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info@scarsandlasers.co.nz
15 Green Lane East, Remuera, Auckland, New Zealand
Monday - Friday: 7:45 am - 5:00 pm
This technique involves sequential excision with formal histological margin assessment between stages. Reconstruction is performed only once complete clearance is confirmed.
Staged excision is particularly valuable for:
The goal is precise oncologic control while preserving healthy tissue and facial cosmetic subunits.
Tumours can extend microscopically beyond what you can see. Fixed margins can either miss residual disease or remove excess healthy tissue.
Staged excision improves accuracy by:
Best suited for:
May also be considered for infiltrative or unpredictable tumours, including:
In short: tumour behaviour, not label alone, guides the margin-control strategy.
(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.
(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.
(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:
Results
Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.
Staged excision is never routine. It is considered following specialist evaluation of:
Tumours demonstrating:
may benefit from a staged, margin-controlled approach.
Specialist dermatologic surgical planning ensures oncologic safety while optimising cosmetic and functional outcomes — particularly in facial melanoma surgery.
A sequential surgical technique where tumour margins are assessed in stages before reconstruction to ensure complete histologic clearance.
Lentigo maligna, large or ill-defined melanoma in situ, selected thin invasive facial melanomas, and recurrent melanoma with indistinct borders.
Most invasive melanomas are treated with standard wide local excision. Staged excision may be considered in selected thin facial cases where margins are uncertain or tissue preservation is critical.
No. It may also be appropriate for tumours with infiltrative growth patterns such as Dermatofibrosarcoma protuberans, Microcystic adnexal carcinoma, and other rare cutaneous malignancies.
Yes. Excision and histological margin assessment occur in stages. Definitive reconstruction is performed once complete clearance is confirmed.
ACC funding eligibility is determined by the Accident Compensation Corporation on a case-by-case basis. Approval is dependent on injury acceptance, clinical indication, and ACC policy at the time of application. Not all treatments offered at Scars & Lasers are ACC-funded. Private fees may apply for unfunded components of care.
