Surgical Treatments

Our Géniale Skin Cancer doctors have over two decades of experience in medicine and surgery. Our centre is equipped with state-of-the-art technology and our team is highly skilled in the latest, most innovative procedures.

At Géniale Skin Cancer Centre, we deliver an experience that is personal and individualised. Please book an appointment to meet our team to discuss the best skin cancer prevention and treatment options for you.


Excision involves surgically removing the skin cancer and a healthy margin of tissue to ensure complete excision and to prevent the spread of cancerous cells. The complexity of the procedure will depend on the type, size and location of the cancer.

Excisions are performed under local anaesthetic and are closed with sutures. Downtime is minimal and patients are generally able to drive home and return to work the next day.


Cryosurgery (or Cryotherapy) is a treatment using extreme cold to destroy cancer cells. Liquid nitrogen is applied to the skin to destroy abnormal tissue. A healing matrix will form and eventually replace the affected lesion.

Cryosurgery is used to treat different types of skin cancer and some precancerous conditions.


Curettage is a more traditional treatment performed on superficial skin cancers. The procedure involves scraping a skin cancer with a curette (a spoon-shaped instrument) to remove skin tissue and using low-level heat to cauterize any remain cancerous cells.

Curettage is performed under local anaesthetic and does not require stitches.


Mohs micrographic surgery (or Mohs surgery) is a precise and highly technical micro-surgical technique.

It enables the complete excision of skin cancers to be examined by microscopy margin control, offering the highest cure rates while limiting the removal of healthy tissue.

The procedure allows for 100% of the tumour to be examined, minimising the chance of regrowth, scarring or disfigurement.

Mohs Surgery is appropriate when:

  • the cancer is an area where it is important to preserve healthy tissue for maximum functional and aesthetic outcomes such as the eyelids, nose, ears, lips, fingers, toes, or genitals
  • the cancer was treated previously and has reoccurred
  • there is scar tissue in the cancerous area of the cancer
  • the cancer is large
  • the cancer is growing rapidly or uncontrollably
  • the edges of the cancer cannot be clearly defined

Local anaesthetic is used for Mohs Surgery and you will remain awake during the procedure.

SLOW MOHS SURGERY (Staged Margin Controlled Surgery)

Géniale Skin Cancer Centre is one of the few clinics in Sydney to offer Slow Mohs Micrographic Surgery; the definitive treatment for head and neck skin cancer.

Dr Mike Shenouda has performed this procedure for over a decade, delivering a 100% tumour clearance with a superior aesthetic result.

With Slow Mohs Mircographic Surgery, the skin cancer is progressively removed, with the excision margins microscopically examined after each stage for remaining cancer cells. The process is repeated until all of the skin cancer is examined and removed, minimising the chance of recurrence and residual scarring.

Slow Mohs Micrographic surgery has a superior cure rate of 99% of skin cancers compared to 80-90% for conventional surgery. In addition, Slow Mohs has a recurrent rate over 5 years of 2% versus 20% from conventional excision.




PHONE: (02) 9181 3999


Skin Cancer Centre

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