SKIN CANCER REMOVAL

Skin Cancer Removal2024-12-03T12:54:45+02:00
consultation

What is Skin Cancer Removal?

Skin cancer removal is a surgical procedure to eliminate cancerous lesions and prevent the spread of cancer. Early intervention, ideally performed by an experienced plastic surgeon, is crucial for effective treatment.

The type of skin cancer determines the surgical approach and whether additional treatments, such as neoadjuvant therapy, are necessary. The three main types of skin cancer, listed in increasing severity, are:

  • Basal Cell Carcinomas (BCC): Typically slow-growing and less likely to spread.
  • Squamous Cell Carcinomas (SCC): Require prompt removal to prevent spread.
  • Melanomas: The most aggressive type, often requiring complex treatment and follow-up surgery such as sentinel node biopsies.

Malignant melanomas are more likely to metastasise and may require additional treatments, including immunotherapy or chemotherapy. Advanced surgical techniques minimise scarring, and reconstructive options can address disfigurement following tumour removal.

What is involved in the Skin Cancer Removal Procedure?

The procedure and techniques will vary depending on the diagnosis.

1 | Simple Excision

  • For small, localised lesions, the cancerous tissue is removed, and the incision is closed with precision to minimise scarring.

2 | Frozen Section Examination

  • If indeterminate cancerous cells are suspected, a frozen section examination may be performed during surgery.
  • A pathologist examines the tissue to ensure complete removal of the cancerous cells, improving the likelihood of a successful outcome.

3 | Reconstructive Techniques

  • For larger lesions or areas where removal may result in significant tissue loss, reconstruction is performed using: 
    • Skin flaps: Tissue adjacent to the excised area is repositioned over the wound using advanced techniques to minimise visible scarring. 
    • Skin grafts: Healthy skin from another part of the body is transplanted to cover the wound and restore function and appearance.

Each treatment plan is tailored to the individual, prioritising effective cancer removal while aiming to achieve the best possible aesthetic and functional results.

FAQ

How to prepare for Skin Cancer Removal?2024-12-03T12:53:53+02:00

To prepare for skin cancer removal surgery, you may be asked to stop smoking for 2 – 4 weeks prior to the procedure. Nicotine retards the healing process, and quitting for as long as possible before surgery helps improve blood flow.

You might also have to have a blood test before surgery is performed.

During the consultation be sure to disclose what medication, vitamins, and supplements you are taking. I may need to adjust this leading up to surgery. You should avoid certain medications like aspirin and some anti-inflammatory drugs. You may also need to stop taking some vitamins and supplements. Avoid any recreational drugs.

Be sure to arrange for transport to and from the clinic. You will not be able to drive yourself after the procedure.

What to expect after Skin Cancer Removal?2024-12-03T12:53:58+02:00

After surgery to remove skin cancer expect to have dressings covering the wounds. You will be advised on how to treat the area and you may have stitches that will need to be removed.

The recovery will depend on the type of surgery.

There is a chance of some pain and discomfort but your prescribed medication will help.

Wait 24 – 48 hours before showering as instructed. Keep the wound dry. Avoid any vigorous activity or exercise while healing, and take care not to put any excessive force or pressure on the incision or on skin graft areas. If you have had a skin graft, the healing period will be longer.

There is a chance that the scar will larger than anticipated since lesions can have extensions and roots not visible on the surface.

If you have had skin cancer there is a chance of more. Get regular check-ups.

Protect your skin from the sun, use high-factor sunblock when outdoors. Avoid sun exposure between 11 am and 3 pm. Wear a hat outdoors and close-weave cotton clothing.

What are the risks of Skin Cancer Removal?2024-12-03T12:54:03+02:00

Even with skin cancer removal, there is a risk of recurrence or spreading of the cancer.

With any surgery, there is a (low) risk of post-operative infection, bleeding, and swelling.

Other risks may include slow wound healing, changes in skin sensation, nerve, blood vessel, and muscle damage. After a skin flap reconstruction or skin graft, there may be tissue death (necrosis) or rejection that may require further surgery.

 

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