For skin that needs watching closely.

High-Risk Melanoma Surveillance Gold Coast

For some people, a routine skin check may not provide the level of longitudinal monitoring their risk profile requires.

Parkwood Skin Clinic provides doctor-led melanoma surveillance for selected patients at increased risk, combining comprehensive skin examination, dermoscopy and, where clinically appropriate, total-body photography and digital lesion monitoring.

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DOCTOR-LED | EVIDENCE-BASED | PERSONAL TO YOU

When a routine skin check may not be enough

Melanoma risk is not the same for everyone. A more structured surveillance program may be considered if you have:

Previous melanoma

A previous melanoma changes future risk and makes ongoing skin surveillance particularly important.

Multiple melanomas

People who have developed more than one primary melanoma may require a more individualised approach to ongoing surveillance.

Numerous or atypical moles

When there are many moles—or several that are clinically atypical— imaging help us to identify new or changing lesions.

Other significant risk factors

Family history, skin phenotype, cumulative sun exposure, immunosuppression and other medical factors may influence how skin surveillance is planned.

Surveillance is more than a skin check.

A structured approach to monitoring change over time.

01

Understand your risk

Your melanoma and skin-cancer history, family history, previous pathology, number and pattern of moles, sun exposure and other relevant medical factors are reviewed.

02

Examine the entire skin

A systematic skin examination is performed rather than assessing only the spot that brought you to the clinic.

03

Examine individual lesions with dermoscopy

Dermoscopy allows structures within a mole or lesion to be assessed beyond what can be appreciated with the unaided eye.

 

04

Document what matters

For selected higher-risk patients, baseline photography, total-body photography or digital dermoscopic monitoring may be used to help identify new or changing lesions over time.

05

Define the next review

Your surveillance interval is based on your individual risk, clinical findings and previous history—not simply a generic calendar reminder.

Routine skin check or high-risk surveillance?

Routine Skin Check

Designed for people requiring a comprehensive professional examination of their skin.

May include:

Comprehensive skin examination
Dermoscopy of lesions of concern
Risk assessment
Biopsy or treatment planning where appropriate
Recommended future review

High-Risk Surveillance

Designed for selected patients whose melanoma risk or previous history warrants closer longitudinal monitoring.

May include:

Detailed risk stratification
Comprehensive skin examination
Dermoscopy
Comparison with previous examinations
Total-body photography where indicated
Digital monitoring of selected lesions
Individualised recall intervals
Continuity of follow-up

How often should I be checked?

Your review interval depends on your individual risk and clinical findings. There is no one-size-fits-all schedule.

What happens if something changes?

We will assess the lesion, compare with previous images and determine the most appropriate next step

EXPERIENCED | TRUSTED | DEDICATED

Doctor-led care. Personal to you.

Dr Gilles Laur is a Skin cancer doctor with more than 20 years of experience in medical, skin surgery.

He leads every patient journey with expertise, integrity and compassion, ensuring you receive the highest standard of care.

Frequently asked questions

Who may benefit from a high-risk assessment?

You may wish to discuss your surveillance requirements if you:

  • have previously had melanoma;
  • have had more than one melanoma;
  • have numerous moles;
  • have multiple atypical or dysplastic naevi;
  • have a significant family history of melanoma;
  • have been advised that your melanoma risk is increased;
  • are immunosuppressed or have another medical factor affecting skin-cancer risk;
  • find it difficult to monitor a large number of lesions yourself;
  • have previously been advised to undergo regular photographic or dermoscopic surveillance.

Suitability for a particular surveillance method is determined clinically.

Does everyone at high risk need total-body photography?

No. Total-body photography is useful for selected patients but is not necessary for everyone. Whether it adds value depends on factors such as melanoma history, mole number and pattern, and the clinical surveillance strategy.

Does photography replace dermoscopy?

No. Photography, dermoscopy and clinical examination provide different information and are complementary.

 

What if I have already had melanoma?

People with a previous melanoma require ongoing surveillance. The appropriate frequency and type of follow-up depend on the individual’s melanoma history, risk factors and specialist or treating-team recommendations.

What if I've had several melanomas?

A history of multiple primary melanomas is an important factor when developing an ongoing surveillance strategy. Please bring previous pathology reports and relevant clinical information where available.

Is mole mapping the same as total-body photography?

No. Total-body photography is useful for selected patients but is not necessary for everyone. Whether it adds value depends on factors such as melanoma history, mole number and pattern, and the clinical surveillance strategy.

Expert care for healthier,
confident skin.

Book online or call our friendly team to find the right appointment for you.

Image of an aerial view of the Gold Coast in summer featured in Parkwood Skin Clinic