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Excision of Facial Tumors

Pre-operative assesment

Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD

For region-specific procedures and cases, please choose the region in the menu to the left. This chapter gives you an overview and general guidelines for excisions of facial tumors.

Patient presentation


  • Age, gender
  • Disposition of skin tumors
  • Other diseases
  • Sun exposure
  • Medicine
  • Evolving of the tumor: timeframe, bleeding, pain etc.

Physical Examination

Assessment of skin and lymph nodes on scalp, face and neck.
Tumor description: 

  • Location
  • Size
  • distance to important structures i.e. the eyelid or lip
  • suspicion of deep infiltration in the subdermal complex (adhesion to underlying structures)

Preoperative Work-Up and Preparation for Surgery

  • Well described tumor location and size (see above)
  • Pausation of blood thinning medicine and all natural, herbal medicine including omega-3 fish oil
  • Consider if the surgery should be performed in general or local anesthesia

Preoperative Information

Preoerative information should always include:

  • Risk of infection
  • Bleeding
  • Scars and their location (including keloid)
  • Pain
  • Facial nerve damage with potential paralysis (if relevant)
  • Stretching (deformation) of important structures i.e. eyelid ectropion
  • Risk of tumor recurrence

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