Our Services

Skin Biopsy

At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.

What is a Skin Biopsy?

A skin biopsy is a simple procedure where a small piece of skin is taken for closer examination in the laboratory. It is often carried out to confirm the cause of various skin problems, from infections and inflammatory conditions to cancers such as melanoma, basal cell carcinoma, and squamous cell carcinoma. Looking at the tissue under a microscope allows dermatologists to identify what is driving the skin changes and decide on the best treatment plan.

Although the idea of a biopsy can feel daunting, the process itself is quick and carried out under local anaesthesia to keep it comfortable. The exact technique used depends on the type of skin concerned being assessed and the area of the body involved.

Skin Biopsy Singapore
A skin biopsy is a minor procedure where a small sample of skin is removed and examined to diagnose various skin conditions, including infections, inflammatory diseases, and skin cancer.

How does a Skin Biopsy work?

Punch Biopsy Singapore
A punch biopsy is performed using a circular tool to remove a small, deep skin sample, including the epidermis, dermis, and upper fat layer, for laboratory analysis.

A skin biopsy is usually a simple and well-tolerated procedure carried out under local anaesthesia, so you should only feel minimal discomfort. The skin is first cleaned, and a small injection is given to numb the area. From there, the dermatologist selects the most suitable technique depending on the type of skin change and where it appears.

This includes:

  • Shave biopsy – Removes the top layers of the skin with a sterile blade, often used for surface growths.
  • Punch biopsy – Takes a small, deeper core of skin that includes several layers.
  • Excisional biopsy – Removes the entire lesion together with a small margin of surrounding healthy skin.

Once the sample is taken, it is carefully sent to the laboratory for examination under a microscope. This helps reveal any underlying abnormalities and guides the next stage of care. The biopsy site is covered with a dressing, and stitches may be placed if required. Most patients can expect their results within a few days, allowing the dermatologist to discuss a clear diagnosis and treatment plan.

A skin biopsy not only helps to confirm what is happening beneath the surface of the skin, it also offers important reassurance for patients. By examining a tiny sample of tissue, dermatologists are able to make accurate diagnoses and guide the most suitable treatment.

Some of the main benefits include:

  • Early detection of skin cancer – Allows malignant and precancerous changes to be identified and treated at the earliest stage.
  • Clearer diagnosis – Distinguishes between harmless and more serious skin problems, ensuring the right care is given.
  • Personalised treatment planning – Sheds light on the root cause of symptoms, helping doctors recommend the most effective approach.
  • Gentle and quick – Carried out under local anaesthesia, the procedure is simple and involves little discomfort.
  • Reassurance – By ruling out serious conditions, it helps ease worry and provides patients with peace of mind.

We often use skin biopsies to gain a clearer understanding of skin concerns that cannot be fully explained by a visual check alone. Looking at a small tissue sample under the microscope can reveal important details that guide diagnosis and treatment. Some of the conditions where a biopsy can be especially helpful include:

  • Suspicious moles and lesions – To detect skin cancers such as melanoma, basal cell carcinoma, and squamous cell carcinoma.
  • Persistent rashes and inflammatory conditions – Including eczema, psoriasis, and lichen planus.
  • Autoimmune disorders – Such as lupus and pemphigus, which sometimes need biopsy confirmation.
  • Skin infections – Bacterial, viral, or fungal, especially if they are resistant to initial treatment or appear in an unusual way.
  • Unexplained growths – To determine whether a lesion is harmless or needs further attention.

From the moment you arrive at Livingstone Dermatology, our priority is to ensure that you feel comfortable and supported throughout the process. Our dermatologist will begin with a careful consultation to understand your skin concern and decide if a biopsy is necessary. If so, the procedure may be done on the same day or scheduled at a convenient time.

The biopsy itself is simple and quick. The area is numbed with a small injection of local anaesthetic, so you should only feel minimal discomfort. Depending on the type of lesion, your doctor may use a shave, punch, or excisional technique. Once the sample is taken, a dressing is applied, and clear instructions are provided for aftercare. If stitches are required, they are usually removed in about a week or two.

Recovery is generally smooth, with only mild tenderness or redness. Most people can continue with daily activities right away, although it is best to avoid swimming or vigorous exercise if stitches are present. The sample is then examined in the laboratory under the microscope, and results are usually ready within a week.

The outcome of the biopsy will guide the next steps. Some of the possible results are:

  • Benign findings – If the lesion is harmless, no further treatment may be needed other than routine monitoring.
  • Inflammatory or autoimmune conditions – Our dermatologist may recommend topical or oral medication to control symptoms and prevent flare-ups.
  • Infections – Targeted treatment, such as antibiotics or antifungal medication, will be prescribed to clear the infection.
  • Precancerous or cancerous changes – If early skin cancer or a suspicious lesion is detected, your doctor will discuss treatment options such as surgical removal, topical therapies, or referral for further care.

Our dermatologist will go through the results with you in detail and recommend a personalised plan to ensure the best outcome.

A skin biopsy is usually carried out in just one visit. At Livingstone Dermatology, we do our best to make the process seamless by performing the biopsy on the same day as your consultation whenever it is appropriate. The procedure itself only takes a few minutes, after which the sample is carefully sent to the laboratory for analysis.

Most patients return about a week later for a follow-up appointment, where our dermatologist will go through the results with you and explain whether any treatment is needed. In many cases, no further procedures are required. Additional visits are only arranged if another biopsy is necessary for a different area, or if further treatment is advised based on the findings.

Conditions for Skin Biopsy Singapore
A skin biopsy is performed to assess skin moles, lesions, rashes, autoimmune diseases, infections, and suspected skin cancers.

Summary

A skin biopsy is a straightforward procedure that provides clarity about what is happening beneath the surface of your skin. It can confirm or rule out serious conditions, guide the most suitable treatment, and offer peace of mind when changes in the skin feel uncertain.

If you have a mole, rash, or skin growth that has been worrying you, it is important not to wait. Reach out to Livingstone Dermatology to arrange an appointment with our specialists. A timely consultation and, if needed, a biopsy can give you the answers you need and help you move forward with confidence in your care.

Frequently Asked Questions

Will the biopsy leave a scar?

All biopsies leave a small scar, though it usually fades with time. The final appearance of the scar tends to settle within one to two years.

Keep the area clean and dry, and follow the aftercare instructions given by our dermatologist. This may include applying an ointment and changing the dressing each day. Try to avoid activities that put strain on the site until it has healed fully.

Biopsy results are generally ready within a week. Our dermatologist will arrange a follow-up appointment to explain the findings and discuss whether any treatment is needed.

It is best to keep the site dry for the first 24 hours. After that, you can shower as usual, but avoid soaking the area until healing is complete.

Skin biopsies are very safe, but like any procedure, they carry small risks such as bleeding, bruising, infection, scarring, or an allergic reaction.

The area is numbed with local anaesthetic, so you should not feel pain during the biopsy. You may notice a brief pinch or stinging sensation when the anaesthetic is given.

Most sites heal within a few weeks, though full recovery and scar settling can take up to two months.

This depends on the type of biopsy. Punch and excisional biopsies often require stitches, while shave biopsies usually do not.

No. A skin biopsy is a safe diagnostic procedure and does not cause cancer to spread. It is an important step in ensuring early and accurate treatment.

Let our dermatologist know about any medications you take, allergies, or bleeding disorders. You may be asked to stop blood-thinning medication before the procedure.

Our dermatologist will guide you through the next steps. Treatment options may include surgery, creams, or other therapies, depending on the type and stage of cancer.

Yes. Skin biopsies are also used to diagnose infections, inflammatory rashes, and autoimmune conditions, not just cancer.

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Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin. 

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