Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families
Shop for Plans

Shop for Plans
Shop for your own coverage
Medical Dental Other Supplemental
Plans through your employer

Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer.

Explore coverage through work
Learn
How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics
Looking for Medicare coverage?
Shop for Medicare plans
Member Guide
Find a Doctor
Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Melanoma Excision Surgery

Melanoma Excision Surgery

Surgery Overview

Surgery to remove (excise) a melanoma removes the entire melanoma along with a border (margin) of normal-appearing skin. The width of the border of normal skin removed depends on the depth of the melanoma. More tissue, usually skin and fat, is also removed from under the melanoma.

  • Small excisions may be closed with stitches and heal without problems.
  • Large excisions or those located on the hands, face, or feet may require a skin graft to close the wound after surgery.

The type of anesthetic used for your surgery depends on the size and location of the melanoma. Surgery on small, easily reached melanomas may require only a local anesthetic. Surgery for larger melanomas may require general anesthesia.

How It Is Done

How It Is Done

Area of excision for melanoma
Scar after excision for melanoma

Surgery to remove (excise) melanoma removes the cancer and a border of healthy tissue. In the "Area of excision" picture:

  • The inner circle represents the melanoma and healthy tissue that are excised.
  • An eye-shaped incision (cut) is often done so that the surgical site can be neatly closed.

If the excision is small, the skin may be closed with stitches after surgery. The "After surgery" picture shows the usual shape of the scar after surgery to remove a small melanoma.

If the excision is large, a skin graft may be needed.

Other ways of removing a melanoma can leave a round scar or a scar shaped a little like the letter "Z."

 What To Expect

What To Expect

Recovery after surgery to remove a melanoma depends upon the site and extent of surgery. The wound may take longer to heal if reconstructive surgery techniques such as skin grafts are used.

Why It Is Done

Why It Is Done

Surgery is the most common treatment for melanoma. Sometimes lymph nodes may be removed at the same time to check them for cancer. Surgery also may be done to remove lymph nodes that have cancer or to remove tumors that may have spread to other parts of the body.

How Well It Works

How Well It Works

Surgery to remove the melanoma usually cures melanoma if it is found early. Surgery and other treatments may be needed if cancer is found in the nearby lymph nodes.

Surgery may be used as part of the treatment for metastatic melanoma. In certain cases, surgery can help with long-term survival. And surgery may help relieve symptoms.

Risks

Risks

Risks of surgery to remove melanoma include:

  • Infection.
  • Scarring.
  • Bleeding.
  • Rejection of the skin graft.

Current as of: November 16, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

To learn more about Ignite Healthwise, LLC, visit webmdignite.com.

© 2024 Ignite Healthwise, LLC. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Ignite Healthwise, LLC.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

The Cigna Group Information

About Cigna Healthcare Company Profile Careers Newsroom Investors Suppliers The Cigna Group Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice Language Assistance [PDF] Report Fraud Sitemap Cookie Settings

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details