Skin Cancer Treatment in Kogarah, Miranda, and Newtown, Sydney

Skin cancer occurs when abnormal cells in the skin grow in an uncontrolled way. The three most common types are:

• Squamous cell carcinoma (SCC) – often appears as a scaly, crusted, or ulcerated lesion. SCCs can develop anywhere but are most common on sun-exposed areas such as the face, ears, lips, and hands. If untreated, SCCs can grow deeper and, in some cases, spread to other parts of the body.
• Basal cell carcinoma (BCC) – the most common type of skin cancer, typically appearing as a pearly bump, pink patch, or sore that fails to heal. BCCs grow slowly but can damage surrounding tissue if untreated.
• Melanoma – a cancer of pigment-producing cells (melanocytes). Melanoma may develop within an existing mole or appear as a new spot. It can spread quickly if not detected early. Risk factors include a personal or family history of melanoma, numerous moles, or episodes of severe sunburn during childhood.

Dr Ilias Kotronakis, a Specialist Plastic Surgeon with extensive experience in skin cancer surgery, performs thorough clinical examinations to assess suspicious lesions.

If the diagnosis is uncertain, or if a lesion is in a cosmetically sensitive area, a small biopsy is often performed under local anaesthetic in the clinic. This is a quick procedure that allows microscopic examination to confirm the diagnosis before planning further treatment.

The choice of treatment depends on the type of skin cancer, its size, location, and the patient’s overall health.

Treatment options offered by Dr Kotronakis in Sydney include:

• Surgical excision – removing the cancer along with a small margin of normal tissue to ensure complete removal.
• Reconstructive surgery – in cosmetically sensitive areas such as the nose, eyelids, lips, or ears, Dr Kotronakis uses specialised plastic surgery techniques to close wounds and minimise visible scarring.
• Topical treatments – creams such as imiquimod or 5-fluorouracil can be used for certain superficial skin cancers or pre-cancerous lesions.
• Radiotherapy – in specific cases, particularly for patients who cannot have surgery, targeted radiation can control or remove skin cancers.

For SCCs and BCCs in delicate areas such as the nose or eyelids, Dr Kotronakis can perform specialist reconstruction after Mohs micrographic surgery in collaboration with dermatologists in Newtown. This staged surgical method allows precise removal while preserving as much healthy tissue as possible.

For melanoma, surgery aims to remove the tumour with an appropriate margin based on its thickness and stage.

In some cases, a sentinel lymph node biopsy may be recommended to assess whether melanoma cells have spread to nearby lymph nodes. Dr Kotronakis provides thorough follow-up care and works closely with melanoma specialists when further treatment is required.

Dr Kotronakis performs skin cancer procedures in several accredited Sydney facilities, including Kogarah, Miranda, and Newtown.

Procedures may be completed under local anaesthetic in the clinic, or in a hospital setting with sedation or general anaesthesia for more complex cases.

Recovery after skin cancer surgery varies depending on the size and location of the excision. Most patients can return to normal daily activities within a few days, but strenuous activity may need to be avoided for 1–2 weeks.

Detailed aftercare instructions are provided, and regular follow-up appointments help ensure optimal healing and monitor for recurrence.

Surgery for skin cancer should aim for both complete removal and the best possible cosmetic and functional outcome.

Dr Ilias Kotronakis holds a Fellowship of the Royal Australasian College of Surgeons (FRACS Plast) and has extensive training in plastic and reconstructive surgery. His expertise includes skin cancer removal and advanced reconstruction techniques, with experience in treating cancers in both high-visibility and complex anatomical areas.

If you have a skin lesion that is changing, persistent, or concerning, arranging a consultation is the safest way to assess whether treatment is required.

Appointments are available at our Kogarah, Miranda, and Newtown locations.

1. Infection: Any surgical procedure has the risk of infection. Surgeons take precautions to minimise this risk, such as sterile operating environments and proper wound care, but infections can still occur.

2. Scarring: Scarring is an inherent risk of plastic surgery. While surgeons strive to minimise visible scarring, some procedures may result in more noticeable or keloid scars.

3. Pain and discomfort: Plastic surgery involves incisions and tissue manipulation, which can lead to post-operative pain and discomfort. The level of pain varies depending on the procedure and the individual’s pain tolerance.

4. Hematoma and seroma: Hematomas are collections of blood that can form under the skin after surgery, while seromas are collections of fluid. These fluid collections may require drainage.

5. Nerve damage: Nerves can be damaged during surgery, leading to temporary or permanent numbness, tingling, or loss of sensation in the affected area. Nerve damage can also cause muscle weakness or paralysis.

6. Blood clots: Surgical procedures carry a risk of blood clot formation, particularly in the legs. Blood clots can be serious if they travel to other parts of the body, causing complications like pulmonary embolism.

7. Anesthesia risks: Plastic surgery usually requires the use of anesthesia, which carries its own set of risks. These include adverse reactions to anesthesia, breathing difficulties, and, in rare cases, life-threatening complications.

8. Unsatisfactory results: Plastic surgery outcomes may not meet the patient’s expectations or desires. It’s important for individuals to have realistic expectations and to communicate clearly with their surgeon about their goals and desired outcomes.

9. Revision surgery: In some cases, additional surgery may be required to achieve the desired results or to correct any complications or unsatisfactory outcomes. This can increase the financial and emotional burden on the patient.

10. Psychological and emotional effects: Plastic surgery can have psychological and emotional impacts, both positive and negative. While many people experience improved self-esteem and body image after surgery, others may struggle with unrealistic expectations, body dysmorphia, or dissatisfaction with the results.

It’s crucial for individuals considering plastic surgery to consult with a qualified and experienced plastic surgeon who can thoroughly explain the risks and benefits specific to their desired procedure. Understanding and carefully weighing these risks against the potential benefits can help individuals make informed decisions about whether to proceed with plastic surgery.