Excision of benign and malignant skin lesions, cancers, and cysts — most performed under local anaesthetic in a day setting.

What is excision surgery?

Excision involves the surgical removal of a skin lesion along with a margin of normal-appearing surrounding tissue. The specimen is sent for histopathological examination to confirm the diagnosis and ensure adequate clearance. The defect is then closed directly, or — depending on size and location — reconstructed with a local flap or skin graft.

Common indications

  • Basal cell carcinoma (BCC)
  • Squamous cell carcinoma (SCC)
  • Melanoma and melanoma in-situ
  • Atypical or symptomatic naevi
  • Benign cysts and other skin lesions

What to expect

Most excisions are performed under local anaesthetic as a day procedure. Larger lesions, lesions in difficult locations, or those requiring complex reconstruction may be performed under general anaesthetic. Sutures are typically removed at 7–14 days depending on body site. Histopathology results are reviewed with you at a follow-up appointment, and any required further treatment is discussed.

Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.

All surgical procedures carry potential risks and complications, which will be discussed in detail at your consultation.

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