SKIN CANCER

Excisions

doctor diagnosing melanoma on a female body before excision

Why Do Skin Lesions Have To Be Excised?

Skin lesions are excised, or surgically removed, primarily to treat skin cancer like basal cell carcinoma, squamous cell carcinoma, or melanoma. Excision involves cutting out the entire lesion along with a margin of healthy tissue around it. This ensures that all cancerous cells are removed, reducing the risk of the cancer spreading or returning.

Excision is also performed to remove suspicious moles, cysts, or benign tumours that may pose a risk or cause concern. The procedure aims to eliminate these abnormal or potentially harmful skin lesions.

What is involved in excision of a skin lesion?

During the excision of a skin lesion, Dr. Tina will explain to you why the skin lesion needs to be excised and walk you through the procedure. You may be asked to sign a consent form indicating your understanding and agreement with the surgical intervention. Inform Dr. Tina about any medications you are taking, allergies, medical conditions, or if you have a pacemaker or implanted defibrillator. Additionally, disclose any over-the-counter supplements or herbal remedies that could affect bleeding.

The most common type of excision is an elliptical excision, where Dr. Tina will design an incision in the shape of an ellipse. This helps minimise tension on the wound and orient the resulting scar along existing skin creases, making it less noticeable.

Dr. Tina will mark the area to be excised and administer a local anaesthetic injection to numb the skin. Using a scalpel and sharp scissors, she will carefully cut around and under the lesion, including a margin of healthy tissue. The excised lesion will be sent to the pathology laboratory for examination by a pathologist who will provide a report to Dr. Tina in a few days.

During the procedure, there may be some bleeding, which Dr. Tina can control by cauterising the blood vessels. The edges of the incision will then be stitched together using sutures, typically in two layers. Dr. Tina will provide instructions on wound care and inform you when to have the stitches removed.

How Do I Look After The Wound Following Skin Excision?

After the skin excision, it’s important to take proper care of the wound. Here are some guidelines to follow –

  • The wound may be tender after the local anaesthetic wears off. This is normal and should improve within 1-2 hours.
  • Leave the dressing in place for 48 hours, unless instructed otherwise by Dr. Tina. Avoid activities that strain or stretch the area until the stitches are removed and for some time afterward.
  • If there is any bleeding from the wound, apply firm pressure with a clean folded towel for 20 minutes without removing the dressing. If bleeding persists after this time, contact Dr Tina’s clinic or seek urgent medical attention.
  • Keep the wound dry for the first 48 hours. After this period, you can gently wash and dry the wound as directed by Dr. Tina. 
  • It is normal for the wound edges to be slightly pink and tender to the touch. However, if the wound becomes increasingly red or painful, consult Dr. Tina as it may be a sign of infection and require antibiotics.
  • Initially, the scar may appear red and raised, but over several months, it typically fades in colour and size.
  • Remember to follow any specific post-operative instructions provided by Dr. Tina and attend follow-up appointments as scheduled. She will monitor your healing progress and address any concerns you may have.

WHICH TREATMENTS ARE AVAILABLE?

Book in for a skin consultation with Dr Tina for an individualised treatment plan.  Your best treatment will often depend on your age, gender, triggers and causes of your condition.

FAQ

Some medical research suggests that avoiding extremely high intakes of dairy and sugary products with a high glycaemic index (GI) may be beneficial for those with acne.

 

Foods that are considered low GI include vegetables, fruits, nuts, legumes, fish, and whole grain breads and cereals. 

 

While dietary changes may not be a standalone solution for acne, they can certainly help accelerate the progress of acne treatment and improve overall skin health. Combining a healthy diet with medical treatments can provide the best results in managing acne and preventing further scarring.

Morning

  • Cleanser (non-soap)- Gentle, pH balanced cleansing gel
  • Toner- Balances and restores skin microbiome.
  • Lactic acid, salicylic acid - To resurface, hydrate, calm and balance oil flow.
  • 21% zinc oxide moisturiser with SPF 15 PA+++ - Calms skin redness and promotes healing and minimises excess oil flow and breakouts.

Night

  • Cleanser (non-soap)- Gentle, pH balanced cleansing gel
  • Toner- Balances and restores skin microbiome.
  • Niacinamide (B3)- Reduces breakouts and congestion by regulating oil flow.
  • Retinol- Regulates epidermal turnover, oil production and reduces inflammation.
  • Water-based moisturiser- Lightweight, non-comedogenic, oil-free formula.
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