Non-Surgical Treatments

Non-Surgical Treatments for Sun-Damaged Skin and Superficial Skin Cancers

Not all skin conditions require surgery. Several highly effective non-surgical options are available for treating sun-damaged skin (such as solar dermopathy and actinic keratosis) and certain superficial skin cancers (including superficial basal cell carcinoma and squamous cell carcinoma in situ). These treatments target abnormal cells while preserving healthy skin and minimising scarring.

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Common Non-Surgical Treatments

Photodynamic Therapy (PDT)

PDT is a clinic-based treatment that uses a light-activated cream to target abnormal or cancerous skin cells. After the cream is applied and absorbed, the area is exposed to a specific light source that activates the treatment.
PDT is ideal for treating larger areas or multiple lesions at once and often requires fewer sessions than topical creams. Temporary redness, swelling, and mild discomfort are common, but scarring is minimal.

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Topical Creams

Efudix / Tolak (Fluorouracil)

A prescription cream applied at home, usually 1–2 times daily for 2–4 weeks.
It destroys abnormal skin cells over time and can cause redness, peeling, and crusting during treatment. Best suited for smaller, well-defined areas.

Aldara (Imiquimod)

A topical immune-stimulating cream applied several times per week for up to 6 weeks.
Common reactions include redness, irritation, swelling, and occasionally mild flu-like symptoms.

5FU / Vitamin D Combination

A modern treatment combining 5-Fluorouracil with Calcipotriol (Vitamin D).
It targets precancerous solar keratoses by removing abnormal cells and stimulating the immune response.
Typical duration:
• 4 days for face and scalp
• 6 days for other areas
It offers excellent clearance with minimal downtime and long-term protection from future sun-related skin cancers.

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Cryotherapy

A quick in-clinic procedure using liquid nitrogen to freeze and destroy abnormal cells.
Commonly used for isolated actinic keratoses and small superficial lesions.

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Dr Jeet will assess your skin and recommend the most suitable non-surgical treatment based on your condition, preferences, and lifestyle.