers of the skin at various depths.

If you would like to schedule a screening with the VivaScope please contact Dr. Azsterbaum's office.

Michelle Aszterbaum, M.D.

Office Location

Dr. Michelle Aszterbaum


1441 Avocado Avenue 


Mon, Wed, Thurs, Fri, Sat (NEW)
8:15am - 5:00pm

Contact Us

We are the leading dermatology center serving residents of Newport Beach, CA and Orange County including, West Newport, Balboa, Newport Heights, Newport Bay, East Bluff, Corona Del Mar, San Joaquin Hills, Newport Coast and Crystal Cove with skin care services including BOTOX® Cosmetic injections, dermal fillers, laser hair removal, liposculpture, laser therapies & vein treatments.