Give Plastic Surgery Group at City Centre a phone call at (778) 907-8812 Contact Us
Give Plastic Surgery Group at City Centre a phone call at (778) 907-8812 Contact Us

Comprehensive Skin Cancer Care in Surrey

Skin cancer occurs when skin cells grow abnormally and multiply in an uncontrolled way. Over time, these abnormal cells can invade surrounding tissue and, in some cases, spread to other areas of the body if left untreated.

At PSG, skin cancer treatment focuses on completely removing the cancer while preserving function and minimizing cosmetic impact whenever possible. Our surgeons use careful surgical techniques to remove suspicious lesions and reconstruct the treated area in a way that maintains natural appearance and movement. Early evaluation is critical. If you notice changes in a mole or skin lesion, it is important to seek medical assessment promptly.

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Our Fraser Valley service areas include

Surrey, Langley, Abbotsford, Chilliwack, Coquitlam, Port Moody, Port Coquitlam, Pitt Meadows, and Mission, BC.

ABC’s of Skin Cancer

One of the most common ways to evaluate a changing mole or lesion is the ABCDE rule, which highlights warning signs of possible skin cancer:

  • Asymmetry: One half of the lesion looks different from the other
  • Borders: The edges become irregular, uneven, or poorly defined
  • Color: The lesion contains multiple colors or uneven pigmentation
  • Diameter: The lesion is larger than 6 mm (about the size of a pencil eraser)
  • Evolution: The mole or lesion changes in size, shape, color, or texture over time

If a lesion demonstrates these characteristics, it should be examined by your family doctor or a dermatologist.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

Read All Testimonials
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Skin Cancer Treatment

Treatment depends on the type, size, and depth of the skin cancer. Very superficial lesions may sometimes be treated with topical medications or minor procedures performed by a dermatologist. When cancers are deeper or more advanced, surgical removal is usually the most effective treatment.

At PSG, surgery focuses on removing the cancer while preserving the surrounding tissue whenever possible. After the cancer is removed, the area may be reconstructed using:

  • Local tissue flaps, where nearby skin is repositioned to cover the surgical site
  • Skin grafts, where healthy skin from another area of the body is used to repair the defect

These reconstructive techniques help restore both function and appearance following cancer removal.

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Causes of Skin Cancer

Most common skin cancers are strongly linked to ultraviolet (UV) exposure from the sun or tanning beds. Repeated sun exposure over time damages the DNA of skin cells, increasing the risk of cancer development. Skin cancer is more likely to develop in areas that receive the most sun exposure, including:

  • The face and neck
  • Arms and shoulders
  • The torso in men
  • The legs in women

Individuals with weakened immune systems, such as transplant recipients or patients taking certain medications, may also have a higher risk of developing skin cancer.

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Types of Skin Cancer

The most common skin cancers are Basal Cell Carcinomas, Squamous Cell Carcinomas, and Melanomas.

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Basal Cell Carcinomas (BCC)

Basal cell carcinoma is the most common type of skin cancer. It typically grows slowly and rarely spreads to other areas of the body. However, untreated lesions can gradually enlarge and damage surrounding tissue.

Treatment

In most cases, BCC can be removed surgically with a small margin of surrounding tissue. The area is then repaired using nearby skin or, in larger cases, a skin graft.

Recovery

If a flap repair is performed, sutures may be removed within 7–10 days. If a graft is required, the dressing is usually left in place until the first follow-up appointment, typically about one week later.

Possible Complications

Potential complications include infection, wound healing problems, or incomplete removal of the cancer, which may require additional surgery.

Squamous Cell Carcinoma (SCC)

Squamous cell carcinoma is the second most common skin cancer and is generally more aggressive than basal cell carcinoma. If untreated, it may spread to nearby lymph nodes or other parts of the body.

Treatment

SCC is usually treated with surgical removal and a wider margin of surrounding tissue to ensure the cancer is fully removed. In some cases, nearby lymph nodes may also be evaluated.

Recovery

Because larger margins may be required, reconstruction may involve either local tissue flaps or skin grafts. Sutures are typically removed within 7–10 days.

Possible Complications

Complications may include infection, wound healing issues, incomplete removal of the cancer, or the need for additional treatment if the margins are not clear.

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Melanoma

Melanoma is a cancer that develops from pigment-producing cells in the skin. It is typically dark brown or black in color but can occasionally appear without pigment. Melanoma is the most serious type of skin cancer because it can spread to lymph nodes and other organs such as the lungs, liver, brain, or bones. Two major factors influence melanoma prognosis:

  • The thickness of the melanoma
  • Whether the lesion is ulcerated or bleeding

Treatment

Melanomas require surgical removal with carefully determined margins based on the thickness of the tumor. In some cases, a sentinel lymph node biopsy may be recommended to determine whether the cancer has spread to nearby lymph nodes.

Possible Complications

As with other skin cancer surgeries, complications may include infection, wound healing issues, or incomplete removal requiring additional treatment. In rare cases, the sentinel lymph node cannot be located during biopsy.

MOH’s Micrographic Surgery

Mohs surgery is a specialized technique in which skin cancer is removed layer by layer while the margins are examined immediately under a microscope. This approach offers one of the lowest recurrence rates for certain skin cancers.

Only a small number of physicians in British Columbia perform Mohs surgery, and each procedure can take several hours to complete.

Why Don’t We Send All the Patients for MOH?

Skin cancers are extremely common, and Mohs surgery is not necessary for most cases. The majority of skin cancers can be safely treated with standard surgical excision. When a lesion has unclear borders or occurs in a location where tissue preservation is especially important, your surgeon may recommend referral to a Mohs specialist.

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Schedule a Consultation

To learn more about skin cancer treatment or to schedule a consultation with one of PSG’s board-certified plastic surgeons, please contact our Surrey office today.

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Let’s Talk About Your Goals

Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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