Finding a plastic surgeon to perform mole excision for skin cancer requires careful consideration, especially if you want the procedure performed in a way that manages both the medical and physical aspects effectively. While dermatologists or general surgeons can remove certain lesions, plastic surgeons bring a detailed understanding of tissue handling, reconstructive techniques, and minimising scarring, which can be important depending on the location and size of the mole.
The process of selecting a surgeon should focus on technical skill, experience with similar procedures, and the approach they take to skin excision and closure.
What should I look for in training and qualifications?
For a mole excision related to skin cancer, it’s important that the surgeon has completed formal training in plastic surgery and has experience specifically with reconstructive procedures after skin cancer removal. This is different from purely cosmetic procedures; it involves knowledge of how to manage the skin and underlying tissue in a way that promotes proper healing, minimises tension on the wound, and preserves function, particularly on the face, neck, or other delicate areas. While all plastic surgeons undergo general surgical training, it’s worth confirming that they have performed a significant number of skin cancer-related excisions.
What questions should I ask about surgical planning?
A clear surgical plan is essential for mole excisions related to skin cancer. Ask the surgeon about how they determine the margins of excision, the closure techniques they prefer, and whether they anticipate using local flaps, skin grafts, or primary closure. They should be able to explain why one approach may be preferred over another for your specific mole.
It’s important that the surgeon can discuss the procedure in detail, including how the layers of skin and underlying tissue will be managed. Understanding how they plan to handle areas where skin may be tight or under tension helps ensure that your expectations for the wound’s healing trajectory are realistic. This discussion also allows you to understand how complications, like wound separation or delayed healing, would be managed if they occur.
How should I evaluate their communication?
Even in technically focused procedures like mole excisions, communication plays a major role in outcomes. A surgeon should be able to clearly explain the process, the reasoning behind specific techniques, and what you can expect from healing. This includes expected timelines for recovery, typical post-operative care, and signs that might indicate a complication.
Good communication also means they are willing to answer detailed questions without rushing through the consultation. If you feel your concerns are being addressed thoroughly, it’s more likely that they will manage your surgery in a structured, thoughtful way. A surgeon who communicates well about the physical aspects of the procedure demonstrates that they have considered the surgical plan carefully.
How can I verify outcomes and follow-up?
Follow-up care is integral to skin cancer excision. You want a surgeon who can monitor healing closely, especially in the first few weeks after surgery when the risk of wound complications is higher. Ask how follow-up appointments are scheduled and what aspects of healing they track.
Reviewing outcomes can also include asking for anonymised photographs or case studies that demonstrate both small and complex excisions. Look for consistency in wound closure, minimal distortion of surrounding tissue, and good management of scars over time. Even with technically successful procedures, some surgeons may specialise in certain techniques that are better suited to particular locations, so matching their experience to your mole’s location is important.
A/Prof Bish Soliman: Skin Cancer Removal Procedures in Sydney
A/Prof Bish Soliman is a FRACS qualified Specialist Plastic Surgeon with experience in skin cancer removal surgery.
If you need surgical excision, having a consultation with an experienced plastic surgeon will provide you with essential information about the process.
To book a consultation in Sydney or North Shore, please get in touch with our team.
