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Skin Cancer Surgery: Diagnosis, Excision and Aftercare

Skin cancer surgery removes cancerous or suspicious skin lesions while preserving healthy tissue and, where needed, reconstructing the area for the best functional and cosmetic result. Early treatment is usually very effective.

Diagnosis first

Suspicious lesions are assessed and, where appropriate, biopsied to confirm the diagnosis and type. This guides how much tissue needs to be removed and whether reconstruction will be required.

Excision

The lesion is removed with a margin of healthy tissue to reduce the chance of recurrence. The sample is examined to confirm complete removal. For certain facial cancers, tissue-sparing techniques help preserve as much healthy skin as possible.

Reconstruction

Small wounds may be closed directly, while larger ones may need a skin graft or local flap to restore appearance and function. As a plastic surgeon, the focus is on healing well with the least noticeable result, particularly on the face. See our reconstructive surgery page for more.

Aftercare and prevention

Wound care, scar management and ongoing skin checks are important, as is sun protection to reduce future risk. Your team will advise on follow-up. Learn more on our skin surgery page or book a consultation.

Frequently asked questions

How is skin cancer removed?

The lesion is excised with a margin of healthy tissue to reduce recurrence, and the sample is examined to confirm complete removal. The wound is then closed or reconstructed.

Will I need reconstruction?

It depends on the size and site. Small wounds may be closed directly, while larger ones, especially on the face, may need a graft or local flap for the best result.

Is skin cancer surgery effective?

Treated early, skin cancer surgery is usually very effective. Ongoing skin checks and sun protection help reduce the risk of future lesions.

Will there be a scar?

Some scarring is unavoidable, but as a plastic surgeon the aim is to heal with the least noticeable result and to manage the scar carefully, particularly on visible areas.

This article is general information and not a substitute for individual medical advice. Results vary between patients and all surgery carries risks. Always discuss your circumstances with a GMC-registered consultant surgeon.