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Understanding Skin Biopsies: What to Expect and Timeline

Understanding Skin Biopsies: What to Expect and Timeline
November 5, 2025

Understanding Skin Biopsies at Blue Ribbon Dermatology

Having a skin biopsy may sound worrying, but it’s a routine procedure that helps your dermatologist understand what’s happening with your skin. At Blue Ribbon Dermatology in Allen, TX, Dr. Nader Aboul-Fettouh and our team want you to feel confident and informed from the moment you step into our clinic. Whether you travel from Plano, Frisco, McKinney, or North Dallas, we tailor each care plan to your needs. This guide explains why biopsies are done, what to expect before, during, and after, and how long results usually take. By the end, you’ll know exactly what happens and feel at ease about your visit.

Why a Skin Biopsy Is Important

A skin biopsy allows a dermatopathologist to examine a small sample of skin under a microscope. This step helps identify conditions like infections, rashes, unusual growths, or spots that change over time. Even if the area looks harmless, a closer look can reveal important details. We perform biopsies for patients of all ages. Understanding why you need a biopsy can ease worry. Our caring staff will review your history, examine the spot, and answer questions. Knowing the reason behind each step helps you stay involved in your care.

Types of Skin Biopsies

  • Shave biopsy – a thin layer of skin is gently shaved off.
  • Punch biopsy – a small round tool removes a core of skin, similar to a tiny cookie cutter.
  • Excisional biopsy – the entire growth or lesion is removed with stitches placed afterwards if needed.

We will recommend the best type based on your spot’s size, depth, and location. Each method is quick and uses a numbing medicine so you feel minimal discomfort.

What to Expect Before the Procedure

Before your biopsy, we’ll review your health history and any medications you take. If you use blood thinners or have bleeding concerns, please let us know so we can plan accordingly. On biopsy day, wear loose clothing that exposes the area easily. You don’t need to fast or change your diet. Arrive a few minutes early to complete any final paperwork. Our front desk and nursing team will greet you warmly and answer any last-minute questions. Being prepared helps the process go smoothly and reduces any anxiety.

The Biopsy Procedure

  1. Preparation – You’ll lie or sit comfortably, and we clean the area.
  2. Numbing – A local anesthetic is injected to block pain.
  3. Tissue removal – The sample is taken using the chosen biopsy method.
  4. Closure – We apply a small stitch or dressing, depending on the technique.

The whole process typically takes under 30 minutes. Most patients feel only a gentle pinch or pressure. Our caring staff stays by your side, explaining each step as it happens.

Aftercare and Healing

Once your biopsy is complete, we’ll place a bandage over the site. Keep it clean and dry for at least 24 hours. After that, you may remove the covering and wash gently with mild soap and water. Pat dry and apply a thin layer of an antibiotic ointment if recommended. Avoid swimming, hot tubs, and heavy exercise that could stress the area for about a week. You might notice slight redness, swelling, or tenderness—this is normal. If you have stitches, return to our clinic in 7 to 10 days for removal. Watch for signs of infection like increasing pain, excessive redness, or pus. Contact us at Blue Ribbon Dermatology if you have any concerns. Proper care helps ensure smooth healing and minimizes scarring.

Results and Timeline

After the biopsy, your sample is sent to a lab where a pathologist examines it under a microscope. This analysis can take anywhere from 5 to 10 business days, depending on the complexity of the case. We understand waiting can be stressful, so our team will keep you updated. Once results arrive, Dr. Aboul-Fettouh reviews them carefully, correlating findings with your clinical history. You will be contacted to discuss the outcome, either by phone or during a follow-up visit at our Allen office. If additional treatment or monitoring is needed, we’ll outline the next steps clearly. Our goal is to provide information promptly while ensuring accuracy.

Frequently Asked Questions

Does the biopsy hurt?

The numbing medicine makes most patients feel only slight pressure or a quick pinch. After the procedure, any discomfort is mild and can be managed with over-the-counter pain relievers.

Will I have a scar?

A small scar may form, but careful technique and proper aftercare help it fade over time. Scarring varies by individual skin type and biopsy method used.

How soon will I get my results?

Laboratory analysis generally takes 5 to 10 business days. We strive to share findings as quickly as possible and will notify you once the report is ready.

Schedule Your Appointment

If you or a loved one needs a skin biopsy or has concerns about a spot, trust Blue Ribbon Dermatology. We welcome patients from Plano, Frisco, McKinney, and North Dallas. Schedule an appointment today to take the next step toward clear answers and peace of mind.

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