Specialist Care for the Most Common Skin Cancer
Basal cell carcinoma (BCC) is the most common form of skin cancer.
It typically grows slowly and rarely spreads elsewhere in the body, but it can become locally destructive if left untreated. Early diagnosis and carefully planned treatment are important to achieve the best functional and cosmetic outcome.
What Is Basal Cell Carcinoma?
Basal cell carcinoma arises from cells in the outer layer of the skin.
It most commonly occurs on sun-exposed areas, particularly:
- The face and nose
- The ears
- The scalp
- The neck
While it is generally not life-threatening, untreated BCC can gradually enlarge and affect surrounding tissues.
How It Presents
BCC can take several forms, and may appear as:
- A pearly or translucent lump
- A non-healing sore or ulcer
- A flat, scaly or slightly pigmented patch
- A lesion that bleeds, crusts, or recurs
Changes are often subtle, which is why persistent or unusual skin lesions should be assessed.
Diagnosis
Diagnosis is based on:
- Clinical examination
- Dermoscopic assessment
- In some cases, a biopsy to confirm the diagnosis
Early and accurate diagnosis is important in selecting the most appropriate treatment.
Treatment Options
Treatment is tailored to the type, size, and location of the lesion.
Surgical Excision
- The lesion is removed with a margin of healthy tissue
- Provides a high cure rate
- Allows histological confirmation that the cancer has been fully removed
This is the most common and reliable treatment, particularly for lesions on the face.
Reconstruction
Following removal, the skin is repaired using techniques selected to optimise both healing and appearance.
This may involve:
- Direct closure
- Local flaps
- Skin grafts
The aim is to restore natural contour while minimising visible scarring.
Other Treatments
In selected cases, alternative treatments may be considered, including:
- Curettage and cautery
- Topical therapies
- Radiotherapy
These are typically reserved for specific indications or where surgery is not appropriate.
Recovery
Recovery depends on the size and location of the lesion and the method of reconstruction.
- Sutures are usually removed within 1–2 weeks
- Scars mature over several months
- Follow-up ensures appropriate healing
Careful aftercare supports optimal cosmetic outcomes.
Outcomes
When treated appropriately, basal cell carcinoma has:
- A very high cure rate
- Excellent long-term outcomes
- Low risk of recurrence when fully excised
Early treatment helps minimise both tissue loss and scarring.
Risks and Considerations
Potential risks include:
- Scarring (minimised through careful technique)
- Infection or delayed healing (uncommon)
- Incomplete excision requiring further treatment
- Recurrence over time
Careful planning and technique are important in reducing these risks.
Specialist Assessment and Treatment
Management of facial skin cancer requires both oncological clearance and aesthetic judgement.
As a Consultant Maxillofacial Surgeon, treatment is guided by:
- Detailed understanding of facial anatomy
- Experience in both tumour removal and reconstruction
- Focus on achieving clear margins while preserving appearance
This ensures a balanced approach—treating the cancer effectively while maintaining natural facial form.
Follow-Up
Patients are typically reviewed after treatment to:
- Monitor healing
- Confirm complete removal
- Check for any signs of recurrence
Advice is also given on skin monitoring and sun protection.
Consultation
A detailed consultation allows assessment of any concerning skin lesion and discussion of appropriate management.
Book a Consultation
For assessment and treatment of basal cell carcinoma in London, arrange a consultation to discuss your options.