basal cell carcinoma

Diagnosis requires a skin biopsy. Your dermatologist will numb the suspicious area and remove a small sample of tissue for microscopic examination by a pathologist. The biopsy confirms whether the growth is basal cell carcinoma and identifies the specific subtype, which helps determine the most appropriate treatment approach.

Mohs micrographic surgery is a specialized technique for removing skin cancer layer by layer while examining each layer under a microscope during the procedure. This allows the surgeon to confirm complete removal while preserving maximum healthy tissue. Mohs offers the highest cure rate (up to 99%) and is ideal for BCCs on the face, ears, nose, and other areas where tissue preservation matters.

Mohs surgery is recommended for BCCs in cosmetically or functionally sensitive areas such as the face, ears, eyelids, nose, lips, and hands. It is also preferred for large tumors, aggressive subtypes, recurrent cancers, and BCCs with poorly defined borders. Your dermatologist will recommend the best treatment approach based on your specific situation.

Recovery depends on the treatment method and location. Most patients return to normal activities within a few days to two weeks. Mohs surgery and excisions leave a wound that heals over 2 to 4 weeks, with final scar maturation taking several months. Your care team will provide specific wound care instructions and schedule follow-up visits.

With appropriate treatment, basal cell carcinoma has excellent cure rates. However, having one BCC increases your risk of developing additional skin cancers in the future. About 40% of patients who have had BCC will develop another one within five years. Regular skin checks and sun protection are essential for ongoing monitoring and prevention.

Reduce your risk by protecting your skin from UV radiation: use broad-spectrum SPF 30+ sunscreen daily, wear protective clothing and wide-brimmed hats, seek shade during peak sun hours (10am to 4pm), avoid tanning beds, and perform monthly skin self-exams. If you have had BCC previously, schedule regular skin cancer screenings with a dermatologist.

After a basal cell carcinoma diagnosis, most dermatologists recommend skin exams every 6 to 12 months for the first few years, then annually if no new cancers develop. People with multiple skin cancers, extensive sun damage, or other risk factors may need more frequent monitoring. Our South Austin office provides comprehensive skin cancer surveillance.

Yes, skin cancer including basal cell carcinoma is common in Central Texas due to the sunny climate and high UV index for much of the year. Austin’s outdoor lifestyle increases cumulative sun exposure. Our dermatologists see basal cell carcinoma regularly and provide complete care from diagnosis through treatment and ongoing monitoring.

Both are common skin cancers caused by UV exposure, but they develop from different cells. Basal cell carcinoma arises from cells in the lower epidermis and tends to grow slowly with very low metastatic potential. Squamous cell carcinoma develops from cells in the upper epidermis, can grow faster, and has a higher (though still low) risk of spreading. Both require professional treatment.

Yes, basal cell carcinoma treatment including Mohs surgery is medically necessary and typically covered by health insurance plans. Coverage varies by plan, and deductibles or copays may apply. Our office can verify your benefits and provide cost estimates before treatment. Contact us at (512) 815-2559 for insurance questions.