Skin cancer is one of the most common cancers worldwide, and early treatment is essential for the best outcomes. When you or a loved one receives a skin cancer diagnosis, one of the first questions that comes to mind is: who should remove it?

In Singapore, skin cancer can be treated by different skin specialists, but the choice of doctor depends on the type of skin cancer, its size, and where it appears on the body. This guide will help you understand which experts are involved in skin cancer surgery in Singapore, what their roles are, and how to choose the right skin cancer surgeon for your needs.

 

Which doctors can remove skin cancer?

 

Several types of doctors are trained to diagnose and treat skin cancer. The most common specialists include:

 

1. Dermatologists

 

A dermatologist is often the first point of contact for patients with suspicious moles, growths, or lesions. Dermatologists are trained to:

• Perform skin examinations and biopsies to confirm diagnosis.
• Treat early-stage skin cancers with minor surgical procedures.
• Manage superficial skin cancers using non-surgical methods such as cryotherapy, topical medications, or photodynamic therapy.

For small or less aggressive cancers, dermatologists may perform skin cancer surgery themselves. Some dermatologic surgeons are also trained in Mohs micrographic surgery, which is a precise technique that removes skin tumour layer by layer while sparing healthy tissue. Compared to conventional wide local excision, Mohs surgery in Singapore has been shown to improve cancer removal rates, reduce risk of recurrence of skin cancer, and result in smaller wounds and smaller scars. Mohs surgery is especially suited for skin cancers that occur in cosmetically sensitive areas such as the face.

 

2. Plastic surgeons

 

Plastic surgeons are skilled in reconstructive techniques that restore both function and appearance after tumor removal. For wounds that are very large, or in cosmetically sensitive areas such as the face, plastic surgeons are able to design flaps or skin grafts that help to minimise the appearance of subsequent scars.

 

3. General or surgical oncologists

 

For deeper or more aggressive cancers (such as melanoma that has spread beyond the skin), a general surgeon or surgical oncologist may be involved. They can perform wider excisions, lymph node biopsies, or more complex surgeries.

 

The role of a dermatologist in skin cancer care

 

Dermatologists play a central role in the detection and management of skin cancer. Because they specialise in skin conditions, they are often the best-equipped to:

• Spot suspicious changes early.
• Remove small cancers safely in a clinic setting.
• Provide ongoing skin checks to monitor for recurrence.

If the cancer requires more advanced surgery or reconstruction, the dermatologist will refer patients to the most appropriate skin cancer surgeon.

 

Types of skin cancer surgery in Singapore

 

The treatment plan for skin cancer depends on the diagnosis and severity. Common surgical approaches include:

 

1. Wide local excision surgery

 

• The most common treatment for most basal cell carcinomas, squamous cell carcinomas and early melanomas.
• The surgeon removes the cancer along with a margin of healthy tissue to ensure complete clearance.

 

2. Mohs micrographic surgery

 

• Performed mainly by dermatologists trained in this specialised technique.
• Involves removing the cancer layer by layer and examining each under a microscope until only cancer-free tissue remains.
• Ideal for skin cancers on the face and other delicate areas where preserving tissue is crucial.

 

3. Curettage and electrosurgery

 

• The cancer is scraped off, and heat is applied to destroy any remaining abnormal cells.
• Typically used for superficial basal cell carcinomas.

 

4. Reconstructive surgery

 

• If a large portion of skin needs to be removed, reconstructive procedures may be necessary.
• A skin cancer surgeon with reconstructive expertise ensures minimal scarring and good cosmetic outcomes.

 

How to choose the right skin cancer surgeon in Singapore

 

Selecting the right doctor is critical for both medical safety and cosmetic results. Consider the following when making your decision:

• Expertise and training: Look for a dermatologist or surgeon with proven experience in skin cancer surgery.
• Type of skin cancer: Different cancers require different approaches. Basal cell and squamous cell carcinoma are often treated by dermatologists, while advanced melanoma may need an oncologic or plastic surgeon.
• Surgical technique: Ask whether Mohs micrographic surgery, excision, or another method is most suitable for your case.
• Cosmetic concerns: For cancers on the face or visible areas, a specialist with reconstructive skills can help minimise scarring.
• Follow-up care: Choose a doctor who provides ongoing skin monitoring and education on preventing recurrence.

 

What to expect during and after surgery

 

Most skin cancer surgeries in Singapore are outpatient procedures performed under local anesthesia. The process usually involves:

 

1. Pre-surgery consultation: The doctor explains the procedure and answers your questions.

2. Surgery: Depending on the method, the procedure may take 30 minutes to several hours (for Mohs surgery).

3. Recovery: Stitches are typically removed within 1–2 weeks. Scars improve over time, though cosmetic treatments may be recommended if needed.

4. Follow-up: Regular skin checks are essential to detect new or recurring cancers early.

 

Why early treatment matters

 

Skin cancer, when detected early, is highly treatable. Delaying treatment allows the cancer to grow deeper and spread, which may require more extensive surgery and leave larger scars. Early detection by a dermatologist and timely referral to a skilled skin cancer surgeon offers the best chance for a full recovery with minimal impact on appearance.

 

Conclusion

 

So, who removes skin cancer? Managing skin cancer is never a one-size-fits-all approach. The answer depends on the type, size, and location of the cancer. A dermatologist often manages early detection and treatment, while a skin cancer surgeon in Singapore – whether a dermatologist with Mohs surgery expertise, a plastic surgeon, or an oncologist – handles more complex cases.

If you have a suspicious skin growth, don’t wait. Seek medical advice early and consult the right specialist to ensure safe, effective, and cosmetically mindful treatment. For those seeking professional care, TSN Dermatology Skin Specialist Clinic offers comprehensive services, including skin cancer screening, skin cancer surgery, and Mohs micrographic surgery in Singapore. Reach out today to book your consultation with our experienced skin specialists.

 

References

 

Hasan, N., Nadaf, A., Imran, M., Jiba, U., Sheikh, A., Almalki, W. H., Almujri, S. S., Mohammed, Y. H., Kesharwani, P., & Ahmad, F. J. (2023). Skin cancer: understanding the journey of transformation from conventional to advanced treatment approaches. Molecular cancer, 22(1), 168. https://doi.org/10.1186/s12943-023-01854-3

Burditt, B. (2024, May 15). Importance of early detection: Recognizing signs and symptoms. American Society for Mohs Surgery. https://www.mohssurgery.org/blog/skin-care/the-importance-of-early-detection-recognizing-the-signs-and-symptoms-of-skin-cancer/

Kamowitz, B. (2023, December 13). Building your skin cancer team. The Skin Cancer Foundation. https://www.skincancer.org/blog/building-your-skin-cancer-team/

Shuber, E., Abdulhussein, D., Sinclair, P., & Kadhum, M. (2019). Who Should Carry Out Skin Cancer Excisions? A Systematic Review. Journal of cutaneous and aesthetic surgery, 12(3), 153–157. https://doi.org/10.4103/JCAS.JCAS_174_18