Premier Dermatologic Surgery
 
    
Premier Dermatologic Surgery     
Premier Dermatologic Surgery

Since my biopsy, I can hardly see where the spot was. Do I still need surgery?

A. A biopsy is often performed to establish a diagnosis, not to completely remove a skin cancer. Unfortunately, many skin cancers have microscopic roots that would continue to grow under the surface of the skin if left untreated. Most dermatologists agree that definitive treatment (e.g. surgery, radiation, etc.) be performed of any biopsy-proven skin cancer once the diagnosis is made.

I recently had a skin cancer, but I love to boat, fish, and golf. Any advice?

A. I don’t expect my patients to give up their favorite pastimes, but I do recommend that they take precautions when enjoying outdoor activities. Everyone should get in the habit of regularly applying sunscreen (ideally a zinc-oxide containing product with an SPF of at least 30), wearing a hat and sunglasses when possible, and seeking shade when possible. In addition, planning activities in the morning or late afternoon will help one avoid the peak UVB hours of 10 a.m. to 4 p.m.

I’ve had this mole on my cheek since I was a child, and it hasn’t changed. Can it be removed?

A. First, it should be examined by an experienced provider to "rule-out" any suspicious features. Moles can be removed in several ways, including shave removal, simple excision with stitches, or sometimes laser. Each option has its own pros and cons, which I fully review with all of my patients. If it is not a suspicious or symptomatic mole, your insurance company may consider it cosmetic and deny coverage for the treatment.