Our Philosophy on Excision of BCC and SCC
At AR Plastic Surgery, our approach to the excision of Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC) prioritises complete and safe removal while maintaining function and considering reconstruction. We understand that managing skin cancers extends beyond the removal of the lesion, requiring thoughtful planning and a personalised approach that considers the patient’s diagnosis, general health, and anatomical location of the lesion.
The surgeons who operate at AR Plastic Surgery have experience managing skin cancers, including high-risk and complex cases. Excision is performed with attention to achieving clear margins while preserving surrounding tissue when appropriate. For lesions on the face, scalp, ears, or hands, reconstructive methods are considered during planning to help maintain tissue structure and function.
Our philosophy is founded on providing each patient with clear, honest information. We ensure patients understand their diagnosis, the nature of the proposed procedure, the rationale behind excision, and the implications for reconstruction and recovery. Every step of the process is explained, from pre-operative preparation to post-operative care. This informed approach promotes patient confidence and supports shared decision-making.
Understanding BCC and SCC
Basal Cell Carcinoma (BCC) is the most common type of skin cancer and arises from basal cells in the lower layer of the epidermis. BCCs tend to grow slowly and are less likely to spread to other areas of the body, but they can cause local tissue destruction if left untreated. They are commonly found in sun-exposed areas such as the face, neck, and upper body.
Squamous Cell Carcinoma (SCC) originates from squamous cells and has a higher potential to spread compared to BCC, particularly when located on the lip, ear, or in immunosuppressed patients. SCCs may appear as scaly, crusted lesions or as rapidly growing nodules. Prompt excision is recommended to prevent deeper invasion or spread to lymph nodes.
Diagnosis is typically made via a biopsy. Once confirmed, a treatment plan is established based on the size, type, location, and pathology features of the lesion. At AR Plastic Surgery, we assess whether standard surgical excision is suitable or if more extensive resection and reconstruction will be needed, especially for high-risk or recurrent cases.