GLOBAL SKIN EXCISION MARKET SIZE AND SHARE ANALYSIS - GROWTH TRENDS AND FORECASTS (2024-2031)

Global skin excision market was valued at US$ 29.9 Bn in 2023 and is expected to reach US$ 59.14 Bn by 2031, growing at a compound annual growth rate (CAGR) of 8.9% from 2024 to 2031.

Skin excision is a surgical procedure to remove lesions, moles, skin cancers, or other imperfections on the surface of the skin. There are different techniques and products that are used for skin excision depending on the nature of the skin issue. Punch biopsy and scalpel excision are commonly used techniques.

Punch biopsy utilizes a circular or punch-shaped blade to cut out small circles of skin for sampling. It is often used for shallow skin lesions up to 6mm in diameter. The advantages are it causes minimal damage to surrounding tissue and results in a very small scar. However, it cannot be used for large or irregular shaped lesions. Scalpel excision uses a surgical blade to cut out the entire area of abnormal skin. It allows for removal of larger or irregular skin lesions. A suture or surgical glue is usually needed to close the wound. While it effectively removes the entire affected area, it results in a linear scar.

Furthermore, medical lasers are another option for precise vaporization or removal of small to medium sized lesions on the face or other delicate areas. Lasers offer benefits of little to no scarring and reduced post-procedure pain and wound healing time. However, they require more technical skill to operate and multiple treatment sessions may be needed for larger areas. In summary, dermatologists determine the most appropriate skin excision technique that is based on a patient's individual skin condition and medical needs.

Global Skin Excision Market Regional Insights:

• North America has established itself as the dominant market for skin excision procedures. The region accounts for the largest industry presence with major skin excision device manufacturers such as Medtronic, a biotechnology company based in the U.S. Moreover, North America has the highest number of board-certified dermatologists per capita who specialize in skin cancer detection and excision. This ensures easy access to quality care and rapid adoption of advanced excision technologies in the region. When it comes to import and export of skin excision devices and technologies, North America is a clear leader. With the large size and purchasing power of the U.S. healthcare industry, most major medical device manufacturers cater first to the needs of North American customers. This solidifies the region's position as the innovation hub for excision technologies. Local manufacturing also makes devices cheaper and more accessible within North America as compared to other regions.
• Asia Pacific has emerged as the fastest growing market for skin excision globally. Countries such as China, India, and Japan have witnessed immense economic development over the past decade which is boosting healthcare investments and access. Rising incomes have also increased awareness about skin cancers in Asia pacific leading to higher demand for diagnosis and treatment. The large patient population in these countries means even small percentage growth that translates into huge numbers. Medical tourism is bringing international patients to Asia for affordable skin excision surgeries. While device imports into Asia still trail North America, local manufacturing is growing rapidly. Chinese and Indian companies are introducing affordable generic devices to meet domestic needs. Their focus on value has made these regions important sourcing hubs. Multinational corporations are also expanding their Asia Pacific operations to capitalize on the region's momentum. This is lowering procedure costs in Asia pacificfurther and adding to the market's attractiveness. With healthcare expenditure expected to rise steadily in Asia pacific, global skin excision market will likely continue its strong growth trend in the near future.

Figure 1. Global Skin Excision Market Share (%), By Region, 2024

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Analyst View:

Global skin excision market is expected to grow steadily over the forecast period due to rising prevalence of skin cancers. North America dominates the market due to high acceptance of advanced skin excision methods. However, Asia Pacific region is likely to witness fastest gains supported by growing medical tourism industry. Some of the key drivers fueling the skin excision market are increasing incidence of malignant and non-malignant skin lesions worldwide along with growing geriatric population. Rising awareness regarding early skin cancer detection and treatment options is positively impacting the market. Technological advancements in skin excision equipment and procedures are expanding access to cost-effective care. However, high cost of advanced skin excision equipment and procedures still remains a major restraint in developing nations. Lack of reimbursement coverage or inadequate coverage for cosmetic procedures also hinders the market growth. Key market players could gain opportunities by expanding their product portfolios and strengthening their distribution networks in emerging Asian and Latin American countries. Market players are innovating new robotic, laser and Mohs surgery techniques to address unmet needs and maximize treatment effectiveness. Partnerships with local players could help increase penetration in price-sensitive developing markets. Overall, focus on expanding affordable care access will be critical for sustained industry gains over the long-term.

Global Skin Excision Market Drivers:

• Increasing awareness about cosmetic procedures: As social and cultural attitudes continue to evolve, there is increasing acceptance and desire for cosmetic enhancements. Skin excisions are not only used for medical reasons but also for improving cosmetic appearance by removing skin lesions, moles, scars, and other imperfections. The portrayal of beauty and youthfulness in media and advertising can influence individuals to seek out cosmetic procedures, including skin excisions, to maintain a certain aesthetic standard. The internet has made it easier for individuals to research different cosmetic procedures. Increased access to information regarding skin excision procedures that contribute to heightened awareness and interest. Advancements in dermatologic surgery have made skin excisions safer, more effective, and with shorter recovery times, which appeals to those considering cosmetic procedures. As disposable incomes rise and cosmetic procedures become more affordable, a broader segment of the population considers these options, including skin excisions. Certain demographic groups are more inclined towards cosmetic procedures. Growing awareness among these groups is reflected in market demand for skin excisions.
•  Availability of advanced devices for skin excision: Advanced skin excision devices can provide greater precision and control for surgeons, thereby leading to more accurate removal of lesions and minimizing damage to surrounding healthy tissue. Devices that offer more precise cuts can reduce the likelihood of significant scarring, a critical factor for patients, especially when excisions are performed on cosmetically sensitive areas. Many modern devices enable minimally invasive procedures, which are becoming increasingly popular due to their reduced recovery times and lower risk of complications. Some advanced excision devices are integrated with imaging technologies, thereby allowing for real-time visualization of the skin layers during surgery, which can enhance the success rate of procedures. While advanced devices may represent a higher initial investment, these can lead to cost savings over time due to their efficiency, reduced need for revisions or corrective procedures, and shorter operating times. The introduction of advanced devices often comes with specialized training for practitioners, which can improve overall surgical skills within the dermatologic and cosmetic surgery community. As patients become more knowledgeable about available treatment options, they may prefer providers who offer the latest and most advanced treatment technologies
• Rising incidence of skin cancer: As skin cancer rate climb, so does the need for effective treatment options. Skin excisions are one of the primary methods to remove cancerous and precancerous lesions, thus increasing the demand for this procedure. Public health initiatives promoting skin cancer awareness and early detection are leading to more diagnostic screenings and consequently, a higher number of identified cases requiring excisions. With improvements in dermatological surgery techniques and devices, there are more precise and less invasive options for skin excision. This not only improves treatment outcomes but also reduces recovery time, thereby making these procedures more attractive to patients and healthcare providers. The Mohs micrographic surgery, a technique used to treat certain types of skin cancer, has also witnessed an increase in adoption. This method involves step-wise excision and microscopic examination of the tissue, thus offering high precision and maximum tissue conservation. Greater coverage for dermatological procedures related to skin cancer treatment is also propelling the frequency of skin excisions, as patients have more financial support to undergo necessary surgeries. Favorable reimbursement for skin cancer treatments encourages both patients to seek care and providers to offer skin excision services, further driving the market. Ongoing research and clinical trials often involve excisional biopsy procedures to obtain tissue samples. Growing research activities contribute to the overall demand for skin excision services.
• Increasing government initiatives: Government-run campaigns focusing on skin cancer awareness and the importance of early detection can lead to an increased number of skin examinations and, subsequently, more excision procedures when suspicious lesions are identified. Initiatives that encourage regular skin check-ups or provide free or subsidized screening can increase the detection of skin lesions requiring excision. By offering financial support for skin cancer treatments, governments can make skin excision procedures more accessible, particularly for patients in lower socio-economic brackets. Government investment in skin cancer research can promote the development of new excision techniques and technologies, thereby leading to safer, more effective treatments that can gain popularity in the medical community. Training programs for healthcare professionals, funded or accredited by government bodies, can increase the number of skilled practitioners capable of performing skin excisions. Regulations and guidelines can standardize and improve the quality and safety of excision procedures, contributing to market confidence and growth. For instance, Miss. Gretchen Whitmer, the governor of Michigan announced the Wound Care Awareness Week in Michigan from June 5, 2023 to June 9, 2023. The goal of Wound Care Awareness Week was to inform patients, their families, community physicians, and the general public about the importance of advanced wound care.

Global Skin Excision Market Opportunities:

• Technological advancements in skin excision devices: Enhanced precision and control in excision devices can minimize damage to surrounding tissues, reducing scarring and improving cosmetic outcomes, which is particularly important for excisions on visible areas of the body. Devices with improved ergonomics and functionality can shorten procedure times and improve the efficiency of the excision process, thus leading to increased throughput in clinical settings. Innovations such as built-in safety features and more accurate controls can reduce the risk of complications, thereby leading to safer procedures and better patient care. Advancements that allow for less invasive excisions can result in quicker recovery times and less discomfort for patients, which can be attractive for those seeking treatment for both medical and cosmetic reasons. Devices that combine excision with diagnostic capabilities, such as margin analysis or in situ pathology, can streamline the treatment process and potentially improve the accuracy of cancer excisions by ensuring clear margins. As technology advances, less expensive and simpler devices may become available, thus making skin excision procedures more accessible to smaller clinics and in lower-resource settings.
• Emerging economies offering ample growth opportunities: As emerging economies grow, there is an increase in healthcare spending, which includes investments in medical facilities and services capable of providing skin excision procedures. The expanding middle class with higher disposable income may seek more healthcare services, including those for skin health and cosmetic procedures that can involve skin excisions. Urbanization and changes in lifestyle may lead to increased exposure to risk factors for skin diseases, such as pollution and sun exposure, driving the need for skin health services. Governments and private players in emerging economies are investing in healthcare infrastructure, which can lead to the establishment of new dermatology centers equipped for skin excisions. Increasing awareness about skin conditions and the importance of early detection and treatment contributes to the demand for dermatological services.

Global Skin Excision Market Trends:

• Rising demand for cosmetic skin procedures: People are increasingly seeking procedures to remove skin tags, moles, and benign lesions for cosmetic reasons, contributing to the market demand. Advances in cosmetic surgery have led to less invasive excision techniques with better cosmetic outcomes, thus making these procedures more appealing. Social media and celebrity culture have amplified the desire for flawless skin, leading to a surge in elective skin excisions for aesthetic purposes. As cosmetic procedures become more mainstream, they are more accessible, with a growing number of clinics offering a range of surgical and non-surgical skin solutions. There's a trend toward personalized cosmetic care plans that might include skin excisions as part of a broader cosmetic strategy.  The convergence of global beauty standards across diverse cultures also contributes to this trend. As a market research analyst, tracking this trend involves analyzing consumer behavior patterns, demographic data, and emerging markets for cosmetic procedures. Assessing the impact of social and media influences on consumer choices is also crucial. The insights can guide stakeholders in developing strategies that align with current consumer preferences and identifying potential growth opportunities in the cosmetic segment of the skin excision market. It is vital to provide guidance on market dynamics, product innovation, and consumer education initiatives that may influence the demand for cosmetic skin excisions.
• Popularity of non-invasive skin excision treatments: Many patients prefer non-invasive treatments due to the lower associated risks, reduced pain, and shorter recovery times as compared to traditional surgical methods. Non-invasive techniques have benefited from technological advancements that have improved their efficacy and widened the range of conditions they can treat. The minimal scarring that is associated with non-invasive procedures is particularly appealing for cosmetic reasons, especially for conditions affecting visible areas like the face and hands. Non-invasive treatments can be more cost-effective for both providers and patients, as they typically do not require hospital stays and are less likely to involve complications that necessitate further treatment. Non-invasive procedures can often be performed in outpatient settings, including dermatology clinics and medical spas, thereby making them more accessible to patients. Medical device companies are focusing on developing innovative non-invasive skin excision techniques as a way to differentiate themselves in a competitive market. Dermatologists and cosmetic surgeons are increasingly adopting non-invasive procedures in response to the growing demand and the demonstrated effectiveness of these techniques

Global Skin Excision Market Restraints:

• Risk of infections associated with skin excision surgery: Awareness of the potential for infections may make patients more cautious about undergoing voluntary skin excision procedures, particularly for non-medical (cosmetic) reasons. Infections can lead to increased healthcare costs, including additional treatment expenses, which could make patients and healthcare providers more hesitant about skin excisions. Healthcare providers could face reputational damage from high rates of surgical infections, thus potentially leading to decreased patient trust and a reduction in the number of procedures performed. High infection rates can attract regulatory scrutiny and result in more stringent guidelines for surgical procedures, thereby impacting surgery practices and market dynamics. Emphasizing the importance of aseptic techniques and proper sterilization methods during surgeries to minimize the risk of infections. Encouraging prudent use of prophylactic antibiotics in line with contemporary clinical guidelines to prevent postoperative infections. Marketing of advanced surgical instruments and dressings that reduce the likelihood of infection may appeal to healthcare providers looking to minimize risks.
• Counterbalance: Providing patients with comprehensive pre- and post-operative care instructions to reduce the risk of infection and enhance recovery. Implementing quality improvement initiatives that monitor infection rates and promote best practices can improve patient outcomes and maintain the demand for services.
• High cost of skin excision procedures: High procedural costs can deter patients, particularly those without comprehensive insurance coverage or those in lower-income regions, from seeking necessary skin excision treatments. Healthcare providers may find it challenging to maintain profitability if high costs lead to reduced patient volumes, or if reimbursement rates do not align with the procedure costs. Elevated costs can create disparities in healthcare by limiting access to these procedures to only certain demographic or socioeconomic groups. While advanced technologies can improve procedural outcomes, their associated costs may impede their rapid adoption, limiting market expansion. High-cost procedures may push consumers towards seeking alternative treatments, such as less expensive or non-surgical options, impacting the overall demand for skin excisions

Recent Developments:

New Product Launches & Approval:

On April 23, 2023, 3M, a multinational conglomerate company, announced that the company received approval from U.S. Food and Drug Administration for 3M veraflo therapy, with both 3M veraflo cleanse choice complete dressing and 3M V.A.C. Veraflo is a hydromechanical removal of infectious materials, non-viable tissue and wound debris which reduces the number of surgical debridements required, while promoting granulation tissue formation, thus creating an environment that promotes wound healing.

On January 3, 2023, Convatec, a global medical products and technologies company, announced the U.S. launch of ConvaFoam, a family of advanced foam dressings that are designed to address the needs of healthcare providers and their patients. ConvaFoam can be used on a spectrum of wound types at any stage of the wound journey, thereby making it the simple dressing choice for wound management and skin protection.

In October 2021, Healthium Medtech Limited., a global medtech company focused on products that are used in surgical, post-surgical and chronic care, launched TRUSHIELD NXT surgical wound dressing, thus adding to its portfolio of patented products in the wound care and infection prevention segments. TRUSHIELDT NXT combines the advantages of a 3D hydrocellular substrate and patented infection prevention technology to offer a complete wound care system that provides 360 degree wound protection.

Acquisition, Collaboration and Partnerships:

In December 2021, Essity Aktiebolag (publ), a biotechnology company, acquired Hydrofera, the company offers technology and products within advanced wound care. The acquisition of Hydrofera is yet another great strategic fit for Essity Aktiebolag (publ), thereby further strengthening innovation capacity and expanding offering within advanced wound care.

In February 2021, DeRoyal Industries, Inc., announced partnership with Tyndall National Institute, a Europe based research centre, and University of Medicine and Health Sciences, a private, for-profit medical school, to innovate the next generation of compression wound care therapy. This partnership significantly advance the treatment of non-healing chronic wounds through joint ability to research, develop and deliver futuristic smart wound care technology with integrated intelligence and connectivity.

Figure 2. Global Skin Excision Market Share (%), By Type, 2024

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Top Companies in Global Skin Excision Market:

• Ethicon Inc.
• Richard Wolf GMBH
• Becton, Dickinson and Company
• Integra LifeSciences
• Exsurco Medical
• Limbs & Things LTD
• KARL STORZ GmbH & Co. KG
• Aesculap, Inc.
• Medtronic
• Zimmer Biomet
• Braun SE
• Conmed Corporation
• Symmetry Surgical Inc.
• Surtex Instruments Limited

Definition: Skin excision refers to a medical procedure involving the surgical removal of a skin lesion or a portion of the skin. This is a commonly performed procedure by dermatologists, surgeons, and general practitioners primarily to diagnose or treat skin conditions. Skin excision can be done for various reasons, including removal of abnormal skin tissue for biopsy, where it is examined microscopically to determine the presence of diseases such as skin cancer.

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