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Skin Cancer Excision

Many types of skin cancer will require removal by excision, either to diagnose the condition or to permanently remove cancerous cells. If you have been diagnosed with skin cancer, your dermatologist may suggest excision as the most effective treatment option for you. Excision is a simple procedure which removes skin cancer cells to eliminate cancer from your skin and maintain your overall health. At Arlington Dermatology, your board-certified dermatologist will excise your skin cancer if indicated.

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What is Skin Cancer Excision?

Skin cancer excision is a treatment option in which the cancerous cells are removed using a surgical blade, and stitches are placed to close the wound.

What Types of Skin Cancer Can Excision Treat?

Excision can be used to treat most types of skin cancer, including (but not limited to):

How Do I Prepare for Skin Cancer Excision?

Before your skin cancer excision, you should:

  • Choose a time for the excision after which you can avoid rigorous athletic activity for two weeks
  • Clear your schedule for a few hours for the excision procedure, as it can be difficult to predict how long excision will take; however, you can expect to resume normal activity the day of the procedure
  • Avoid shaving, waxing, or otherwise removing hair in the area

What Should I Expect With Skin Cancer Excision?

During skin cancer excision, the area is numbed with a local anesthetic to maintain your comfort. Once the skin is numbed, your dermatologist will cut the cancerous skin cells out, as well as a small amount of surrounding healthy cells to ensure that all of the skin cancer is removed. When this is complete, your dermatologist will stitch the skin together. 

What Should I Expect After Skin Cancer Excision?

After your skin cancer excision, a bandage will be placed over the area. You should leave this in place and keep it dry according to your dermatologist’s directions—typically for 12-24 hours. If you experience any mild discomfort, you can take over-the-counter pain medication such as ibuprofen or acetaminophen. Your dermatologist may also advise you to apply an antibiotic ointment to the excision site in certain cases. You should not have trouble going about your normal routine but may wish to avoid rigorous exercise or athletic activities for about two weeks after your excision.

Frequently Asked Questions

What is skin cancer excision and how does it work?

Skin cancer excision is a surgical procedure where a doctor removes a skin cancer along with a small border of healthy tissue to ensure all cancer cells are removed.

When is excision recommended for treating skin cancer?

It’s commonly recommended for cancers that are well-defined, moderate in size, or located in areas where traditional surgery is appropriate. It’s also used when other treatments (like topical therapy) aren’t suitable.

How long does it take to heal after skin cancer excision?

Healing after skin cancer excision typically takes about 1–2 weeks for the surface to close, while the scar continues to mature and fade over the next several weeks to months.

Will I have a scar after skin cancer removal?

Some scarring is expected after skin cancer removal. The size and appearance depend on the cancer’s location and your healing. Our providers use careful surgical techniques to minimize scarring, and we also offer IPL and fraxel treatments to further improve the scar’s appearance once healed.

What can I expect during the skin cancer excision procedure?

The area will be numbed with local anesthesia, so you should not feel pain. The provider removes the cancer with a small margin of healthy tissue and closes the wound with stitches or other techniques. A dressing is applied, and the procedure usually takes 20 minutes.

What follow-up care is needed after skin cancer excision?

Keep the wound clean and covered, avoid activities that stretch the area, and return for stitch removal if needed. Watch for redness, swelling, or drainage, and attend follow-up visits for proper healing and ongoing skin checks.

How do I know if my skin cancer has been fully removed?

A pathology report examines the removed tissue to confirm whether margins are clear. Clear margins mean the cancer has been fully removed; if not, your provider will discuss additional treatment. Mohs surgery provides immediate confirmation during the procedure.

What can I do to prevent future skin cancers after excision?

Use daily broad-spectrum sunscreen (SPF 30+), wear protective clothing and hats, avoid tanning beds, and limit sun exposure during peak hours. Perform monthly self-skin checks and attend regular dermatology visits for early detection.

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If you are diagnosed with skin cancer, you should schedule treatment with your dermatologist as soon as possible. At Arlington Dermatology, our board-certified dermatologists will create the most effective, evidence based treatment plan for you, which may include excision. 

To schedule your appointment at Arlington Dermatology, please call our office or contact us through our online form.

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