Skin cancer is a very common form of cancer. When you receive a diagnosis of malignant skin cancer, your surgeon should aim to remove the tumour entirely while preserving the function and appearance of the surrounding tissue. Plastic surgeons are highly qualified to manage this process, as they combine cancer removal techniques with advanced reconstruction skills to achieve optimal outcomes.
Types of Malignant Skin Cancer
There are three main categories of skin cancer that require professional management. Basal Cell Carcinoma is the most common type. It often presents as a pearly bump or a sore that refuses to heal. Squamous Cell Carcinoma is typically found on sites exposed to the sun and can be more aggressive. Melanoma is the most serious form, originating from pigment-producing cells. It requires rapid intervention and a comprehensive management plan.
The Surgical Approach
Surgical excision remains the gold standard for treating the majority of skin cancers. The procedure involves removing the lesion along with a specific margin of healthy tissue to ensure the removal of all malignant cells.
If the cancer is located on the face, head, or neck, removing it can create a defect that is difficult to close with simple stitches. This is where plastic surgery becomes vital. The surgeon must balance the need for complete cancer removal with the preservation of natural contours and function. For instance, if a lesion must be removed from the eyelid, nose, or lip, specialised techniques are required to maintain movement and aesthetic balance.
Reconstructive Techniques
After the cancer is excised, the resulting wound requires closure. Depending on the size and location of the lesion, your surgeon will use one of these methods:
- Direct Closure: The simplest method, involving pulling the edges of the wound together and suturing them. This works well for small defects where the skin has enough laxity.
- Skin Grafts: If the wound is too large to close directly, your surgeon may harvest skin from another part of the body and place it over the wound. This is a highly effective way to cover larger sites and ensure healing.
- Local Flaps: This involves moving adjacent healthy tissue into the defect. Because the transferred tissue shares a similar colour and texture to the original site, this method often provides the best aesthetic result. It is the preferred option for complex defects on the face.
Recovery and Follow-up
Recovery varies depending on the size and site of the procedure. Patients can expect some swelling and bruising, which typically resolves within a few weeks. The surgical team will provide instructions on wound care, which is critical to minimising scarring and preventing infection. Regular follow-up appointments are necessary to monitor the healing process and perform skin checks to look for any new lesions.
Appointments for Malignant Skin Cancer Treatment
If you suspect a change in your skin, it’s important to seek professional help as soon as possible. Dr Khan and the team prioritise a fast, patient-centred approach to diagnosis and treatment. By addressing malignant skin cancer promptly, you can ensure the best possible results. Get in touch to book in with our team.
