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About the procedure Skin Cancer Consultation & Surgical Planning

Our Philosophy on Skin Cancer Consultation and Surgical Planning

At AR Plastic Surgery, our approach to skin cancer consultation and surgical planning focuses on the accurate identification and safe removal of skin cancers while taking into account both functional and reconstructive needs. We recognise the importance of early detection and thorough evaluation, particularly in patients with a history of sun exposure, previous skin cancers, or those with lesions of concern. Our team prioritises an evidence-based approach, incorporating comprehensive assessments to guide clinical decisions and support timely intervention.

The surgeons who operate at AR Plastic Surgery have extensive experience in skin cancer surgery, including excisions on functionally and cosmetically sensitive areas such as the face, ears, and hands. During consultations, they assess each lesion carefully, using diagnostic tools and clinical expertise to determine the most appropriate course of action. Where surgery is indicated, careful planning is undertaken to customise the procedure based on the type, size, and location of the lesion while also considering the patient’s health, preferences, and medical history.

Our philosophy includes ensuring that patients are well-informed about their diagnosis, the treatment options available, and the surgical approach recommended. We promote shared decision-making and provide patients with clear explanations about their condition, helping to manage expectations around both the surgical and healing processes. Patient safety, complete excision of the cancer, and appropriate reconstruction are key elements of our planning process.

Understanding Skin Cancer and the Need for Surgical Assessment

Skin cancer is the uncontrolled growth of abnormal cells in the skin, most commonly caused by ultraviolet (UV) radiation from sunlight. The three main types include basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. These can present in different ways and may require different approaches to management. Early diagnosis and treatment are essential to prevent further spread or tissue damage, especially in cases of melanoma or invasive SCC.

Patients may be referred to AR Plastic Surgery following a diagnosis from their general practitioner, dermatologist, or after a biopsy has confirmed skin cancer. In other cases, the consultation may involve assessment of a suspicious lesion that has not yet been formally diagnosed. In both scenarios, we conduct a comprehensive review of the patient’s history, perform a full skin examination where indicated, and determine whether further testing, such as biopsy or imaging, is necessary.

The purpose of the consultation is to confirm or clarify the diagnosis and develop a plan for treatment. For cases requiring surgical excision, our focus is on achieving complete removal of the cancer with appropriate margins while also maintaining the form and function of the surrounding tissue. If reconstruction is required following excision, options are discussed in detail based on the complexity of the case and the patient’s needs.

Surgical Planning for Skin Cancer Removal

Surgical planning begins with assessing the lesion’s location, pathology, and extent. Some skin cancers, especially BCC and well-differentiated SCCs, may be amenable to standard excision with a margin of surrounding healthy tissue. Others, such as melanomas or high-risk SCCs, may require wider excision or even sentinel lymph node biopsy, depending on the depth and staging.

Each treatment plan is tailored to the individual case. For lesions on areas with limited excess skin or those that affect areas like the nose, eyelids, lips, or ears, reconstructive options may include local flaps or skin grafts. The goal is to remove the cancer completely while maintaining both appearance and function.

The surgeons who operate at AR Plastic Surgery are experienced in complex skin cancer cases and carefully plan each procedure to address both oncological safety and reconstructive requirements. When reconstruction is needed, planning considers the lesion’s location, extent of tissue removal, and suitable closure methods. For facial lesions, function and natural skin boundaries are prioritised. Patients are informed of the recommended reconstruction during their consultation.

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What to Expect During the Day of the Procedure

On the day of the procedure, patients arrive at the surgical facility and are welcomed by the clinical team. Final preparations include a review of the surgical plan, confirmation of consent, and marking of the lesion and excision margins. Patients are given the opportunity to ask any last-minute questions and are supported throughout the process to ensure they are at ease.

Depending on the complexity of the case, procedures may be performed under local or general anaesthesia. For smaller lesions in low-risk areas, excisions are often done under local anaesthesia. More complex reconstructions or multiple lesion excisions may require general anaesthesia and a longer surgical duration.

Once in the operating room, the team follows a precise surgical plan to remove the lesion with appropriate margins. If a flap or graft is needed for reconstruction, this is completed immediately following excision. Specimens are sent to pathology for examination, and patients are informed once results are available. Meticulous attention is paid to wound closure and dressing application to promote healing and reduce complications.

Procedure gallery View our patient results

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

Post-operative care plays a crucial role in healing and in the monitoring of recurrence. After the procedure, patients are monitored and discharged with clear instructions on wound care, activity restrictions, and signs to watch for, such as infection or wound reopening. Depending on the location and extent of the surgery, some patients may be advised to limit movement in the affected area for several days.

Dressings are applied to protect the wound and support healing. If sutures are used, a follow-up appointment is scheduled for their removal and to discuss the findings from the tissue examination. Compression may be recommended in some areas to help reduce swelling, and patients are advised to avoid sun exposure while the area heals.

Regular follow-up helps monitor healing and check for any new or returning skin changes. Patients are encouraged to have routine skin checks and use sun protection to lower the chance of future skin cancers. The team at AR Plastic Surgery offers continued support and guidance during recovery.

Potential Risks

As with any surgical procedure, skin cancer excision carries certain risks. These risks are discussed in detail with patients during the consultation and include:

  • Infection
  • Bleeding or haematoma
  • Wound breakdown or delayed healing
  • Scarring
  • Changes in skin sensation
  • Recurrence of the lesion
  • Asymmetry, especially in facial or reconstructive sites
  • Complications related to anaesthesia (if general anaesthesia is used)

Risk mitigation involves careful pre-operative planning, sterile surgical technique, and attentive post-operative care. Patients are educated on how to recognise early signs of complications and are provided with clear instructions should any concerns arise. This thorough and patient-focused approach helps to manage risk and support recovery.

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