Dr Jeremy Banky, Specialist Dermatologist, Melbourne

Surgical Excision (Wide Local Excision)

Skin cancers are most commonly treated by surgical excision.

This is generally performed under a local anaesthesia – you will be awake throughout the procedure. The skin cancer is always sent for pathological analysis to ensure it is completely excised.

Reconstruction following surgery is often side-to-side, or may involve flaps or grafts - this will be determined on the day of the surgery. Scars can take up to 12 months to fully mature and look their best.

Direct Closure

Flap 1 - Showing a myocutaneous island pedicle flap

Flap 2 - Showing a rhombic transposition flap

Secondary surgical procedures, lasers or injections may be required to revise or refine the scars following initial healing.

Skin cancers commonly excised include Bowen’s disease, basal cell carcinoma, squamous cell carcinoma, lentigo maligna and melanoma. Rarer skin cancers are also excised.

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