A biopsy device comprises a body, a needle, a cutter, and a needle tip protector. The needle tip protector is selectively attachable to the biopsy device before and/or after a procedure, to protect a user from contact with the sharp needle and to prevent the needle from damage during handling. In some versions, the needle tip protector may be placed on, and removed from, the biopsy device with the users hands remaining proximal from the distal end of the needle. In some versions, the needle tip protector substantially seals the lateral aperture of the needle such that the needle can be primed before a procedure. In some versions, the needle tip protector includes one or more living hinges for selectively securing the needle tip protector to the biopsy device or for actuating the needle tip protector to shield or expose the distal end of the needle.