Treatment

Surgical dermatology

At Skindepth Dermatology we diagnose and surgically remove skin cancers. We also offer a range of non- surgical modalities for the treatment of some skin cancers that include a range of small procedural options for benign lumps and bumps. To ensure the highest levels of medical care, all dermatologists must complete four extensive years of surgical training.

For larger more complex skin cancers, we have Specialist Plastic Surgeon, Dr James Finkemeyer, MBBS FACS. He is available for consultation for the full breadth of skin related surgery as well as cosmetic surgery of the face, breast and body. Dr James Finkemeyer consults patients and performs surgery in our surgical theatre within the comforting surrounds of our clinic. This means all aftercare and suture removal can be performed in one familiar place. Some patients still prefer to go to hospital to have their skin cancers treated with sedation which can easily be facilitated by out team.

Despite the fact that all surgeries will likely result in some form of scar, most are unlikely to be visible. Occasionally however, despite the best surgical techniques, scars can develop that are unsightly. At Skindepth we have a number of laser and light based modalities equipped to treat scars and give you the best outcomes possible. We also have light based treatments that can be used in the early phase of healing to lead to better outcomes.

Before your procedure

  • Bring your referral letter and any pathology reports
  • Inform us of blood-thinning medications at time of booking
  • Wear loose-fitting clothing
  • Eat normally before your operation

Medicare note

‍Medicare rebates apply for surgical procedures performed with a current GP referral. A gap fee applies — please contact the clinic for current fee information.

Referral required.

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Questions about your skin? Our dermatologists are here to help.
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Medicare rebates may apply. Bring your GP referral.
What to expect

Your appointment journey

01

Before your visit

Bring your GP referral letter and any previous biopsy or pathology reports relevant to the lesion being assessed. Inform the clinic at the time of booking if you are taking any blood-thinning medications including aspirin, warfarin, clopidogrel, or fish oil supplements — your surgeon will advise whether these need to be temporarily ceased prior to the procedure. Wear comfortable, loose-fitting clothing that allows easy access to the area being treated.

02

During the consultation

Your surgeon or dermatologist will examine the lesion and discuss the recommended surgical approach, the procedure itself, expected recovery, and any pathology that will be sent for laboratory analysis. For straightforward procedures, surgery may be performed on the same day as the consultation or at a second short appointment scheduled shortly after. Local anaesthetic is administered before the procedure begins — most patients report minimal discomfort once the area is numb.

03

After your appointment

Wound care instructions will be provided at the time of your procedure. Most surgical wounds heal well with simple dressing care at home. Pathology results are typically available within one to two weeks and will be communicated to you and your referring GP by letter. Follow-up appointments for suture removal and wound review are arranged as clinically appropriate, usually within one to two weeks of the procedure.
Common questions

Frequently asked questions

What are the different types of skin cancers?
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There are three main classes of skin cancers that we treat here at Skindepth Dermatology. These include Basal Cell Carcinomas (BCCs), Squamous Cell Carcinomas (SCC) and Melanomas.

  • Basal Cell Carcinoma: the most common of the non-melanoma skin cancers. These are especially common in individuals who present with many moles, fair skin, previous skin cancers and a history of sun exposure and burns. BCCs are slow growing and very rarely are they life-threatening. They may be superficial or nodular. These skin cancers may be treated medically or surgically alongside the guidance of your dermatologist.
  • Squamous Cell Carcinoma: a non-melanoma skin cancer that can potentially spread beyond the skin. These lesions must be removed surgically by one of our surgical dermatologist or plastic surgeons.
  • Melanoma: a life-threatening skin cancer that must be treated immediately. These skin cancers are incredibly fast growing with the potential to move into nerves or lymph nodes. The only method of treating a melanoma is to surgically excise the lesion, including large margins to ensure complete removal.
  • Bowens Disease (SCC insitu): A type of skin cancer that is confined to the skin surface only. Due to no risk of deeper penetration, these lesions are largely considered precancerous.
Are there any alternatives to surgical treatment?
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Depending on the diagnosis, there may be other modalities available to treat your skin lesion. However, this is determined following your consultation with a dermatologist.

For example, treatment of superficial skin cancers (BCCs) or precancerous Bowen’s Disease (SCC insitu) may include:

  • Topical therapy
  • Photodynamic therapy
  • Cryotherapy
  • Curettage
  • Surgical excision
What length of downtime can I expect following a surgical procedure?
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What length of downtime can I expect following a surgical procedure?

Will I require stitches?
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Yes – stitches promote optimal wound healing post-lesion removal. In larger excisions, you will leave with two layers of suturing. The innermost layer being dissolvable and the outermost layer being non-dissolvable.

We ask you return to clinic 7-14 days (or as directed) following your procedure for a complimentary wound assessment and stitch removal with our nursing team.

Post Surgical Scar Treatment
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  • Topical options, including Strataderm and Stratamed application.
  • Vascular laser
  • Nano-Fractional (Nano-Frac) Radiofrequency
  • Fraxel technology
  • Corticosteroid injections

Please contact our nursing staff to discuss your options when it comes to scar management

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What is the difference between a skin biopsy and a surgical excision?
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A skin biopsy may be performed as a punch biopsy, shave biopsy or curettage. These methods, only remove a small percentage of the lesion for the purpose of diagnosis. However, if the pathology necessitates complete excision, further surgery is required.

A full surgical excision involves removing deeper layers of tissue to ensure complete clearance. Therefore, an excision will require multiple layers of stitches and will leave a larger scar than a biopsy. The recovery period is also greater following a surgical excision.

Will I require an anaesthetic for my surgical excision?
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Surgical excisions are a day procedure performed at our St Kilda East clinic. For this reason, you will not require a general anaesthetic for surgery. Our doctors and nurses will ensure that you are comfortable throughout your procedure utilising local anaesthetic injections. The local anaesthetic delivered will provide further pain relief for 2-3 hours following the procedure.

How do I prepare for my surgical procedure at Skindepth Dermatology?
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How do I prepare for my surgical procedure at Skindepth Dermatology?

Will I be left with a scar?
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Unfortunately, any trauma to the skin surface will result in a scar (including surgery). At Skindepth Dermatology we have many methods for minimising the appearance of post-surgical scarring, including atrophic and keloid scarring. We offer a post-procedure pack to all our surgical excision patients to ensure post-operative wound care reduces the development of scarring.

Ready to see a specialist?

All consultations are with AHPRA-registered dermatologists and GPs.
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