Skin Checks

A skin check is a medical examination of the skin to assess for skin cancers, precancerous lesions, and other abnormal or changing spots, as well as overall skin health.

Skin checks help detect skin cancer early and are particularly important for people with increased risk, including those with a personal or family history of skin cancer, significant sun exposure or sunburns, fair skin, multiple moles, or medical conditions or medications that affect immunity.

Regular skin checks may be recommended for people who:

• Have had skin cancer previously

• Have a family history of melanoma or non-melanoma skin cancer

• Have significant cumulative sun exposure, including outdoor work or sport

• Have fair skin, red or blonde hair, or burn easily

• Have a large number of moles or atypical moles

• Are immunosuppressed, including due to certain medical conditions or medications

The recommended frequency of skin checks varies depending on individual risk factors.

The appointment begins with a discussion of personal and family history, including previous skin cancers or treatments, sun exposure and sunburns, medical history (including immune status and relevant medications), occupation (indoor or outdoor work), and general health.

A systematic head-to-toe examination of the skin is then performed using bright lights and a dermatoscope. Patients are usually asked to undress down to their underwear to allow a complete examination.

For best assessment, attending without makeup or nail polish is recommended. Usual sun protection should still be practised prior to the visit.

Benign lesions, precancerous changes, and any lesions suspicious for skin cancer will be identified. Findings will be explained, and further investigation or treatment may be recommended if needed.

Dermoscopy is a non-invasive tool used during skin checks that allows closer examination of skin lesions using magnification and specialised lighting. It helps identify features not visible to the naked eye and supports assessment of skin lesions that may not be visible to the naked eye.

Yes. Education is part of a skin check. Recommendations regarding sunscreen selection, sun-protective measures, and safe sun behaviours (including understanding the UV index) will be discussed and encouraged, tailored to individual risk and lifestyle.

There is no single schedule that suits everyone. The recommended frequency of skin checks depends on individual risk factors, examination findings, and medical history.

Some people may benefit from:

• Annual skin checks

• More frequent review if they are at higher risk

• Occasional checks if risk is low and no concerning lesions are present 

The appropriate interval is discussed after the examination.

A skin check itself is painless. It involves visual examination of the skin and does not involve needles or procedures unless a biopsy or treatment is required, which would be discussed separately.

A referral from a general practitioner is required for Medicare rebates. Patients without a referral may still be seen but may not be eligible for a rebate.

Follow-up depends on individual risk factors, previous skin cancers, examination findings, and other medical considerations. Some patients will continue care with their referring general practitioner, while others may require scheduled follow-up appointments.

The timing and frequency of review are variable and will be discussed.

If you notice a new, changing, or concerning lesion between scheduled skin checks, earlier medical review is recommended rather than waiting for the next routine appointment.

Once a skin cancer is diagnosed, treatment options are discussed in detail. Management is individualised and takes into account the type of skin cancer, clinical findings, patient age, medical history, immune status, and overall health.

The risks, benefits, and alternatives of each option are carefully explained to support informed decision-making.