Which Type of Doctor Should Treat My Skin Cancer?

By Judy Cloud

3 min read

Just as there are multiple types of skin cancer, there are multiple types of doctors and specialists who treat skin cancer. Choices may include (but aren’t limited to) a family physician, a dermatologist, a plastic surgeon, a Mohs surgeon, an oncologist, or a radiation therapist.

How, then, do you know which type of doctor you should be seeing?

The type of doctor to treat your skin cancer may depend on the type of your skin cancer or even the location of your skin cancer. Also, you may end up with a medical team, comprised of more than one type of doctor, to treat your skin cancer.

Let’s do a basic overview of how each type of medical provider may participate in your skin cancer journey.

Family physicians

If you do not have a dermatologist, your family physician may be the medical provider who examines your skin or any suspicious areas you point out. A family physician may perform a biopsy in-office. It is important to remember that family physicians may not be specifically trained in skin cancer, though, and may or may not be the preferred doctor to treat your skin cancer. Your family physician may refer you to a dermatologist for treatment of your skin cancer.

Annual full-body exams are a good idea

In addition to doing frequent self-skin checks, it’s a great idea to have routine full-body exams by a dermatologist, yearly or at whatever frequency your dermatologist recommends. After a major skin cancer surgery in 2015 to remove 23 areas of skin cancer, my doctor requested that I see him every three months for a complete skin check. I eventually "graduated" to skin checks every six months, and have remained at 6-month checks since that time.

Dermatologists

If your dermatologist notices unusual areas during the exam, he or she should be able to treat pre-cancerous areas (using cryotherapy, for example) and may also perform a biopsy in-office. My dermatologist performs excisional surgeries in-office to remove certain skin cancers, along with curettage and desiccation (burn and scrape). She will not perform surgeries on my face, though (nor do I really want her to). There are, however, dermatologists who specialize in facial cancers.

Plastic surgeons

Your dermatologist may refer you to another specialist for treatment of your skin cancer. I have had referrals to plastic surgeons and Mohs surgeons from my dermatologist. A plastic surgeon specializes in reconstruction, repair, and improving the end result cosmetically. Any facial surgery I have needed to have done for skin cancer removal, I had done by a plastic surgeon, except for one. My plastic surgeon referred me to a Mohs surgeon due to the location of my skin cancer (just under my nose) and the lack of tissue in the area to work with.

Mohs surgeons

A Mohs surgeon is specially trained to perform Mohs surgery. Some Mohs surgeons perform the surgery then refer patients to a plastic surgeon for closing the surgical area. I was thrilled that my plastic surgeon referred me to an excellent Mohs surgeon who did amazing work on closures, eliminating the need for a plastic surgeon. If you are able to go this route, I highly recommend it.

Radiation therapists

Your doctor may decide that radiation therapy would be beneficial for your skin cancer and refer you to a radiation therapist. Radiation therapists administer radiation for non-melanoma skin cancers, which can be useful for patients who are not optimal surgical candidates. The patient would continue to follow up with the dermatologist once radiation is complete.

Oncologists

If your skin cancer is advanced or a high-risk type of cancer, you may be referred to an oncologist. There are several types of oncologists who treat skin cancer, including dermatological oncologists, who specialize in skin cancers; medical oncologists, who treat skin cancers with chemotherapy, medication, or immunotherapy; radiation oncologists, who treat skin cancers with radiation therapy; and surgical oncologists, who surgically remove skin cancers.

Look at credentials

Board certification may be an important factor for you to consider when choosing your medical team. Having a board-certified provider gives you the peace of mind knowing that they have the training, skill, and experience in their field.

Ask questions!

Do not be afraid to ask questions about your proposed treatment or to find out if there are alternative treatments available, and speak up if you do not feel comfortable with a provider or with the treatment plan. Remember, this is your skin cancer journey, and you are your own best advocate.

Who treated your skin cancer?

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The SkinCancer.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

Join the conversation

Please read our rules before commenting.

Scott Matheny Member
Thanks for a great article that clarifies the roles of these medical professionals. It can get a little confusing. Scott <a href='https://skincancer.net' target='_blank'>skincancer.net</a> team member
ilona Member
Dear Judy, Thanks from me, too, for this very helpful and informative article. You recommend going the route of having a MOHS surgeon to combine both surgery and closure - in principle a good suggestion! It may, however, depend on the location of the cancer, the MOHS surgeon's training, skill and experience, etc. I would caution that when I had a 28mm across, 2.2mm deep, infiltrative BCC removed from the tip of my nose, my MOHS surgeon found the wound ended up being larger than he had anticipated, and after some puzzling concluded he didn't want to risk doing a skin flap repair in case he made 'more of a mess', and so proceeded with a graft from my clavicle. (The size of the patch required was too large to take from my face or behind my ear). The wound healed well and is liveable with, and of course I am grateful to have had the BCC removed, but the skin put on has always remained clearly different from the rest of the skin on my nose and face. At the time the MOHS surgeon said if I wasn't happy after a year, he could refer me to a plastic surgeon who could put it right. After 1.5 years I did go see one, who confirmed a plastic surgeon would have done a better job. He could put it right, but I would have to pay privately (I had already paid several thousand for the MOHS procedure, to avoid the long waiting list, and I am not wealthy), and of course it would mean going through the whole procedure again, with the attendant risks. I have decided to leave things, and it's all fine, but I would say - if you do go the way of having just a MOHS surgeon, make sure you know what he feels competent to do, should it be necessary. Love to you all. x
1. ilona Member
 <inline-mention username="Ronni Gordon" user-id="2101997"/> Thanks very much for your suggestion. That is kind of you. It sounds like you have been through tough times, and brilliant they were able to do such a good job. The dermatologist I had was also my MOHS surgeon. They have now closed the episode involving the MOHS, so I'm not open to anyone. When I needed biopsies for a couple of other spots I saw different dermatologists, but I will definitely remember your suggestion if I should need more MOHS. I will also look into the option of laser surgery for red marks, as I also have an area that is more red than the surrounding tissue. It was the area the graft was slowest to heal. Maybe they could do something with it. It wouldn't be so bad if I wore make-up, but I never have. I did try with some (very expensive!) concealer, but you would have to put so much on to hide any of it, that that in itself would draw attention. Thanks again for your comment. x
2. Ronni Gordon Member
 <inline-mention username="ilona" user-id="2093720"/> You're welcome. Hope it was in some way helpful. By the way, I also don't wear makeup! And I'm not sure that I mentioned that the Mohs surgery group is playing for the laser. I have to go at an inconvenient time of day, around 7 in the morning, but at least it is free. Let us know what happens!
ilona Member
You too - hope it all goes well! x