03/09/2026
Living in South Africa, with our high levels of sun exposure, skin cancer is something I see a great deal of — and an area where plastic and reconstructive surgery plays a quietly vital role.
Most skin cancers are highly treatable, particularly when caught early. The challenge often isn't removing the cancer itself but what's left behind. A skin cancer on the back or the leg may be straightforward to close. But on the face — the nose, the eyelid, the lip, the ear — even a small lesion can leave a defect that's both functionally and aesthetically demanding to repair. These are areas where every millimetre matters, where the skin is specialised, and where a poor reconstruction is immediately visible.
This is where reconstructive technique comes in. After the cancer is fully removed (sometimes in coordination with a dermatologist or via a technique that checks the margins precisely), the task is to rebuild the area so that it both functions and looks as natural as possible. Depending on the size and site, this might involve careful direct closure, a local flap that borrows neighbouring tissue, or a skin graft. The art lies in hiding scars in natural creases and restoring the normal contours of a complex, three-dimensional area like the nose or eyelid.
The encouraging message is twofold: most skin cancers are very treatable, and even where removal leaves a significant defect, modern reconstruction can restore the area remarkably well. The key, as ever, is early attention — please don't ignore a changing spot.