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Skin Cancer Removal

Excision of Cutaneous Malignancy · Skin Cancer Surgery

This procedure removes a skin cancer or suspicious lesion with a margin of healthy tissue, and repairs the area to restore skin function and appearance. It is for anyone with a confirmed or suspected skin malignancy such as basal cell carcinoma, squamous cell carcinoma, or melanoma.

Skin Cancer Removal
Duration0.5–2 hours
AnaesthesiaLocal; general for larger cases
Hospital stayDay case
Back to work3–7 days

Who this procedure suits

This surgery solves a specific problem: a skin lesion that biopsy or clinical examination suggests is cancerous. The goal is complete removal with clear margins, confirmed by pathology, while keeping the repair as discreet as possible.

A good candidate if

  • A biopsy-confirmed basal cell, squamous cell, or melanoma skin cancer
  • A lesion that has changed in size, shape, colour, or bleeds
  • A cancer that has recurred after previous treatment
  • A lesion your dermatologist has referred for surgical excision

Not suitable if

  • Widespread disease better managed by an oncology team first
  • Uncontrolled bleeding disorders
  • Active infection at the lesion site
  • Unrealistic expectations about scar-free healing

How the procedure is performed

Consultation

We review your biopsy or lesion, examine the area, and discuss margin size, closure options, and expected scarring.

Preparation

You may need blood-thinning medication adjusted. We mark the excision margin before surgery.

Surgery

The lesion is removed with a margin of healthy tissue. Closure may be a direct suture, local flap, or skin graft, depending on size and location.

Follow-up

The tissue is sent for pathology. We review results, confirm margins are clear, and plan any further treatment if needed.

Skin Cancer Removal

Recovery — what actually happens

Day 1-3Keep the dressing dry and clean. Some swelling and bruising is normal.
Week 1Sutures may be removed, or dissolve, depending on technique. Avoid stretching the scar.
Week 2-4The scar is pink and firm. Sun protection over the area is essential.
Month 2-3Scar continues to soften and fade. Pathology follow-up if further treatment is needed.
Month 6-12Scar maturation continues. Routine skin checks are recommended long-term.

Honest medicine — the risks

Every surgical procedure carries potential risks. Risks vary with the procedure and your health, and the surgeon will discuss them with you along with the measures used to reduce them:

ScarringCareful incision planning and closure technique to keep scars as inconspicuous as possible
InfectionSterile technique and wound care instructions reduce this risk
Delayed wound healingMore likely with larger excisions, diabetes, or smoking; managed with dressing changes
Incomplete removalConfirmed or excluded by pathology; further excision arranged if margins are not clear
Nerve or sensory changesTemporary numbness near the scar, usually resolves over months
Bleeding or haematomaMinimised with careful technique and post-operative activity guidance
ThromboembolismRelevant for longer procedures under general anaesthesia; early mobilisation reduces risk

Frequently asked questions

Will I need further surgery if margins are not clear?

Yes, this can happen. Pathology results guide whether a second, wider excision is needed.

Will there be a visible scar?

Most excisions leave a permanent scar. Its size and appearance depend on lesion size, location, and closure method.

Can this be done under local anaesthesia?

Many smaller lesions are removed under local anaesthesia. Larger or complex cases may need general anaesthesia.

Do I need a skin graft or flap?

Only if the defect is too large to close directly. We discuss this with you before surgery based on lesion size.

How soon will I know the results?

Pathology results typically take about one to two weeks, and we discuss them at your follow-up visit.

How are melanoma or complex cases planned?

The plan depends on histological diagnosis, lesion depth and location. Where needed, care is coordinated with dermatology or oncology for appropriate treatment and follow-up.

Is this procedure right for you?

The only correct answer comes from a clinical examination. Book a consultation — in person, or by video if you are outside the UAE.

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