The Margin
Broad-spectrum sunscreen, a wide-brim hat, and UV-protective clothing arranged in soft light
Field Notes / The Margin

Field Notes · March 11, 2026 · 5 min · By Irene Babatunde

After a skin cancer: preventing the next one

One skin cancer means a higher risk of another, and a clear prevention plan.

Having one skin cancer is the single strongest predictor of developing another, which makes the period after a Mohs procedure the ideal moment to commit to prevention and surveillance.

The two pillars are protection and monitoring. Protection means rigorous, daily, broad-spectrum sun protection, sunscreen, protective clothing, hats, shade, and avoiding peak sun and tanning, because cumulative ultraviolet exposure drives the great majority of these cancers. Monitoring means regular full-skin examinations by a dermatologist on a schedule they recommend, often every six to twelve months after a skin cancer, plus self-checks for new, changing, or non-healing spots between visits. For an independent overview, see Sun protection and skin cancer prevention.

For patients with extensive sun damage, a dermatologist may also treat precancerous lesions (actinic keratoses) before they progress. The encouraging framing is that skin cancer surveillance works: most subsequent cancers, caught early through regular checks, are even simpler to treat than the first. Treating a Mohs procedure as a prompt to build lifelong sun protection and a check-up routine is the most valuable thing a patient can do for their long-term skin health.

Related reading: Basal cell vs. squamous cell carcinoma: the two most common skin cancers.

A few principles hold across skin cancer care. The right plan is the one matched to the tumor type, its location, and your individual risk, not a one-size-fits-all rule. For cancers on the face and other sensitive areas, margin checking and tissue conservation matter most, which is where Mohs surgery earns its reputation. Ask why a given approach fits your specific lesion before any treatment begins.

Outcomes also depend on realistic staging and good aftercare. A careful consultation should set out the expected timeline in plain terms, name the recovery, explain how the wound will be repaired, and describe the plan if a side effect appears. Final cosmetic results are best judged over months as the skin remodels, and steady, sun-protected scar care helps the repair settle.

For independent background on this topic, see Sun protection and skin cancer prevention, and review the full source list below. This article is editorial reporting and is not a substitute for a consultation with a board-certified dermatologist.