Through Ash’s lens: A portrait of Dr Ash Marghoob in 9 reflections

What makes a doctor extraordinary? For Dr Ashfaq A. Marghoob, it’s not just what he sees — it’s how he sees. As one of the world’s most respected dermoscopists, Ash brings a rare blend of diagnostic mastery, poetic insight, and a deep love of learning to every teaching moment.

In this special feature, Ash shares nine reflections that illuminate the heart of his work in skin cancer detection, in mentorship, and in the way he observes the world. Each is paired with one of his own nature photographs, capturing the quiet precision that guides both his camera and his clinical eye for pattern, light, and detail — the same principles that make him a master of dermoscopy!

The spark

Q: What first sparked your interest in dermoscopy and melanoma detection?

A: My spark for dermoscopy was provided by my mentor Dr Alfred Kopf at a time when my inner fire had died. I will be forever indebted to him, as he taught me the importance and power of mentoring and thus changed my world.

Q: What’s a new concept or approach in dermoscopy that excites you right now?

A: Right now I'm excited by dermatoscopes with different wavelengths of light and with integrated AI technology!

The surprise

Q: You’ve seen thousands of lesions — do you still get surprised sometimes?

A: Yes, and each of these surprises is a learning moment that teaches me a lot! I relish the days when I encounter a surprise because it's a reminder that perfection is unattainable, but in its pursuit we gain excellence.

The habit to change

Q: If doctors could walk away with just one changed habit after your Dermoscopy Masterclass in Brisbane this August, what should it be?

A: Based on the dermatoscopic colours and structures of lesion and normal skin, you should be able to predict/construct the histopathology in your mind. The ability to “see” the histopathology based on dermoscopy will empower you. It is the key that will improve your diagnostic accuracy, understand biology, understand why mimickers exist, and help you understand the limitations of dermoscopy. Appreciate the power of deductive reasoning!

Q: Is there a moment or case that changed the way you practise or teach?

A: Every exception, surprise, or error changes the way I practise and teach!

The wish list

Q: What’s one thing you wish more GPs understood about lesion assessment?

A: The histopathology correlations!

The best bits

Q: What’s your favourite part of teaching other doctors in dermoscopy?

A: Learning. Every time I prepare a lecture, I learn. I enjoy sharing what I have learnt with others. Also, the questions asked and comments made by doctors in the audience often provide me with new insights, which leads to more learning. 

The lesson he would tell his younger self

Q: What advice would you give to your younger self starting out in skin cancer medicine?

A: Question the mainstream and remember to always be an advocate for your patients. If you have a visceral reaction against someone else’s thoughts, pause and reflect. This usually ends up being a learning moment.

The man behind the dermatoscope

Q: What do you do when you’re not diagnosing melanomas or teaching?

A: I'm photographing nature: landscapes, mammals, birds, and insects for my Instagram @ASO_photography or playing with my grandkids!

Meet Dr Ash Marghoob in-person in Brisbane at the upcoming Dermoscopy Masterclass!

📍 15-16 August 2025 | The Westin Brisbane

➡️ Register now