{"id":15692,"date":"2026-09-08T11:21:40","date_gmt":"2026-09-08T09:21:40","guid":{"rendered":"https:\/\/www.hautsachegut.at\/melanoma-surgery\/"},"modified":"2026-09-11T12:26:48","modified_gmt":"2026-09-11T10:26:48","slug":"melanoma-surgery","status":"publish","type":"page","link":"https:\/\/www.hautsachegut.at\/en\/melanoma-surgery\/","title":{"rendered":"Melanoma Surgery"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15692\" class=\"elementor elementor-15692 elementor-15675\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b03c97f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b03c97f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5d82725\" data-id=\"5d82725\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c6ab6e elementor-widget elementor-widget-heading\" data-id=\"9c6ab6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Melanoma &amp; Melanoma Surgery in Vienna<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6da3c95 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6da3c95\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00c427e elementor-widget elementor-widget-heading\" data-id=\"00c427e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Melanoma: Accurate Diagnosis, Complete Surgical Removal, Structured Follow-Up Care<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d7d7581 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"d7d7581\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-722ee3a\" data-id=\"722ee3a\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-adf2ca1 elementor-widget elementor-widget-spacer\" data-id=\"adf2ca1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-aed6a4e\" data-id=\"aed6a4e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d4aecd3 elementor-widget elementor-widget-heading\" data-id=\"d4aecd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">In a nutshell<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c600335 elementor-widget elementor-widget-text-editor\" data-id=\"c600335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Malignant melanoma (black skin cancer)<\/strong> originates from the skin&#8217;s pigment-producing cells and can spread early on. The thickness of the tumor at the time of removal determines the prognosis. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-407f6a5 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"407f6a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Four main types: superficial <\/b>spreading, nodular, lentigo maligna melanoma, and acrolentiginous.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Warning signs beyond ABCDE: a <\/b>mole that looks different from all the others; raised, firm, and growing (EFG); unexplained bleeding.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Treatment: complete <\/b>surgical removal, performed on an outpatient basis under local anesthesia; depending on the findings, a second excision with a 0.5 to 2 cm safety margin based on the tumor thickness.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Follow-up care:<\/b> frequent during the first three years, then ongoing.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f1c136a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f1c136a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d096f6b\" data-id=\"d096f6b\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b4c800 elementor-widget elementor-widget-text-editor\" data-id=\"8b4c800\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Malignant melanoma<\/strong> \u2014commonly known as <strong>black skin cancer<\/strong> \u2014accounts for only a small fraction of all skin cancer cases, but is responsible for most skin cancer-related deaths. The reason lies in its growth pattern: Melanoma can grow deeply and spread at an early stage. Therefore, <strong>the thickness<\/strong> of the tumor at the time of removal is crucial. Every millimeter counts.   <\/p><p>At my practice in <strong>Vienna 1090<\/strong>, I <strong>surgically<\/strong> remove suspicious moles <strong>under local anesthesia<\/strong>, arrange for a histological examination, and work with you to plan the next steps.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9489d13 elementor-widget elementor-widget-heading\" data-id=\"9489d13\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"definition\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When suspicion arises, time is of the essence<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b233cb elementor-widget elementor-widget-text-editor\" data-id=\"3b233cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A melanoma cannot be reliably identified with the naked eye. Only a <strong>histological examination<\/strong> of the completely removed mole can provide a definitive diagnosis. If melanoma is suspected, I schedule surgery <strong>at short notice<\/strong>, discuss each step with you in advance, and plan the incision so that the resulting scar is as inconspicuous as possible.  <\/p><p>If you&#8217;re just getting started and simply want to have your moles checked: You can find everything you need to know about the process on the page <a href=\"https:\/\/www.hautsachegut.at\/en\/skin-cancer-screening-birthmark-check\/\"><strong>Skin Cancer Screening &amp; Mole Check<\/strong><\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-852d024 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"852d024\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e54443\" data-id=\"9e54443\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c4c452d elementor-widget elementor-widget-heading\" data-id=\"c4c452d\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"behandeln\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is melanoma\u2014and why is it so dangerous?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c02bd4 elementor-widget elementor-widget-text-editor\" data-id=\"0c02bd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A melanoma develops from <strong>melanocytes<\/strong>, the pigment-producing cells of the skin. About two-thirds of all melanomas <strong>do not<\/strong> develop from an existing mole, but rather on skin that was previously unremarkable. A mole that has always been there and has not changed is therefore less likely to be a problem than a new spot.  <\/p><p>Most melanomas initially grow horizontally, that is, flat within the epidermis. At this stage, they are not yet capable of spreading. Only when the tumor begins to grow vertically into deeper layers does it come into contact with lymphatic and blood vessels.  <\/p><p>This is precisely the progression that we want to prevent. The <strong>Breslow thickness of the tumor<\/strong> \u2014measured in millimeters from the skin surface to the deepest tumor cell\u2014is therefore the most important single factor for prognosis and determines every subsequent step in treatment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d814c72 elementor-section-full_width elementor-reverse-tablet elementor-reverse-mobile elementor-section-height-default elementor-section-height-default\" data-id=\"d814c72\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9a0b97c\" data-id=\"9a0b97c\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ba3d21 elementor-widget elementor-widget-heading\" data-id=\"4ba3d21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The Four Most Common Types of Melanoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-89f0e99 elementor-widget elementor-widget-heading\" data-id=\"89f0e99\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Superficial Spreading Melanoma (SSM)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ed4eb97 elementor-widget elementor-widget-text-editor\" data-id=\"ed4eb97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The most common type. It spreads horizontally across the epidermis over a period of months to years before growing deeper\u2014which is why it\u2019s the type of melanoma with the longest window of opportunity for early detection. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1457e18 elementor-widget elementor-widget-heading\" data-id=\"1457e18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Nodular Melanoma (NMM)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d14d949 elementor-widget elementor-widget-text-editor\" data-id=\"d14d949\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It grows downward from the start and forms a lump. About one in twenty melanomas is amelanotic\u2014that is, skin-colored or reddish rather than dark. This type is particularly often detected too late because it does not match the image most people have of skin cancer.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e96a07d elementor-widget elementor-widget-heading\" data-id=\"e96a07d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Lentigo Malignant Melanoma (LMM)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce45b5b elementor-widget elementor-widget-text-editor\" data-id=\"ce45b5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It develops on skin that has been damaged by the sun over decades, usually on the face and in older age. It grows very slowly and initially looks like a large, poorly defined age spot. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4186b2d elementor-widget elementor-widget-heading\" data-id=\"4186b2d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Acrolentiginous Melanoma (ALM)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51dbff9 elementor-widget elementor-widget-text-editor\" data-id=\"51dbff9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It appears on the palms of the hands, the soles of the feet, and under the nails\u2014that is, in areas not exposed to significant sunlight. A new <strong>dark vertical streak in the nail<\/strong> that widens or extends onto the cuticle should always be checked out. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-682f520\" data-id=\"682f520\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a51c3dd elementor-widget elementor-widget-image\" data-id=\"a51c3dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-1024x683.jpeg\" class=\"attachment-large size-large wp-image-15682\" alt=\"Nahaufnahme eines gef\u00e4hrlichen braunen Naevus auf der menschlichen Haut \u2013 Melanom\" srcset=\"https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-1024x683.jpeg 1024w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-300x200.jpeg 300w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-768x512.jpeg 768w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-1536x1024.jpeg 1536w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-2048x1365.jpeg 2048w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/Melanom-930x620.jpeg 930w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2929840 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2929840\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-731a780\" data-id=\"731a780\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4684e0e elementor-widget elementor-widget-heading\" data-id=\"4684e0e\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"symptome\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Warning signs that go beyond the ABCDE rule<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd056d7 elementor-widget elementor-widget-text-editor\" data-id=\"dd056d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The ABCDE rule\u2014Asymmetry, Border, Color, Diameter, Evolution\u2014is the best-known mnemonic for self-examination. You can find a detailed explanation of it on my page about <a href=\"https:\/\/www.hautsachegut.at\/en\/skin-cancer-screening-birthmark-check\/\">mole self-examination<\/a>. <\/p><p>In practice, however, it doesn&#8217;t cover everything. These three warning signs are at least as important: <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-003de94 elementor-widget elementor-widget-heading\" data-id=\"003de94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The Ugly Duckling<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-192a6a1 elementor-widget elementor-widget-text-editor\" data-id=\"192a6a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A person\u2019s moles usually look similar to one another. If a single mole stands out because it is differently shaped, differently colored, or simply more noticeable than all the others, it should be examined\u2014even if none of the ABCDE criteria apply. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c7f5ff elementor-widget elementor-widget-heading\" data-id=\"3c7f5ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The EFG Rule for Nodular Melanomas<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2498a0d elementor-widget elementor-widget-text-editor\" data-id=\"2498a0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nodular melanomas are often symmetrical, sharply defined, and uniform in color\u2014the ABCDE rule does not apply here. Instead, the following applies: E\u2014elevated (raised above the skin surface), F\u2014firm (hard to the touch), G\u2014growing (significant increase in size within a few weeks). If all three apply, the lesion should be examined promptly.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e9761a elementor-widget elementor-widget-heading\" data-id=\"9e9761a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Bleeding, itching, and failure to heal<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ee9a1a elementor-widget elementor-widget-text-editor\" data-id=\"6ee9a1a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Any spot that bleeds, oozes, or itches for no apparent reason\u2014or that doesn&#8217;t heal after a minor injury\u2014is a reason to make an appointment, regardless of how it looks.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-697a7ca elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"697a7ca\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3412e6b\" data-id=\"3412e6b\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-552d5c1 elementor-widget elementor-widget-image\" data-id=\"552d5c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-scaled.jpg\" class=\"attachment-full size-full wp-image-15684\" alt=\"\" srcset=\"https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-scaled.jpg 2560w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-300x200.jpg 300w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-1024x683.jpg 1024w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-768x512.jpg 768w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-1536x1024.jpg 1536w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-2048x1365.jpg 2048w, https:\/\/www.hautsachegut.at\/wp-content\/uploads\/2026\/09\/DSC02108-930x620.jpg 930w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a0c5018\" data-id=\"a0c5018\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b94ed5 elementor-widget elementor-widget-heading\" data-id=\"9b94ed5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">From Suspicion to Surgery: The Process<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-867c5f6 elementor-widget elementor-widget-text-editor\" data-id=\"867c5f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If you come to see me with a suspicious spot, I\u2019ll evaluate it <strong>using a dermatoscope<\/strong> and also examine the rest of your skin. I\u2019ve described in detail how a follow-up examination works on the page about <a href=\"https:\/\/www.hautsachegut.at\/en\/skin-cancer-screening-birthmark-check\/\"><strong>mole check<\/strong> <\/a>. <\/p><p>If the suspicion is confirmed, the lesion will <strong>not be incised or excised<\/strong>. In cases of suspected melanoma, complete removal is the standard of care, as this is the only way to reliably determine the tumor\u2019s thickness. You will usually be given a surgery date within a few days.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ef30f7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0ef30f7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a116532\" data-id=\"a116532\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0526e5 elementor-widget elementor-widget-heading\" data-id=\"d0526e5\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"ursachen\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Melanoma Surgery: What Happens During the Procedure?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0563441 elementor-widget elementor-widget-text-editor\" data-id=\"0563441\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Surgical removal is the primary treatment for melanoma. It is performed in two steps\u2014first, the diagnosis; then, the final excision. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f909a1 elementor-widget elementor-widget-heading\" data-id=\"7f909a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Excision of a nevus\u2014complete removal<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ed5b84 elementor-widget elementor-widget-text-editor\" data-id=\"0ed5b84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The procedure is performed <strong>on an outpatient basis<\/strong> at my office, in <strong>compliance with all hygiene guidelines<\/strong>. It is <b>painless<\/b> for you: I begin by administering a local anesthetic, which you\u2019ll only feel for two to three seconds. I then completely remove the noticeable mark along with a narrow margin of healthy skin. The procedure usually takes <b>20 to 30 minutes<\/b>, and you can leave the office immediately afterward.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c908f83 elementor-widget elementor-widget-heading\" data-id=\"c908f83\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. The histological findings<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88a835a elementor-widget elementor-widget-text-editor\" data-id=\"88a835a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The tissue is sent to a histopathology laboratory. The report not only indicates whether melanoma is present, but also provides the <strong>Breslow thickness of the tumor<\/strong>, information on ulceration, and an assessment of the surgical margins. Everything else can be determined from these three pieces of information. As soon as the report is available, I will inform you immediately.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c79cdbf elementor-widget elementor-widget-heading\" data-id=\"c79cdbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Secondary excision with a safety margin<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eed8f4e elementor-widget elementor-widget-text-editor\" data-id=\"eed8f4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p dir=\"ltr\">If the test results confirm melanoma or one of its precursor lesions, a second procedure is performed. During this procedure, the area is excised again with a defined safety margin to ensure that no abnormal cells remain in the surrounding tissue. The size of this margin depends on the test results:  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92cac1d elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"92cac1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Precursor (dysplastic nevus):<\/b> complete removal with a narrow margin; further treatment is usually not necessary<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Melanoma in situ<\/b> (confined to the epidermis): 0.5 cm<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Tumor thickness up to 2 mm:<\/b> 1 cm<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Tumor thickness greater than 2 mm:<\/b> 2 cm<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38278ea elementor-widget elementor-widget-text-editor\" data-id=\"38278ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The safety margin is measured in width, not in depth\u2014so the wound becomes wider but not deeper.<\/p><p dir=\"ltr\"><strong>This illustrates why early detection is so crucial: The earlier a lesion is removed, the less invasive the procedure will be and the better the prognosis.<\/strong>  For precancerous lesions and melanomas that are still confined to the epidermis, treatment is generally considered complete once the lesion has been completely removed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-42423f5 elementor-widget elementor-widget-heading\" data-id=\"42423f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Sentinel Lymph Node (Sentinel Biopsy)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c54baf elementor-widget elementor-widget-text-editor\" data-id=\"0c54baf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Once the tumor reaches a certain thickness, the first lymph node in the drainage area is also examined to determine whether cells have already spread. This procedure is performed in a specialized department\u2014I <strong>will arrange the referral<\/strong> and guide you through the rest of the process. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e58ecc8 elementor-widget elementor-widget-heading\" data-id=\"e58ecc8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">5. Wound Closure and Scar Formation<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94500bf elementor-widget elementor-widget-text-editor\" data-id=\"94500bf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p dir=\"ltr\">The scar is always longer than the removed area because the edges of the wound must come together <strong>without tension<\/strong>. I make the incision along the natural lines of skin tension so that the scar later disappears into an existing skin fold rather than running across it. <\/p><p dir=\"ltr\">For larger defects, direct closure is not sufficient. In such cases, <strong>flap procedures<\/strong> \u2014involving the repositioning of adjacent tissue\u2014or a <strong>skin graft<\/strong> are used. The appropriate technique depends on the location and size of the defect and will be discussed with you before the procedure.  <\/p><p dir=\"ltr\">All of this applies to confirmed melanomas, where playing it safe is the top priority. For all other skin lesions, I take a different approach\u2014more on that in the next section. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6866d2c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6866d2c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4518848\" data-id=\"4518848\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d75fd9f elementor-widget elementor-widget-heading\" data-id=\"d75fd9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Wound healing without stitches\u2014a focus of my practice<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9aa3bdd elementor-widget elementor-widget-text-editor\" data-id=\"9aa3bdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p dir=\"ltr\">Whenever medically appropriate, I treat wounds without sutures. Current guidelines recommend that many skin lesions do not require sutures. The wound then heals on its own from the bottom up, leaving <b>virtually no scar<\/b> in many cases.  <\/p><p dir=\"ltr\">The reason is simple: Every incision that is sutured leaves a scar that remains permanently. A wound that heals openly and in a controlled manner does not. <\/p><p dir=\"ltr\">Whether this technique is appropriate depends on the location, size, and type of skin lesion. In the case of a confirmed melanoma, complete removal with a safety margin takes priority; in such cases, neat wound closure is necessary. In contrast, for inconspicuous and benign moles, it is very often possible to perform the procedure without sutures.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f7d1bba elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f7d1bba\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-775f1db\" data-id=\"775f1db\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-855974f elementor-widget elementor-widget-heading\" data-id=\"855974f\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"betroffen\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">After Surgery: Wound Care and Follow-Up Care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15f2da1 elementor-widget elementor-widget-text-editor\" data-id=\"15f2da1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For the first few days, keep the wound dry and take it easy. Avoid exercise, saunas, swimming pools, and intense sun exposure until the stitches are removed. I will discuss the specific guidelines with you individually.  <\/p><p>After melanoma treatment, <strong>structured follow-up care<\/strong> is important. It involves examining the entire skin, the scar, and the lymph node regions. The frequency of these checkups depends on the stage of the disease and is most frequent during the first three years, as most recurrences occur during this period.  <\/p><p>People who have already had a melanoma also have a significantly increased risk of developing a <strong>second, unrelated melanoma<\/strong>. Regular checkups therefore remain an ongoing part of treatment. <\/p><p data-pm-slice=\"1 1 []\">It takes a year for a fresh scar to reach its final appearance. If it thickens or remains bothersome during this time, there are treatment options\u2014learn more on my page about <a href=\"https:\/\/www.hautsachegut.at\/en\/scar-treatment\/\"><strong>scar treatment<\/strong><\/a>. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-608c49c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"608c49c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6668e29\" data-id=\"6668e29\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a546a97 elementor-widget elementor-widget-heading\" data-id=\"a546a97\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"stadien\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Who is at increased risk for melanoma?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e13a6a elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"8e13a6a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Fair skin, reddish or blond hair, freckles<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">More than 50 moles or unusual, atypical moles<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A history of melanoma in oneself or in one's parents, siblings, or children<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Severe sunburns, especially during childhood and adolescence<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Regular use of tanning beds, especially before the age of 35<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A weakened immune system, such as after an organ transplant<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8338ddc elementor-widget elementor-widget-text-editor\" data-id=\"8338ddc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-pm-slice=\"1 1 []\">If any of these points apply to you, I recommend getting checked <strong>more often than once a year<\/strong> \u2014we can discuss the appropriate frequency together. I\u2019ve summarized what else you can do on your own to protect your skin under <strong>\u201cSkin Cancer Prevention<\/strong>.\u201d <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a00a353 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a00a353\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2f1706e\" data-id=\"2f1706e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-383dd8a3 elementor-widget elementor-widget-heading\" data-id=\"383dd8a3\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"faq\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Asked Questions About Melanoma<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62070e6a elementor-widget elementor-widget-accordion\" data-id=\"62070e6a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1.1999999999999999555910790149937383830547332763671875,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1641\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1641\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is melanoma curable?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1641\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1641\"><p style=\"text-align: justify\">Yes. If a melanoma is detected early and completely removed surgically, the prognosis is very good\u2014for thin melanomas confined to the epidermis, surgery usually cures the disease. The key factor is the thickness of the tumor at the time of removal.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1642\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1642\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How fast does a melanoma grow?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1642\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1642\"><p style=\"text-align: justify\">It depends on the type. A superficial spreading melanoma initially grows flat over a period of months to years. A nodular melanoma, on the other hand, can grow deep into the skin within a few months. As a general rule, any change you notice within a few weeks should be evaluated promptly.   <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1643\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1643\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Does melanoma hurt?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1643\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1643\"><p style=\"text-align: justify\">Usually not. That\u2019s exactly what makes it dangerous\u2014melanoma usually causes no symptoms. Some melanomas itch, bleed slightly, or don\u2019t heal after minor injuries. Don\u2019t rely on pain as a warning sign; instead, look for changes in appearance.   <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1644\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1644\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How long does the surgery take?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1644\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1644\"><p style=\"text-align: justify\">The removal of a conspicuous birthmark usually takes 20 to 30 minutes and is performed on an outpatient basis under local anesthesia. You can go home immediately afterward. A subsequent excision with a safety margin takes a little longer, but follows the same procedure.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1645\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1645\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is the procedure painful?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1645\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1645\"><p style=\"text-align: justify\">The area will be numbed with a local anesthetic; you\u2019ll only feel the brief prick of the needle. You won\u2019t feel any pain during the surgery. In the first one to two days afterward, the area may feel slightly tight or tingly\u2014usually a simple pain reliever is enough, and often none is needed at all.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1646\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1646\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Why is a second surgery necessary?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1646\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1646\"><p style=\"text-align: justify\">During the first surgery, the lesion is removed with a narrow margin because the required size of the safety margin can only be determined from the histological findings. Only once the tumor thickness is known can the final margin be determined. The second procedure is therefore not an indication that anything was overlooked during the first one.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1647\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1647\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Do I need to go to the hospital for the melanoma surgery?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1647\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1647\"><p style=\"text-align: justify\">In most cases, no. Removal and re-excision are performed on an outpatient basis at my office in Vienna 1090. Inpatient surgery is necessary only if a larger defect needs to be closed or if a sentinel lymph node biopsy is scheduled.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1648\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1648\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Can melanoma develop even without exposure to the sun?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1648\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1648\"><p style=\"text-align: justify\">Yes. Melanomas can also occur on the soles of the feet, under the nails, on the scalp, or on mucous membranes\u2014in other words, in areas that are practically never exposed to the sun. UV radiation is the most important risk factor, but it is not the only one. Genetic predisposition also plays a role.   <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1649\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-1649\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-caret-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Does health insurance cover the costs?<\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1649\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-1649\"><p style=\"text-align: justify\">I am a private practice physician and do not have contracts with health insurance providers. After your treatment, you will receive an invoice that you can submit to your health insurance provider. A portion of the costs is usually reimbursed. The exact amount depends on your insurance provider and the services rendered.   <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is melanoma curable?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">Yes. If a melanoma is detected early and completely removed surgically, the prognosis is very good\\u2014for thin melanomas confined to the epidermis, surgery usually cures the disease. The key factor is the thickness of the tumor at the time of removal.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"How fast does a melanoma grow?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">It depends on the type. A superficial spreading melanoma initially grows flat over a period of months to years. A nodular melanoma, on the other hand, can grow deep into the skin within a few months. As a general rule, any change you notice within a few weeks should be evaluated promptly.   <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Does melanoma hurt?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">Usually not. That\\u2019s exactly what makes it dangerous\\u2014melanoma usually causes no symptoms. Some melanomas itch, bleed slightly, or don\\u2019t heal after minor injuries. Don\\u2019t rely on pain as a warning sign; instead, look for changes in appearance.   <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"How long does the surgery take?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">The removal of a conspicuous birthmark usually takes 20 to 30 minutes and is performed on an outpatient basis under local anesthesia. You can go home immediately afterward. A subsequent excision with a safety margin takes a little longer, but follows the same procedure.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Is the procedure painful?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">The area will be numbed with a local anesthetic; you\\u2019ll only feel the brief prick of the needle. You won\\u2019t feel any pain during the surgery. In the first one to two days afterward, the area may feel slightly tight or tingly\\u2014usually a simple pain reliever is enough, and often none is needed at all.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Why is a second surgery necessary?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">During the first surgery, the lesion is removed with a narrow margin because the required size of the safety margin can only be determined from the histological findings. Only once the tumor thickness is known can the final margin be determined. The second procedure is therefore not an indication that anything was overlooked during the first one.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Do I need to go to the hospital for the melanoma surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">In most cases, no. Removal and re-excision are performed on an outpatient basis at my office in Vienna 1090. Inpatient surgery is necessary only if a larger defect needs to be closed or if a sentinel lymph node biopsy is scheduled.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Can melanoma develop even without exposure to the sun?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">Yes. Melanomas can also occur on the soles of the feet, under the nails, on the scalp, or on mucous membranes\\u2014in other words, in areas that are practically never exposed to the sun. UV radiation is the most important risk factor, but it is not the only one. Genetic predisposition also plays a role.   <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"Does health insurance cover the costs?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p style=\\\"text-align: justify\\\">I am a private practice physician and do not have contracts with health insurance providers. After your treatment, you will receive an invoice that you can submit to your health insurance provider. A portion of the costs is usually reimbursed. The exact amount depends on your insurance provider and the services rendered.   <\\\/p>\\n\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Melanoma &amp; Melanoma Surgery in Vienna Melanoma: Accurate Diagnosis, Complete Surgical Removal, Structured Follow-Up Care In a nutshell Malignant melanoma (black skin cancer) originates from the skin&#8217;s pigment-producing cells and can spread early on. The thickness of the tumor at the time of removal determines the prognosis. Four main types: superficial spreading, nodular, lentigo maligna&hellip;&nbsp;<a href=\"https:\/\/www.hautsachegut.at\/en\/melanoma-surgery\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Melanoma Surgery<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":15680,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"neve_meta_sidebar":"full-width","neve_meta_container":"","neve_meta_enable_content_width":"on","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"categories":[129],"tags":[],"class_list":["post-15692","page","type-page","status-publish","has-post-thumbnail","hentry","category-medical-dermatology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Melanoma &amp; Malignant Melanoma \u2013 Surgery in Vienna | Dr. Barbara Franz<\/title>\n<meta name=\"description\" content=\"Black Skin Cancer (Melanoma): Diagnosis, Surgical Removal, and Follow-Up Care in Vienna. 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