Inverted pyramidal biopsy

We describe a biopsy technique that is simple, rapid, and effective for num erous cutaneous lesions. The inverted pyramidal biopsy (IPB) creates an acu te geometric tissue defect with an apex located in the dermis. A cosmetical ly pleasing result, while still providing adequate tissue to render a histo logic description and diagnosis, is obtained. The technique can also be emp loyed to remove a host of benign lesions, including dermatofibroma, fibrous papules, and chalazion, among others.