Purpose of Review <p>Teledermatology is becoming integral to preventive dermatologic care and healthy aging in primary care. This narrative review examines the dermatologic needs of older adults, barriers to timely evaluation, and recent advances in teledermatology modalities and implementation strategies.</p> Recent Findings <p>Recent evidence can be organized into three functional categories, including teledermatology care delivery models, care coordination and access interventions, and emerging digital and AI-supported tools. Within teledermatology care delivery models (store-and-forward, live interactive, and hybrid) studies suggest improvements in diagnostic timeliness, earlier detection, and reductions in unnecessary referrals, with additional support for chronic disease management in aging populations. Care coordination and access interventions, particularly those incorporating standardized workflows and electronic health record–integrated decision support, may enhance diagnostic accuracy and care continuity, with notable benefits in rural and underserved settings. Emerging digital and AI-supported tools show potential for risk stratification and image-quality assessment, although equitable performance and real-world validation remain ongoing needs. The strength of evidence varies across outcome domains. Improvements in access, quality of life, and treatment adherence are more consistently reported, whereas findings related to disease severity and broader psychological outcomes remain more variable and less well established.</p> Summary <p>Teledermatology offers a scalable, practical approach to improving access, continuity, and preventive dermatologic care for older adults. By reducing geographic, mobility, and logistical barriers while supporting earlier detection and chronic disease self-management, teledermatology has the potential to enhance patient-centered care and support healthy aging.</p>