Skin cancer treatment in our Kogarah, Miranda and Newtwon practices involves the surgical removal of the skin cancer with reconstruction using the finest plastic surgical techniques.
Australia has the highest incidence of skin cancer in the world. It is estimated that two thirds of people living in Australia will be diagnosed with a skin cancer before the age of 70. Skin cancers are almost uniformly due to exposure to ultraviolet radiation (the sun). Fortunately, skin cancers are readily amenable to treatment in their early stages. For many patients, skin cancer surgery can be performed under local anaesthetic in our Kogarah rooms. All of our patients are also offered the option of surgery under sedation or a general anaesthetic to complete their skin cancer treatment in one of our Sydney hospitals.
The most common skin cancers requiring treatment in Sydney are squamous cell carcinoma (SCC), basal cell carcinoma (BCC) and melanoma. In addition, there are many rarer types of skin and subcutaneous tumours that are a unique area of expertise for plastic surgeons.
Diagnosis of a skin cancer can usually be made by clinically examining the concerning spot. However, in cosmetically sensitive areas and when the diagnosis is uncertain, a small biopsy will be performed under local anaesthetic. This is the first part of your skin cancer treatment and is done in our procedure room in Kogarah. Definitive surgical treatment of a skin cancer involves excising the lesion with a margin of “normal” skin around it. This is to ensure that the tumour is removed completely and to prevent it from recurring. The margin varies for the type of tumour and the area of the body involved.
Dr Ilias Kotronakis also offers Mohs’ micrographic surgery in conjunction with Dr Andrew Satchell, a dermatologist at the Chris O’Brien Lifehouse hospital in Newtown. This is a two stage skin cancer treatment that offers the highest rate of long term cure for most SCC or BCC’s with minimal collateral damage to the surrounding tissues. It is the best skin cancer treatment option available in Sydney for patients with tumours affecting aesthetically sensitive parts of their body eg nose, eyes.
Skin cancer surgery in Kogarah is a commonly performed procedure. The appropriate management and reconstruction of skin cancer defects in cosmetically sensitive areas is specifically the area of expertise for plastic and reconstructive surgeons. The goal of our surgeons is to remove the tumour completely whilst preserving the natural appearance of your face.
Skin cancer treatment in Sydney is of a very high international standard. Plastic surgeons have special training and techniques to ensure that cancers are completely removed and that the cosmetic result is the most subtle it can be. We will ensure that every effort is made for you to look as though you have never had surgery.
Squamous cell carcinoma (SCC)
These are usually pink, round, flat or slightly raised plaques with surface scaling or ulceration. Typical symptoms include a persistent, painless or painful pink spot. SCCs can occur anywhere on the body, but have a predilection for areas of sun exposure on the arms, legs and face. If left untreated, SCCs can invade along and through nerves, lymphatics and bone. Many SCC skin cancer surgeries are performed every week in our Kogarah rooms.
Basal cell carcinoma (BCC)
These tumours variably present as pink plaques or fleshy bumps that can bleed. BCCs grow slowly but deeply, and can penetrate through to bone. They are the most common type of skin cancer to be treated in Sydney.
Melanoma
Melanomas are tumours of the pigment cells (melanocytes) of our skin. Risk factors for developing a melanoma include a history of previous skin cancers, blistering sunburns as a child, a family history of melanoma and numerous dysplastic moles. If treated early, patients with a melanoma has a very high survival rate. Dr Amira Sanki has additional training in the treatment of melanoma, with many internationally presented and published articles in this field. Skin cancer treatment of a melanoma is usually performed in one of our Sydney hospitals.
Plastic surgery, like any other surgical procedure, carries certain risks and potential complications. It is important for individuals considering plastic surgery to be aware of these risks before making a decision. Your plastic surgeon will explain the specific risks of your procedure and your risk profile in the context of your general health and the complexity of your procedure. Here are some of the common risks associated with plastic surgery:
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.