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Skin Surgery Clinic

Introduction and Overview

Skin Surgery Services at Nottingham Road Clinic provide specialist-led assessment and surgical management of benign, pre-malignant and malignant skin lesions. Skin lesions are common and range from harmless growths to conditions requiring timely excision, histological diagnosis and onward management. Accurate assessment and appropriately planned surgery are essential to ensure both clinical safety and optimal outcomes.

The service is delivered by experienced clinicians with specialist expertise in skin surgery, working within UK clinical standards and established referral pathways. Care is supported by access to diagnostic assessment, surgical facilities and pathology services, allowing lesions to be assessed, removed and analysed within a coordinated framework.

Nottingham Road Clinic follows an evidence-based and patient-centred approach to skin surgery. The focus is on accurate diagnosis, exclusion of skin cancer where relevant, and safe surgical management using techniques appropriate to lesion type, anatomical location and patient medical history. Skin surgery can have physical, functional and psychological implications, particularly where lesions are visible or recurrent, and management plans are tailored accordingly. Where necessary, care interfaces with NHS dermatology, plastic surgery or oncology pathways.

Introduction and Overview

Skin Surgery Services at Nottingham Road Clinic provide specialist-led assessment and surgical management of benign, pre-malignant and malignant skin lesions. Skin lesions are common and range from harmless growths to conditions requiring timely excision, histological diagnosis and onward management. Accurate assessment and appropriately planned surgery are essential to ensure both clinical safety and optimal outcomes.

 

The service is delivered by experienced clinicians with specialist expertise in skin surgery, working within UK clinical standards and established referral pathways. Care is supported by access to diagnostic assessment, surgical facilities and pathology services, allowing lesions to be assessed, removed and analysed within a coordinated framework.

 

Nottingham Road Clinic follows an evidence-based and patient-centred approach to skin surgery. The focus is on accurate diagnosis, exclusion of skin cancer where relevant, and safe surgical management using techniques appropriate to lesion type, anatomical location and patient medical history. Skin surgery can have physical, functional and psychological implications, particularly where lesions are visible or recurrent, and management plans are tailored accordingly. Where necessary, care interfaces with NHS dermatology, plastic surgery or oncology pathways.

Who the Service Is For

Skin Surgery Services are suitable for adults who require specialist assessment and surgical management of skin lesions beyond what is appropriate in primary care.

This includes patients with:

  • New, changing or suspicious skin lesions
  • Lesions requiring diagnostic excision or biopsy
  • Recurrent or symptomatic benign skin growths
  • Skin lesions associated with bleeding, pain or infection
  • Lesions in anatomically sensitive or cosmetically important areas
  • Skin conditions requiring formal histological diagnosis

Specialist input is particularly important where there is concern about malignancy, diagnostic uncertainty, lesion recurrence or where surgical complexity exceeds primary care provision. The service supports both insured and self-pay patients and provides a clear pathway for GP and referrer involvement.

Conditions Assessed and Managed

The Skin Surgery Service assesses and manages a wide range of skin lesions and related conditions.

Benign skin lesions
Commonly assessed benign lesions include lipomas, cysts, skin tags, seborrhoeic keratoses and benign naevi. Surgery may be indicated where lesions are symptomatic, recurrent, infected or diagnostically uncertain.

Pigmented lesions
Moles and pigmented skin lesions are assessed carefully for features suggestive of melanoma or dysplastic change. Excision may be required for definitive diagnosis.

Pre-malignant skin conditions
Conditions such as actinic keratoses or lesions with dysplastic features may require surgical management or biopsy to guide further care.

Suspected skin cancer
Basal cell carcinoma, squamous cell carcinoma and suspected melanoma require prompt assessment and biopsy or excision in line with national cancer guidance.

Recurrent or complex lesions
Lesions that have recurred following previous treatment or are located in areas such as the face, scalp or hands require careful surgical planning.

Red-flag skin features
Rapid growth, ulceration, persistent bleeding, colour change or irregular borders warrant urgent specialist assessment.

Clinical Assessment and Diagnostic Approach

Assessment begins with a detailed clinical history, focusing on lesion duration, change over time, associated symptoms, sun exposure history, personal or family history of skin cancer and relevant medical conditions.

Clinical examination includes:

  • Full inspection of the lesion and surrounding skin
  • Assessment of size, shape, colour, margins and surface features
  • Evaluation of regional lymph nodes where appropriate

Diagnostic pathways may include:

  • Clinical photography or dermoscopic assessment where indicated
  • Excision biopsy or incisional biopsy for histological diagnosis
  • Referral for imaging or further investigation in selected cases

All diagnostic decisions align with UK dermatology and cancer referral guidelines, with investigations used appropriately to support accurate diagnosis and management.

Treatments, Procedures and Management Pathways

Management is tailored to the nature of the lesion, patient factors and clinical risk.

Treatment pathways may include:

  • Surgical excision under local anaesthesia
  • Diagnostic and therapeutic biopsies
  • Management of recurrent or complex lesions
  • Wound care planning and scar management advice

Surgical approaches follow evidence-based practice, with careful attention to margins, anatomical considerations and patient safety. Follow-up includes review of histology results, wound assessment and onward referral when required.

Multidisciplinary Working and Onward Referral

Skin surgery frequently involves collaboration with other specialties. The service works closely with:

  • Dermatology services
  • Pathology for histological analysis
  • Plastic surgery for complex reconstructions
  • Oncology teams for confirmed malignancy
  • Primary care for shared follow-up
  • NHS secondary and tertiary services where further treatment is required

This integrated approach ensures patients receive appropriate and timely care across services.

What Patients Can Expect from an Appointment

Appointments are consultant-led and structured to provide clarity and reassurance.

Patients can expect:

  • Detailed review of the lesion and medical history
  • Clinical examination and discussion of findings
  • Explanation of diagnostic and surgical options
  • Discussion of risks, benefits and aftercare
  • Development of a personalised management plan

Clear communication is provided throughout, with written correspondence shared with referrers where appropriate.

Frequently Asked Questions

Will all skin lesions need to be removed?
No. Many lesions can be monitored, but removal may be required for symptoms or diagnosis.

Is histology always performed?
Histological examination is carried out where clinically indicated to confirm diagnosis.

Are procedures done under local anaesthetic?
Most skin surgery procedures are performed using local anaesthesia.

Will I need follow-up?
Follow-up depends on the lesion type and histology findings.

Can this service support NHS referrals?
Yes. Findings can support onward NHS referral where appropriate.

Will my GP be informed?
With consent, clear correspondence is shared with primary care.

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