Removal of skin tumours (plastic surgery)
When is surgery necessary?
A skin tumour is often surgically removed when:
- the lesion is malignant or there is a suspicion of malignancy
- the lesion is growing rapidly or changing in appearance
- symptoms occur such as pain, bleeding or wounds that do not heal
- the lesion is located in a bothersome area (for example on the face)
In some cases, a small sample of skin (biopsy) is examined before the procedure. In other cases, the lesion is removed in one step and subsequently analysed by a pathologist.
How is the treatment carried out?
The procedure is usually performed as day surgery and under local anaesthesia. Depending on the location and size of the skin tumour, different methods can be used to restore the skin afterwards.
- Standard approach: the tumour is removed with a safety margin of healthy tissue. The skin is then closed directly with stitches. This is possible for smaller lesions where the skin is sufficiently flexible.
- Skin advancement: for larger lesions, part of the surrounding skin may be moved to close the wound. This often allows the scar to follow the natural skin lines more closely, resulting in a better aesthetic outcome.
- Skin grafting: when the wound cannot be closed directly, a small piece of skin from another part of the body may be used to cover the defect.
- Reconstruction: in the face, special attention is paid to both function (such as eyelid closure or movement of the lip or nose) and appearance. More refined techniques are often used, such as local advancement or rotation flaps, to camouflage the scar as much as possible.
During the consultation, your plastic surgeon will assess which technique is most appropriate for your situation.
Recovery and aftercare
After the procedure, the skin may be swollen and sensitive. Bruising is common and usually resolves on its own.
During the first few days, it is important to keep the wound dry unless the doctor advises otherwise. Stitches are removed after a few days up to two weeks, depending on the location. Protect the scar well from sunlight (for at least one year using high sun protection) to prevent discolouration.
After the procedure, you will be receive clear instructions on wound care and follow-up appointments.