The main difference between photo-based, virtual consultations and in-person care is how you interact with the provider. Photo-based consultations offer increased convenience and accessibility, allowing you to receive medical care from your own home. Virtual visits are adequate to evaluate many straight-forward skin conditions.rnrnIn-person visits allow a more detailed physical examination, which is necessary for some skin problems. If the provider is not comfortable treating you via a photo-based consultation you will be called for a physical examination.