As we mark Skin Cancer Awareness Month, it’s an important reminder to pay closer attention to changes in our skin. In the UK, skin cancer is one of the most common cancers, with over 150,000 new cases diagnosed each year, and rates continuing to rise.
While most skin lesions are harmless, recognising when something may need further assessment is key to early diagnosis and effective treatment.
As a plastic and reconstructive surgeon, I regularly see patients who are unsure whether a mole, lump, or lesion is something to worry about, and importantly, when they should seek specialist advice.
Understanding Skin Lesions
Skin lesions are extremely common and can include:
- Moles (naevi)
- Cysts and lipomas
- Skin tags
- Pigmented patches
- Non-healing sores or ulcers
The majority are benign (non-cancerous) and do not require treatment unless they change, cause discomfort, or become a cosmetic concern. However, some lesions may represent or develop into skin cancer, making awareness and monitoring essential.
When Should You Be Concerned About a Mole or Skin Lesion?
I encourage patients to look out for key warning signs, including:
- Changes in size, shape, or colour
- Irregular or uneven borders
- Bleeding, crusting, or ulceration
- Persistent itching or discomfort
- A lesion that does not heal
The ABCDE rule is a helpful guide:
- Asymmetry
- Border irregularity
- Colour variation
- Diameter greater than 6mm
- Evolving or changing appearance
If you notice any of these features, it’s important to have the lesion assessed.
Common Types of Skin Cancer in the UK
The most common forms of skin cancer in the UK include:
- Basal Cell Carcinoma (BCC): Slow-growing and unlikely to spread, but can cause local damage
- Squamous Cell Carcinoma (SCC): Faster growing and may spread if untreated
- Melanoma: Less common but more serious, with potential to spread to other parts of the body
Early detection is crucial; when diagnosed early, most skin cancers are highly treatable.
When to See a Specialist Plastic Surgeon
If you are concerned about a mole or skin lesion, your GP or a dermatologist is often the first step. However, referral to a specialist plastic surgeon may be recommended for:
- Suspicious or changing moles
- Skin lesion removal or biopsy
- Lesions in cosmetically sensitive areas such as the face
- Reconstruction following skin cancer removal
My role is not only to treat, but also to ensure the best possible cosmetic and functional outcome.
My Approach to Skin Lesion Assessment and Removal
When I see a patient, I begin with a thorough clinical assessment, and examination. If needed, I will arrange a biopsy or complete removal of the lesion.
My priorities are to:
- Remove the lesion safely and completely
- Minimise scarring
- Preserve natural appearance and function
- Provide clear aftercare and follow-up
Each treatment plan is tailored to the individual, ensuring both medical safety and aesthetic outcome are considered.
When to Seek Specialist Advice
If something doesn’t look or feel right, it’s always worth having it checked. Most skin changes will be benign, but early assessment can provide reassurance and, where necessary, allow for prompt treatment.
Taking a proactive approach to your skin health is essential. During Skin Cancer Awareness Month, I encourage patients to regularly check their skin and seek expert advice if anything changes. Early diagnosis can make a significant difference — both in treatment outcomes and peace of mind.
Personalised Care for Your Skin
Skin cancer awareness is not about causing concern — it’s about feeling informed, reassured, and supported in understanding your own skin. Every patient is different, and knowing what is normal for you is key to recognising when something may need further attention.
If you would like to learn more about the assessment or treatment of skin lesions, or have a concern you’d like checked, I’m here to guide you through your options and provide a personalised approach to your care. For further information or to arrange a consultation, please call 0161 260 0131 or contact us here.