What is the preferred technique for removing the punch biopsy?

Gently grasp the biopsy specimen with a toothed forceps, preferably at the level of the subcutaneous fat. Be careful not to grasp the specimen with too much pressure as this may cause pressure artifacts, which will make histologic examination difficult. While pulling the specimen gently upward, carefully cut the specimen at the level of the deep subcutaneous fat. Hemostasis is usually achieved with suture closure of the defect. Alternatively, the defect may be allowed to heal by secondary intention.