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Basal cell carcinoma (BCC) is the most common type of skin cancer in New Zealand, accounting for around 80% of all non-melanoma skin cancers.

The Science Behind It

Basal cell carcinoma (BCC) is a type of non-melanoma skin cancer that arises from basal cells located in the deepest layer of the epidermis. It is the most frequently diagnosed skin cancer in New Zealand, particularly in individuals with fair skin and a history of cumulative sun exposure.

BCC typically develops in areas of the body that receive the most ultraviolet (UV) radiation — such as the face, neck, scalp, and hands — but it can occur anywhere. The cancer tends to grow slowly and rarely spreads to other organs; however, it can become locally invasive and cause significant tissue destruction if left untreated.

While BCC is not usually life-threatening, early diagnosis and treatment are important to prevent cosmetic and functional complications.

Contributing Risk Factors
  • UV Exposure: Chronic sun exposure and use of tanning beds are major contributors.
  • Skin Type: Fair-skinned individuals with lighter hair and eye colours are at increased risk.
  • Age: Most cases occur in adults over 40, though it can appear earlier with excessive sun damage.
  • Personal or Family History: Having had BCC before increases the risk of recurrence.
  • Immunosuppression: Individuals with weakened immune systems (e.g. transplant recipients) are at higher risk.

About Left Image

What are the best lasers for this condtion

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

While each treatment offers its own benefits, the most effective plan depends on your skin type and specific concerns. A consultation with our dermatology team at Scars & Lasers ensures a tailored approach that considers your overall skin health, treatment goals, and any potential risks.

Potential Treatment Protocols

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FAQ

Frequently Asked Questions

What does BCC look like on the skin?

BCC often appears as a pearly or flesh-coloured bump, a pink patch, or a sore that doesn’t heal. It may bleed, crust over, or slowly enlarge over time.

Is BCC dangerous if left untreated?

While BCC rarely spreads to other parts of the body, it can grow deeper into the skin and underlying tissues, leading to scarring, disfigurement, or functional damage — particularly on the face.

How quickly does BCC grow?

BCC tends to grow slowly, often over months or years. However, ignoring it can make treatment more complex, especially in cosmetically sensitive areas.

Can I prevent BCC?

You can reduce your risk by protecting your skin from UV radiation. This includes using sunscreen daily, wearing protective clothing, and avoiding tanning beds.

Do I need ongoing follow-up after treatment?

Yes. People who’ve had BCC are at higher risk of developing more skin cancers in the future. Regular skin checks with a dermatologist help catch any new or recurring lesions early.