What To Expect When You Get a Facial Skin Biopsy

A young woman lifting her face as a pair of gloved hands touches an area on her chin surrounding a mole.

Facial skin biopsies are necessary for accurately diagnosing skin conditions that cannot be conclusively identified through visual examination alone. Though most famously done to detect potentially cancerous moles, skin biopsies can help determine the underlying cause of various skin irregularities, from rashes to lesions.

Skin biopsies are quick, relatively painless procedures, but many people feel uncomfortable about them, especially if they’re getting one done on their face. This is, of course, understandable. If you know you have or expect to need a facial skin biopsy in your near future, read on to learn what to expect so you can manage your expectations and nerves.

The Role of Your Dermatologist or Doctor

If your doctor or dermatologist has determined the necessity of a biopsy based on preliminary assessments, they will guide you through the process. They explain the procedure clearly to ensure you understand why your biopsy is advised and what you can expect following the results.

Make sure you ask your doctor or dermatologist about any questions you have. Honest and open communication between you and your healthcare professionals can make your experience less stressful.

The Biopsy Procedure Itself

During the biopsy, your doctor will remove a small section of facial skin. This probably sounds scary, but don’t worry—it’s quick and relatively painless.

First, your doctor will cleanse the surgical site with antiseptic. Then, they will numb the skin with a local anesthetic. After this, they will remove a tiny skin sample using one of the three following methods:

  • Punch biopsies: This method employs a circular tool to remove a small, cylindrical sample of skin tissue.
  • Shave biopsies: This procedure involves using a blade to shave off a superficial section of skin.
  • Excisional biopsies: In an excisional biopsy, your doctor removes of an entire lump or area of abnormal skin, along with a margin of surrounding healthy skin.

Each method ensures minimal discomfort while preserving the integrity of the sample.

Once your doctor collects the sample, they dress the area to prevent infection. Finally, they send the sample to a lab for testing that will reveal potential diagnoses.

Recovery After a Facial Skin Biopsy

Recovery after a facial skin biopsy is pretty simple, but it’s important to follow your doctor’s advice to promote a smooth, aesthetically pleasing healing. Mainly, to prevent complications, you should keep the area clean and protected, applying prescribed ointments or dressing to minimize infection risks.

Right after the surgery, you can expect some redness and swelling to appear on the biopsy site. Once healed, you might notice some scarring. Though harmless, biopsy scars can be helped by microneedling, but you should discuss this option with your doctor.

Finally, another thing to expect when you get a facial skin biopsy is a follow-up consultation to discuss the biopsy results and address any lingering concerns about your skin’s healing process. Come prepared to the consultation with questions and requests for advice to make the most out of the visit.