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    • SunLife Skin Cancer Care
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    • Skin Cancer Checks
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    • Surgical Procedures
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SKIN CANCER SURGERY SUNSHINE COAST

Surgical procedures for skin cancer

Surgical biopsy and excision remain the most important ways of diagnosing skin cancer and treating invasive lesions. 

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Surgical Procedures

The doctors practising at SunLife are continually performing procedures on all areas of the body - including face, neck and lower limbs. They take pride in the standards of their work including properly treating each skin cancer, minimising complications, and the cosmetic outcome.

When appropriate they use advanced techniques, such as skin flaps and grafts. This keeps your care in the community as much as possible, reducing the increased time and higher costs often associated with inpatient care. They also know when further care may be better for you and will discuss onward referral as needed.

Shave biopsies

Remove the upper layers of the skin and part, or all, of the lesion - leaving a graze on the skin. It is done to diagnose skin cancers but not to treat.

Punch biopsies

Remove part, or all, of a skin lesion to the full depth of skin, often needing one or two stitches (sutures) to close. Usually, it is for diagnosing but it can treat very small skin cancers.

Curettage and Cautery

A useful option for treating certain superficial skin cancers. Quick to perform and does not need sutures. It leaves a graze like a shave biopsy but may be slower healing.

Skin Ellipse Excisions

Are the most common procedures for treating invasive skin cancers. They remove the cancer, a gap around it, and a triangle top and bottom so it will close in a flat, neat line. Sounds simple? Each location needs specific care and understanding to maintain function and minimise scarring; especially in complex areas such as head, neck, lower legs, or mobile areas.

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Advanced Skin Excisions

Are required when an ellipse excision will be too tight to close or will cause a poor cosmetic outcome. These techniques include skin flaps (where a flap of skin close to the removed cancer is pulled over to allow the wound to close) and skin grafts (where a piece of skin is removed from a different location on your body and used to close the wound).

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What’s involved in Skin Cancer Surgery?

Removing a skin cancer begins before you come in for the excision:

  • Learning about you - your medical history, medications, allergies, smoking history 
  • Knowing what type of cancer is being treated and what the treatment options are
  • Ensuring you know what procedure is being done and why

All procedures are done in our purpose-built rooms that have been designed and fully fitted out for skin procedures. They are performed under local anaesthetic, sometimes using a technique called a nerve block. Local anaesthetic allows your procedure to be done safely and in comfort whilst avoiding trips to hospital.

Biopsies may be done at the time of your consultation but most excisions are done during a doctor's dedicated excision list. Nurse support is available, ensuring that your procedure is well organised and can be done to the best standards.

The time needed for an excision varies for each case. A standard excision is usually 30 minutes. Your doctor will give you the indicative time allocated at the time of booking.

Aftercare

Your aftercare is important to allow the wound to heal well. Your doctor and nurse will give you advice including:

  • If the wound must be kept dry
  • Any restrictions on your mobility
  • When to change the dressing
  • When to return for suture removal (usually 1-2 weeks)

If the aftercare may affect your work, please discuss this with your doctor who can help you manage this. 

At SunLife, your wound care is fully managed by your doctor and nurse here at the Care Centre. 

FAQ's

Questions about surgical procedures at SunLife

Can I have a procedure without a scar?

Any wound to the skin has to make a scar in order to heal but there are things that can be done to reduce their appearance. Here’s a bit more info about scars:

Scarring is the body’s way of healing a wound and making the skin strong enough to function. Many factors affect how a wound scars, important ones being skin tension and mobility. There are techniques in planning and performing procedures that help to minimise tension and mobility, encouraging good scar formation. The doctors at SunLife have experience and training in using them.

Wounds continue to strengthen for months after the initial wound healing. This means that scars can change in this time. There are things you can do at home to encourage good scar formation in this period. Your doctor and nurse will advise you on what methods may be of use for you.

What happens after a biopsy?

After your biopsy there will be a small wound and a dressing. Your doctor will give you advice on how to care for the wound including whether you need to keep it dry and if any stitches need removing.

We have up-to-date processes allowing your doctor to send routine results promptly via email or text for your convenience. More complex or difficult results will be given in person and a time will be arranged for this. The results from your biopsy will always be communicated to you – you will never be left to assume it’s ok because you haven’t heard anything.

What happens after an excision?

After your excision there will be a wound and a dressing. Your doctor will give you advice on how to care for the wound, including whether you will need to keep it dry, any restrictions on your mobility, and when you need to return for a wound check or dressing removal. Usually this is 1-2 weeks.

Like a biopsy, we have up-to-date processes allowing your doctor to send routine results promptly via email or text for your convenience. More complex or difficult results will be given in person and a time will be arranged for this. The results from your excision will always be communicated to you – you will never be left to assume it’s ok because you haven’t heard anything.

Are there any risks with skin procedures?

There is always some level of risk with any medical procedure. Thankfully, the risks involved in most routine excisions are low and they can be reduced further with good understanding and clinical processes. Good practices are especially important in higher risk areas. The face for example, as well as needing special skills to minimise scarring, also contains important functional areas and significant nerves. The doctors at SunLife have training and experience to understand and manage these risks, keeping them as low as possible.

For small procedures, like biopsies, your doctor will usually just talk you through the low risks involved. For excisions, a consent form will be completed detailing the risks common to all excisions and adding any risks specific for the individual case. As well as things your doctor can do to reduce risk, there are things you can do to reduce risk – for example, keeping the wound dry. Your doctor and nurse will advise you on how to care for your wound and they will be there for you if any problems do arise.

Can you remove benign (non-cancerous) lesions?

Yes, they usually can be. Some non-cancerous lesions are problematic, they can stick out, get infected, catch, rub and be bothersome. Your doctor will discuss with you what's involved with removing it. 

What are the costs of procedures?

The costs of procedures vary due to the wide range of time, complexity and skill required. The costs include all routine aftercare, such as provision of results, dressings and suture removal. They also include the management of any complications should they occur.

Your doctor will inform you of the costs at the time of planning your procedure. Typically, a small biopsy done at the time of a consult may have a gap charge of $30. A medium size excision may be $170. A large or complex flap or graft may reach $500. Please ask if you are unclear or have any questions.

Note that the above costs are the gap charges that you will be out of pocket after the Medicare rebate. The Medicare system is complex - rebates vary according to the type of procedure and the type, site and size of lesion.

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How to book

Here's the next steps to book your appointment:

Step 1

Book Online or phone our Care Centre to book your appointment

Step 2

What to wear? Coming from work? Wearing make-up? Get the most out of your visit and know what to expect. Read our Patient Info page so we can help you prepare.

Step 3

Once you are booked and prepared, come along to SunLife for your appointment.

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  • SunLife Skin Cancer Care Centre
    4/84 Wises Road
    Buderim QLD 4556

  • 07 5450 9808

  • [email protected]

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