The present disclosure relates to an image processing method and a device, wherein the image processing method includes: acquiring a first image, the first image including an image formed with respect to a skin part of a patient to be diagnosed which needs diagnosis; inputting the first image into a neural network, to acquire position information of a pathologic change area in the first image; acquiring a boundary of the pathologic change area in the first image, acquiring an original image and a mask image which include the pathologic change area from the first image; fusing the mask image and the original image, obtaining a target image corresponding to the pathologic change area; wherein the target image is an image for diagnosing the pathologic change area, pixel points in the target image correspond to those in the original image and the mask image one by one.