Skin Cancer Removal

The techniques will vary depending on the diagnosis.

If the lesion is small a simple removal will be done and the incision closed.

If there are indeterminate cancerous cells under or in the skin we may ask a pathologist for a frozen section examination during your surgery. This will improve the chances of removing everything.

If the area is large or could result in disfigurement a skin flap can be created in the area adjacent and repositioned over the wound using techniques to minimise scarring. Alternatively skin grafting may be necessary; the removal of skin from another part of the body to cover the wound.

Before your 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.

You should stop taking certain medication, like aspirin and some anti-inflammatory drugs. You may need to stop taking some vitamins and supplements so be sure to disclose what you are taking. Let your surgeon know whatever medication you use since you may need to adjust these. Avoid recreational drugs.

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

The recovery will depend on the type of surgery.

After surgery you will 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.

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 a 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 11am and 3pm. Wear a hat outdoors and close-weave cotton clothing.

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.

There is always a risk of recurrence or spreading of the cancer.