A pragmatic approach to facial closure in frail patients

This episode of Life by a Thousand Cuts explores a common but challenging scenario in skin cancer practice: managing a large, bleeding facial lesion in an elderly patient where comfort and control matter more than long-term cure. A/Prof Tony Dicker uses a real case to walk through clinical reasoning around diagnosis, margins and treatment options, before focusing on practical closure planning for a sizeable cheek defect. The discussion highlights how patient context, tumour behaviour and functional risk all shape surgical decisions, and why there is rarely a single “right” answer. A useful listen for clinicians looking to sharpen their approach to complex closures, particularly when balancing technical execution with realistic, patient-centred outcomes. Note: This episode includes discussion of multiple clinical images. A video version is available for those who wish to view them.   Next steps in your learning journey 🎓  NEW Micro-Course: Introduction to the Dermatoscope Led by A/Prof Tony Dicker, this short course introduces the dermatoscope as the clinician’s key diagnostic tool for skin examination — a practical foundation for those beginning their journey in skin cancer detection. ✅ Learn how to use the dermatoscope and capture clinical images. 🎖️ 9.5 hours CPD  •  Online  •   $195 👉 Learn more & enrol > 🎓 Certificate Courses in Skin Cancer Explore our university-assured, structured pathway to elevate your knowledge in the diagnosis and treatment of skin cancer. ➡️ Explore full program Life by a Thousand Cuts  This podcast series is designed to help you enhance your clinical decision-making, procedural skills, and confidence in skin cancer management. Focus on real-world cases, surgical techniques and tips, journal article reviews, diagnostic and management insights, and guest interviews with GPs and specialists.