Know Before You Go: What to Expect During a Skin Cancer Check

Skin cancer is the most common type of cancer—but here’s the good news: It’s one of the easiest to treat when we catch it early. And that starts with a skin check.

Do I really need a skin check?

You might want a skin check if:

• You’ve had skin cancer before or someone in your family has
• You notice a new or changing mole, freckle or spot
• You’re over 65
• You have fair skin, light eyes or red or blond hair
• You burn easily or had lots of sunburns growing up 

Even if none of these apply, skin cancer can affect anyone. Sun damage adds up over time. A fast check could make a big difference. 

What actually happens during a skin check? 

Let’s break it down step by step:

1. Getting undressed: You’ll be shown to a private room and given a gown or drape. You’ll undress completely underneath, but your dermatologist will only uncover one area at a time. You’re always in control of what’s checked.

2. The full-body exam: Your dermatologist—sometimes with a nurse or assistant—will check your skin from head to toe, including: 

   • Scalp (they may part your hair)
   • Face, ears and neck
   • Arms, hands and under your fingernails
   • Chest, back and stomach
   • Legs, feet and between the toes
   • Genital area (depending on your comfort level)

   They’ll use a small tool called a dermatoscope to get a closer look at any spots. If something looks concerning, they may take a photo or do a quick biopsy (this just means taking a tiny sample of skin and sending it to a lab). It’s quick and usually feels like a small pinch.

3. How long does it take? Most skin check visits take about 10 to 15 minutes. It might take a little longer if it’s your first visit or if you have a lot of moles.

4. Before you leave, your dermatologist will review:

   • What they found and if anything needs to be watched
   • Any spots that may need a biopsy or follow-up
   • How often you should return for future skin checks
   • What changes to look for at home

   You’ll leave knowing exactly where things stand—and what to do next.

What do I need to do before my skin check appointment?

There’s no special prep—just a few simple tips:

• Come with clean skin: No lotions, creams or oils
• Skip makeup and nail polish if you can: Skin cancer can hide under nails or behind makeup
• Deodorant is fine: No need to skip it
• Wear loose, comfy clothes: You’ll need to change into a gown
• Be ready to chat briefly: Your provider may ask about your health history and any spots you're concerned about
• Bring someone if you’d like: A friend or family member is welcome to join you

Do I need a referral for a skin check?

Every insurance plan is different. Call your insurance provider to be sure that you don’t need a referral to see a dermatologist. 

But how much will a skin check cost me?

Most insurance plans cover skin cancer checks. You might have a co-pay or other out-of-pocket costs, especially if your doctor does a biopsy or other procedure. It’s a good idea to call your insurance company ahead of time so you know what to expect.

Feeling nervous before your skin check?

It’s okay—you’re not alone. Feeling anxious is totally normal. These tips can help you feel more comfortable:

• Breathe in, breathe out: Inhale for 4 counts, hold for 4, exhale for 4
• Bring someone you trust: A friend or family member can help calm your nerves
• Ask for a blanket: If the room feels chilly, it’s okay to speak up
• Tell your dermatologist you’re nervous: They’ll go slower and explain things as they go
• Listen to music: Bring headphones and play something soothing if it helps (just check if it's okay first)

Remember: your doctor isn’t focused on how you look. They’re focused on keeping you healthy. 

What might surprise you about a skin check

• It’s quick: Usually takes under 15 minutes
• It’s painless: No needles unless a biopsy is needed
• It’s detailed: They’ll check places you may not expect
• It’s respectful: You’re covered with a gown and in control
• It’s empowering: You’ll walk away feeling informed and reassured 

Bottom line: You’ve got this 

A skin cancer screening might seem intimidating at first, but with a skin check, you're taking one of the easiest and most effective steps to protect yourself.

Even if your skin looks fine. Even if you’ve never had a sunburn. Even if you’re nervous—especially if you’re nervous—just showing up is a big win. 

Most people walk out saying, “That wasn’t bad at all. I’m so glad I went.” 

Learn about Tufts Medicine dermatology + schedule a skin check today