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GP or specialist?

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17 replies to this topic

#1 Ho Ho No

Posted 26 February 2020 - 02:12 PM

Who removes skin cancer from face?

If a specialist, is it dermatologist? Plastic surgeon? Other?


#2 barrington

Posted 26 February 2020 - 02:17 PM

Plastic surgeon.

#3 PuddingandPies

Posted 26 February 2020 - 02:28 PM

Plastic surgeon.  If you go to a dermatologist already they should have a surgeon they partner with, or others to recommend.

#4 Moukmouk

Posted 26 February 2020 - 03:24 PM

Depends on what type, size, and position. But generally plastic surgeon. If you have a choice, got to someone who does a lot of skin cancer work. Your GP should be able to guide you.

#5 SummerStar

Posted 26 February 2020 - 03:26 PM

I went to a skin specialist to do mine on my face. Other family members used him and he is extremely neat can't even see a mark.
Just does it in his rooms.

#6 Veritas Vinum Arte

Posted 26 February 2020 - 03:30 PM

Depends where and how much.

My father ended up with 15hrs operation attended by ENT, Neurologist, Oncologist and plastic surgeon.

#7 Flamincrows

Posted 26 February 2020 - 03:37 PM

I have had 3 Basal Cells on my forehead done by my gp. I would say it depends on where they are located and what type of skin cancer.

i have a number of moles on my face, particularly my nose that I will be getting removed, but will be going to a plastic surgeon due to size and location.

#8 Chaotic Pogo

Posted 26 February 2020 - 03:41 PM

Plastic surgeon, if possible.

#9 purplekitty

Posted 26 February 2020 - 03:47 PM

For faces I would see a plastic surgeon, referred by dermatologist or GP.

I've had multiple BCCs (one with SCC characteristics so a large excision) done on my face ranging from just excisions to composite grafts and flap repairs.
Excisions for moles and melanoma elsewhere.
My dermatologist only does biopsies.

You can see the difference in skills when a good plastic surgeon does the work.

Even the small excisions sometimes had a few stitches and unusual suture lines to avoid scarring and fit the contours of the face.

#10 Ho Ho No

Posted 26 February 2020 - 05:14 PM

Thanks all. A friend is being urged to get it done at the GP and isn't completely happy with that idea.

I've suggested she get a second opinion.

I always thought face = plastic surgeon but admit I have no actual knowledge or experience to back that up!

#11 SummerStar

Posted 26 February 2020 - 05:23 PM

Would really depend how large and deep etc. I didn't think twice about having mine done in the specialists rooms and can't even see where it was removed on my face. It wasn't all that deep though but it was in a prominent spot. Some skin specialists can do what they do well without the need for a plastic surgeon.

#12 Ivy Ivy

Posted 26 February 2020 - 06:07 PM

For me:
One last year burnt off at dermatologist's rooms (very painful).
One the year before removed under a general anaesthetic by a plastic surgeon in a hospital.  (The derm referred me to the surgeon.)
The treatments varied because of the stage of the skin cancers, and the size.

I'd want a specialist's opinion, but if the wait to see the dermatologist was really long, might go to the GP.   Might.  Probably would try to wrangle a faster derm appointment instead: to their secretary - "it's urgent, it's skin cancer, I'm worried it might spread, what's their absolute next appt, I'll come any time"... etc)

Edited by Ivy Ivy, 26 February 2020 - 06:08 PM.

#13 purplekitty

Posted 26 February 2020 - 06:30 PM

I've had many burnt off,5FU and Aldara topical as well.

The liquid Nitrogen wasn't that bad at all.

#14 Green lady

Posted 26 February 2020 - 06:52 PM

General surgeons also do it. GPS often do it but on areas other than the face. I wouldn’t go to a GP as often you don’t know how wide or deep the excision has to be. Having said that I’ve had friends have it excused at the GP, sent for pathology and then they’ve been referred to a surgeon to have the wider and deeper excision done.

Edited by Green lady, 26 February 2020 - 06:53 PM.

#15 purplekitty

Posted 26 February 2020 - 07:18 PM

My initial melanoma was excised by my GP then re-excised by  a plastic surgeon after biopsy came back.
The same GP referred me on for BCC face.

#16 PuddingandPies

Posted 28 February 2020 - 11:34 AM

View PostHo Ho No, on 26 February 2020 - 05:14 PM, said:

Thanks all. A friend is being urged to get it done at the GP and isn't completely happy with that idea.

I've suggested she get a second opinion.

Oh yeh, great advice by you. I've had ten on my body. Four by a GP, rest by a plastic surgeon. A surgeon does this day in and out and will give the best aesthetic outcome. As you probably know, for skin cancer biopsy they need to take a wide margin. My uncle had one of his cheek by the same surgeon I went to and you wouldn't notice unless he pointed it out.

#17 07gbam

Posted 28 February 2020 - 06:07 PM

A GP with training and expertise can do uncomplicated facial excisions.
dermatologists are well trained in excisions and can do faces.
plastic surgeon likely to be more$

#18 susie78

Posted 28 February 2020 - 06:35 PM

I had a very small BSC removed from my nose by my GP, no stitches needed. My mum has recently had a melanoma removed from her neck and that was done by a skin cancer specialist. As others have said, it depends on where it is, how big it is, and the type of cancer it is.

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