19/09/2026
π¨ BCC DOESN'T ALWAYS LOOK THE SAME β KNOW THE MANY FACES OF SKIN CANCER
Basal cell carcinoma (BCC) is the most common skin cancer in New Zealand β but it rarely looks the same from person to person. That's why even a small, innocent-looking spot deserves a proper check. Here are the main "faces" BCC can wear:
πΉ Nodular BCC
A shiny, pearly pink or flesh-coloured bump with tiny blood vessels on the surface. Often on the nose, cheek or forehead. May bleed easily and develop a central ulcer with rolled edges.
πΉ Superficial BCC
A pink or red, slightly scaly patch that can look a bit like eczema or psoriasis. Common on the shoulders, chest and back β often in younger people.
πΉ Morphoeic / sclerosing BCC
A firm, waxy, scar-like plaque with unclear edges, often on the mid-face. The trickiest type β it can spread wider and deeper than it looks.
πΉ Pigmented BCC
Brown, blue or black in colour β can mimic a mole or melanoma. More common in people with darker skin types.
πΉ Aggressive variants (micronodular, infiltrative)
Can look deceptively normal with firm, yellowish or ill-defined borders, but have higher risk of recurrence.
π Why it matters
BCC is driven mainly by sun exposure, especially intermittent intense UV and sunburn β and New Zealand has some of the highest UV levels in the world.
π©βπ¦° Not just an "older person's" cancer
BCC is uncommon under 40, but it's happening more often in younger Kiwis β and it's rising fastest in young women, linked to sunburns, sunbed use and outdoor sun exposure. If you have fair skin, red or blonde hair, freckles, a history of blistering sunburns, sunbed use, or a family history of skin cancer β don't wait until you're 50 to get checked.
β οΈ Red flags worth getting checked:
- A spot that bleeds, crusts or won't heal
- A new shiny bump or flat patch
- A scar-like area that appears without injury
- A change in a previously normal area of skin
βοΈ How to stay SkinSure β sunscreen alone isn't enough
- Physical protection first: seek shade, wear a broad-brimmed hat and tightly woven dark clothing with UPF rating. In practice these cut your UV exposure more reliably than sunscreen alone.
- Then sunscreen, every 2 hours: SPF 50+ broad-spectrum, applied generously 20 minutes before going out and reapplied every 2 hours (or after swimming, sweating or towelling). Most people under-apply, so reapplication matters.
- Be especially careful 10amβ4pm during NZ summer.
- Regular skin checks, especially if you've had a previous skin cancer (there's a 30β77% chance of another BCC within 3 years) https://dermnetnz.org/topics/basal-cell-carcinoma-in-skin-of-colour.
π Book your skin check with SkinSure today β early detection makes treatment simpler and keeps your skin looking its best.
π www.skinsure.co.nz
Photos are educational only and cannot confirm a diagnosis.
βοΈ Protect your skin with shade, covering clothing, a broad-brimmed hat and broad-spectrum SPF 50+ sunscreen. Reapply sunscreen every two hours and after swimming, sweating or towelling.
π Concerned about a spot? Book a professional skin assessment with SkinSure:
π www.skinsure.co.nz
Learn more from DermNet NZ:
π https://dermnetnz.org/topics/basal-cell-carcinoma
Basal Cell Carcinoma: Symptoms, Causes, and Treatment β DermNet https://share.google/ZGWzfun2eLzIpp28J
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