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  • Q&A with Australian Health Practitioners

    Do you remove forehead BCCs?

    Related Topics
    Cancer Skin Cancer
    Biopsy confirmed by the skin cancer clinic - can you remove it?
    • 2 answers
    • Dr Walter Flapper
    • Dr Daniel Bothma
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    Dr Walter Flapper

    Plastic Surgeon

    Dr Flapper is a craniofacial surgeon in Adelaide. Following the completion of his training as a plastic and reconstructive surgeon, Dr Flapper completed a post … View Profile

    Forehead BCCs are regularly removed by plastic and reconstructive surgeons. This can usually be performed under local anaesthetic. I would recommend obtaining a referral to a plastic and reconstructive surgeon to assess the lesion and arrange for it's removal for you.

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    Dr Daniel Bothma

    GP (General Practitioner)

    An accredited and experienced skin cancer specialist, Dr. Daniel Bothma holds a Master's Degree in Clinical Dermatology and is a Fellow of the Skin Cancer … View Profile

    Forehead BCCs may be of superficial, nodular, or aggressive variants.

    Superficial BCCs respond to a cream called imiquimod (Aldara), and might not even require surgery.

    Simple small nodular BCCs can be removd by any competent and appropriately trained skin surgeon. Out of pocket costs frequently are a large factor for the patient to consider, as it can vary greatly depending on who performs the procedure, and also where it is performed.

    Aggressive subtypes of BCC, especially when close to the important nerve structures of the forehead, occasionally require specialised surgery called Mohs micrographic surgery to remove in the best possible way, as it is the most "skin sparing"option.

    The best avenue is usually to discuss treatment options with your skin cancer doctor, dermatologist or GP to make a decision that is best suited to your situation. As mentioned, the out of pocket gap payments can be a significant cost factor to consider before opting for plastic surgery as the only option.

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