Skin Cancer Surgery & Reconstruction in Sydney and the North Shore
Surgery is a common treatment for basal cell cancers (BCCs), squamous cell cancers (SCCs) and melanoma.
Skin cancer is the most common cancer in Australia, largely caused by ultraviolet (UV) exposure. Early detection and timely treatment reduce the risk of spread and help achieve the best cosmetic and functional outcomes. Dr Varun Harish provides skin cancer removal surgery and melanoma surgery in Sydney and the North Shore.
As a Specialist Plastic & Reconstructive Surgeon (Fellow of the Royal Australasian College of Surgeons - FRACS), Dr Varun Harish treats basal cell carcinoma (BCC), squamous cell carcinoma (SCC), melanoma and melanoma in-situ. He combines cancer clearance with advanced reconstructive techniques to optimise oncological safety and aesthetic outcomes, especially for skin cancers located on the face.
Understanding Skin Cancer
Risk Factors for Skin Cancer
- Cumulative UV exposure and a history of sunburns or tanning bed use.
- Fair skin, light hair and a tendency to freckle.
- A personal or family history of skin cancer.
- Numerous or atypical moles.
- A weakened immune system.
When to Get Your Skin Lesion Checked
See a doctor promptly if you notice:
- A new or changing mole.
- A sore that doesn’t heal or keeps bleeding.
- A lesion that itches, crusts or grows rapidly.
- A dark streak under a nail.
- A mole or spot changing in size, shape or colour.
- A lesion with irregular or blurred borders.
- Persistent pain, itching, or tenderness in a lesion.
- A pigmented patch on palms or soles.
Types of Skin Cancer Treated & Skin Cancer Removal Surgery in Sydney and the North Shore
Basal Cell Carcinoma (BCC)
BCC is the most common type of skin cancer, making up around 80% of cases. It arises from basal (deepest) cells in the epidermis and is typically slow-growing. It usually develops on sun-exposed areas such as the nose, ears, and scalp. It often looks like a pearly or shiny bump, a flat patch, or a sore that does not heal. BCC rarely spreads to other parts of the body but can cause local damage if untreated. Patients most often notice BCCs on the nose or ears — areas that get the most sun. In fact, many people specifically search for skin cancer nose surgery in Sydney or skin cancer ear surgery in Sydney.
Surgical excision with a small margin usually cures it, though higher-risk or recurrent BCCs may need wider or staged excision. Nearly all BCCs are curable with timely treatment.
Squamous Cell Carcinoma (SCC)
SCC arises from the top layer of skin and is strongly linked to long-term sun damage. It may appear as a scaly patch, firm nodule, ulcer, or wart-like growth, often on the face, lips, or ears. If ignored, SCC may spread, but with early treatment in Sydney most cases are cured.
SCC carries a higher risk of spreading to lymph nodes, especially in immunosuppressed patients. Early surgical removal usually cures SCC, but advanced SCC may need additional therapy.
Melanoma
Melanoma is the most serious skin cancer, arising from pigment-producing melanocytes. It may appear as a new spot or a change in an existing mole. In Australia, melanoma is a leading cause of skin cancer deaths, but outcomes are excellent if treated early.
Warning signs are remembered by the ABCDE rule:
A – Asymmetry: one half looks different from the other
B – Border: irregular, blurred, or jagged edges
C – Colour: uneven shades of black, brown, red, or multiple colours
D – Diameter: usually larger than 6 mm
E – Evolution: any change in size, shape, colour, or symptoms
Early detection is critical — thin melanomas are often curable.
The risk of spread is closely tied to tumour depth (Breslow thickness). Treatment usually involves wider surgical excision and, in some cases, sentinel lymph node biopsy or systemic therapies depending on stage.
Melanoma in Situ (MIS)
Melanoma in situ (MIS) is a distinct entity compared to melanoma. It refers to abnormal melanocyte cells that are confined to the top layer of skin, and have not invaded deeper parts of the skin. It usually appears as an irregular flat patch with uneven colouring. These lesions may have been present on the body for quite some time before being diagnosed.
Whilst it cannot spread like melanoma when initially diagnosed, it can progress or turn into invasive melanoma in about 5–20% of cases. Early treatment is often advised and there are several surgical and non-surgical treatments that Dr Harish offers patients with melanoma in situ.
Recently been diagnosed with a skin cancer?
Call us or email us today to book your skin cancer surgery consultation on Sydney’s North Shore.
Surgical Management & Reconstruction
The Patient Journey for Skin Cancer Surgery
Diagnosis and Assessment
At your consultation, Dr Harish reviews your history, medications and risk factors, then examines the lesion using magnification. A biopsy may be performed. For melanoma, additional tests may be arranged before surgery. This ensures treatment is precisely tailored.
Skin Cancer Removal Surgery: Excision
Excision is the gold standard for most skin cancers. The goal is to remove the tumour completely while preserving surrounding structures. The width of the margin (the amount of normal skin around the cancer) varies: smaller for many BCCs and SCCs, and wider for melanoma. Small wounds may close with stitches; larger facial wounds may require flap or graft reconstruction.
Reconstruction After Skin Cancer Surgery
The options for skin cancer reconstruction in Sydney include:
Primary closure – small wounds stitched back together directly
Local flaps – nearby skin moved to cover the wound for best colour and texture match
Skin grafts – skin transferred (or transplanted) from another site, e.g., thigh or ear
Eyelid Skin Cancer Surgery & Reconstruction in Sydney
Eyelid skin cancer surgery is the removal of a cancerous lesion on the eyelid followed by precise reconstruction to restore eyelid function and appearance.
The eyelids are one of the most delicate and functionally important areas for skin cancer surgery. Basal cell carcinoma (BCC) is the most common eyelid cancer, followed by squamous cell carcinoma (SCC) and, less commonly, melanoma. Because the eyelids protect the eye, maintain moisture, and allow normal blinking, specialised surgical expertise is essential to remove the cancer while preserving both function and appearance.
Eyelid skin cancers are usually caused by chronic sun exposure and often appear as a lump, ulcer, or non-healing sore on the lower eyelid. Left untreated, these cancers can extend into deeper tissues around the eye.
As a Specialist Plastic Surgeon with advanced training in facial and eyelid reconstruction, Dr Harish combines complete cancer clearance with precise eyelid repair in a single procedure. His approach draws on principles of oculoplastic reconstruction — restoring eyelid movement, protecting the cornea, and maintaining symmetry — while ensuring the cancer is safely removed.
Depending on the size and site of the lesion, reconstruction may involve local flaps that reposition neighbouring skin, or delicate grafts designed to blend with the natural eyelid tissues. These oculoplastic techniques are tailored to preserve vision and eyelid function while achieving a natural cosmetic result.
Eyelid reconstruction is carefully planned to protect the eye, restore natural blinking and achieve discreet results.
Who performs eyelid skin cancer surgery in Sydney?
Eyelid skin cancer surgery is performed by Specialist Plastic Surgeons with expertise in both cancer removal and reconstruction. As a FRACS-qualified Plastic Surgeon, Dr Harish treats eyelid BCC, SCC and melanoma in one streamlined procedure. He is also internationally published on eyelid melanoma, including a landmark 2013 study in the Journal of Plastic, Reconstructive & Aesthetic Surgery, which is cited in Australia’s national melanoma guidelines. Dr Harish’s treatment is evidence-based and focused on both function and appearance.
FAQ
What does eyelid skin cancer surgery involve?
Eyelid skin cancer surgery involves removing the cancer with safe margins, followed by precise reconstruction to restore eyelid function, protect the eye, and achieve a natural cosmetic appearance.
Will I look normal after eyelid skin cancer surgery?
Eyelid reconstruction is tailored to maintain eyelid shape and symmetry, protect blinking, and minimise visible scarring for discreet results.
Is eyelid skin cancer dangerous?
Eyelid skin cancers such as BCC and SCC are usually treatable when detected early, but they can cause significant damage if left untreated. Melanoma of the eyelid is less common but more serious, which is why early diagnosis and surgery are essential.
If you are concerned about an eyelid lesion, call us or email us to arrange consultation with Dr Harish, Specialist Plastic Surgeon on Sydney’s North Shore.
Mohs Surgery and Plastic Surgery: What Patients Need to Know in Sydney & the North Shore
Patients in Sydney and the North Shore often ask whether Mohs surgery or plastic surgery excision is the best option for removing facial skin cancers such as BCCs and SCCs.
Mohs surgery is a specialised, tissue-sparing skin cancer removal technique usually performed in dermatology centres. During the procedure, very thin layers of tissue are removed and examined under a microscope until no cancer cells remain. This step-by-step process continues until the cancer is fully cleared, which can sometimes take several hours.
Mohs surgery usually involves two specialists: the dermatologist who performs the staged excision and a plastic surgeon who later performs the reconstruction.
Plastic surgeons with skin cancer expertise, such as Dr Harish, perform both the excision and the reconstruction in a single procedure at accredited North Shore hospitals, including those on Sydney’s North Shore. This streamlined approach reduces the need for multiple appointments, shortens overall treatment time, and ensures continuity of care from cancer removal through to cosmetic reconstruction.
If you are searching for skin cancer nose surgery in Sydney, Mohs reconstruction on the North Shore, eyelid BCC Mohs repair, or plastic surgeon Mohs reconstruction Sydney, Dr Harish can provide clear guidance tailored to your situation.
Unsure about Mohs surgery or urgent skin cancer treatment in Sydney? Call us or email us today. Dr Harish offers both consultation and surgery on the North Shore, ensuring your treatment pathway is clear, coordinated and focused on the best possible outcome.
Special Sites: Lip, Ear & Scalp Skin Cancer Surgery in Sydney
Some areas of the face and scalp are especially vulnerable to sun damage and require specialised care. Lip, ear and scalp skin cancers often need advanced reconstructive techniques after cancer removal.
Lip Skin Cancer Surgery & Reconstruction
Skin cancers on the lip are often squamous cell carcinomas (SCC). They may present as persistent sores, crusted patches, or firm nodules. Surgery involves complete cancer removal followed by careful lip reconstruction to maintain speech, eating function and natural appearance.
Ear Skin Cancer Surgery
The ear is prone to basal cell carcinoma (BCC) and SCC because of constant sun exposure. Lesions may appear as scaly patches, ulcers or growths. Surgery may involve excision with skin flaps or grafts to restore the ear’s shape and prevent deformity.
Scalp Skin Cancer Surgery
The scalp is a high-risk site, especially in men with thinning hair. Cancers here can be extensive. Surgical reconstruction may require local flaps or grafts.
Patients across Sydney and the North Shore with lip, ear or scalp skin cancers can book a consultation at our St Leonards clinic for removal and tailored reconstruction.
Revision & Complex Skin Cancer Surgery
Some patients need further treatment if a skin cancer grows back after previous removal, or if the cancer is large, aggressive, or in a delicate area such as the eyelid, nose, lip or ear.
Revision surgery may be required if:
- Margins were not clear at previous excision.
- A cancer has regrown or spread after non-surgical treatment.
- The lesion involves critical sites such as the eyelid, nose, lip, ear or scalp.
For these complex cases, Dr Harish ensures the optimal treatment for each patient is obtained through discussion at the Royal North Shore Hospital Head and Neck Multidisciplinary Team (MDT). Challenging cancers are reviewed with several cancer specialists to enable a consensus expert decision about the best treatment. This ensures decisions are evidence-based and coordinated.
Patients across Sydney and the North Shore with recurrent or complex skin cancers are encouraged to seek specialist assessment to discuss safe and appropriate options.
Recovery & Practical Information
Recovery & Aftercare
Recovery varies with the size, site, and reconstruction technique. Most patients return to normal activities quickly. Careful wound care, sun protection and scar management are important for optimal long-term results.
Typical Recovery Timeline
Day 1–2: Resume light activity; mild discomfort controlled with simple pain relief
Day 3–5: Showering and gentle wound care
Day 7–14: Stitches removed depending on site
Weeks 2+: Swelling settles and activity increases
Scar Healing Timeline
2–4 weeks: Scars may appear red, raised or firm
6–12 weeks: Redness fades; scars flatten
3–6 months: Continued scar softening and fading
12–18 months: Final scar maturation; protect scars from sun exposure
Follow-up visits ensure wounds are healing well and allow adjustments to scar care.
Call us or email us to discuss your personalised recovery plan after skin cancer removal in Sydney.
Risks and Complications
Skin cancer surgery is generally safe. Serious complications are uncommon. Risks are reduced significantly with careful planning, precise technique, and clear aftercare instructions. Uncommon risks associated with skin cancer surgery in Sydney and the North Shore include:
- Bleeding
- Infection or delayed wound healing
- Temporary numbness or altered sensation
- Visible scarring or pigmentation change
- Need for further treatment if margins are not clear
Costs, Medicare & Insurance
Skin cancer removal surgery in Sydney and the North Shore generally attracts a Medicare rebate. Private health insurance may also contribute to hospital and anaesthetic fees. Final costs depend on tumour size, site and complexity. A detailed quote is provided after consultation.
Typical scenarios include:
- In-rooms procedures under local anaesthetic (usually Medicare rebate applies).
- Hospital procedures under sedation or general anaesthesia (Medicare plus private health insurance rebates may apply).
Costs vary with tumour size, site, complexity, and need for reconstruction.
Please bring your referral and pathology report for accurate quoting.
Frequently Asked Questions
How quickly can I be treated after diagnosis?
Biopsy-proven cancers are prioritised and procedures are scheduled promptly after consultation. Procedures for excision and reconstruction can be undertaken safely in the office or rooms. Often, procedures can be performed at the same time as initial consultation. Our team can guide you through the process prior to consultation.
Is the surgery under local anaesthetic, sedation or general anaesthetic?
Most skin cancers are removed under local anaesthetic. Larger or complex cases may need sedation or general anaesthetic in hospital.
Do I need a referral?
A referral ensures Medicare rebate eligibility and also provides important background on your medical history to guide safe treatment.
How can I reduce future risk?
Use daily SPF 50+, avoid tanning beds, and have regular skin checks. Patients with melanoma need closer monitoring.
What happens at a consultation?
Dr Harish examines the lesion, may perform a biopsy, and explains treatment, recovery, and costs. Often, procedures can be performed immediately after initial consultation. Our team can guide you through the process prior to consultation.
Why choose a plastic surgeon?
Plastic surgeons combine safe cancer clearance with reconstruction in one treatment, achieving cosmetic and functional results.
Is surgery covered by Medicare or private health insurance?
Yes, most medically necessary removals attract a Medicare rebate. Insurance may contribute to hospital and anaesthetic fees.
Is Mohs surgery used?
Mohs is sometimes recommended for BCC and SCC, especially on the face. Dr Harish discusses options for treatment, and commonly performs the reconstructive surgery immediately after Mohs when margins are clear.
How long is recovery?
Most patients return to daily activity within days. Stitches are removed in 1–2 weeks. Scars continue improving for months.
Will I have a scar?
All surgery leaves a scar, but careful planning and reconstruction keep scars as discreet as possible.
Is skin cancer removal painful?
Local anaesthetic keeps the procedure comfortable. Afterwards, most patients have only mild soreness, managed with simple pain relief.
Still have questions? Call us or email us to book a consultation with Dr Harish.
About Dr Harish
Research & Guidelines
Dr Harish is internationally published in skin cancer and melanoma, with research featured in leading surgical journals. His landmark 2013 study on eyelid melanoma, published in the Journal of Plastic, Reconstructive & Aesthetic Surgery, is referenced within Australia’s national as well as international melanoma guidelines, shaping standards of care across the country and world.
More recently, as senior supervising author, he authored a 2023 article in the Australian & New Zealand Journal of Surgery on complex skin cancer management. This work underscores the importance of multidisciplinary care in the management of complex skin cancer cases, and tailoring treatment plans to achieve the best outcomes for patients with skin cancer.
Together, these contributions reflect more than a decade of internationally recognised research in skin cancer surgery — this directly informs the comprehensive, evidence-based care Dr Harish provides to patients with BCC, SCC and melanoma on Sydney’s North Shore.
Why Choose Dr Varun Harish
- FRACS-trained Specialist Plastic Surgeon and Australian Society of Plastic Surgeons (ASPS) (see About page)
- Experienced in both simple and complex skin cancer removal including specialised areas – eyelid, nose, ear, lips
- Internationally published author of research into skin cancer and outcomes in Australian and New Zealand Journal of Surgery, and the Journal of Plastic, Reconstructive & Aesthetic Surgery
- Care at accredited Sydney hospitals including the North Shore
Book a Skin Cancer Consultation in Sydney and the North Shore
If you are concerned about a skin lesion or have recently been diagnosed with a skin cancer, book a consultation with Dr Varun Harish. Early diagnosis and treatment leads to the most favourable outcomes.
Serving Sydney and the North Shore
Our skin cancer surgery services — including BCC, SCC and melanoma treatment — are available across Sydney and the North Shore, with many patients attending from surrounding suburbs.
Patients visit our St Leonards clinic from:
Lower North Shore
Crows Nest, North Sydney, Neutral Bay, Mosman
Central North Shore
Chatswood, Lane Cove, Ryde, Killara
Upper North Shore
Hornsby, Wahroonga, Turramurra, St Ives
Northern Beaches
Manly, Dee Why, Mona Vale
Inner West
Ashfield, Burwood, Newtown
North West
Castle Hill, Baulkham Hills
Central Coast
Gosford, Terrigal, Woy Woy
Our clinic is situated beside Royal North Shore Hospital and close to St Leonards Station and Crows Nest Metro, with convenient parking options nearby.
Dr Varun Harish is a Specialist Plastic, Reconstructive & Burns Surgeon in Sydney, providing evidence-based skin cancer surgery and reconstruction for patients across the North Shore and wider Sydney region.