Episode 39: Skin Biopsies Explained — What Happens and Why You Might Need One

Hearing the word "biopsy" can make a lot of people nervous.

In this episode, board-certified dermatologist Dr. Dustin Portela and physician assistant Austin Lee break down one of the most common procedures performed in dermatology: the skin biopsy. They explain why biopsies are done, when they're necessary, and why having one does not automatically mean you have skin cancer.

The conversation walks through the different types of biopsies dermatologists perform, including shave biopsies, punch biopsies, and excisional biopsies. They also explain what the procedure actually feels like, how long it takes, and what patients can expect during and after the appointment.

Dr. Portela and Austin also take listeners behind the scenes of what happens after a biopsy is performed. They discuss how samples are processed in pathology labs, how dermatopathologists analyze tissue under the microscope, and why your dermatologist's relationship with a skilled pathologist is so important for accurate diagnoses.

They also cover healing timelines, scar prevention, when to worry about infection, and how biopsy results are delivered to patients.

If you've ever delayed a dermatology appointment because you were worried about needing a biopsy, this episode will help demystify the entire process.

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Dr. Portela
TikTok: @drdustinportela
Instagram: @drdustinportela
YouTube (Reactions): @208SkinDoc
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Austin Lee
TikTok: @austinleepac
Instagram: @austinleepac