Acne Scars Treatment before & after photos
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Why Are Results from Acne Scar Excision So Uncertain?

From the testimony I've read regarding excision of deep or pitted acne scars, the result tends to be extreme. They are either very pleased with the result, often stating there is absolutely no sign of the previous scar or even the "linear scar" that was supposed to replace it, or the surgery was a complete failure and they now have an even bigger scar than before. Why are the results so uncertain for this procedure? Is it the best option for ice pick or deep acne scars?

Asked 31 months ago by shelly in CA in fullerton
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+2

Excision is an important tool in Acne Scar Revision

Excision is an important tool in Acne Scar Revision. There are some scars (many of them actually) that will benefit most from excision. The results are variable depending on your genetics, the severity of your scar, location, healing, procedure preparation, etc. One person may have more of an issue with healing because of reactions that they may have to the suture material. I have had many patients whose bodies just don't like some of the absorbable sutures that we use to close the... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

Acne scar excision

Results have in part to do with location of the scar (whether it is in an area of considerable movement), an individual's tendency to heal with or without scarring, surgical technique, punch excision size, and whether dermabrasion was performed after healing of the excision to address scar texture. There is another technique that I like to use called the Cross method which involves application of a very strong chemical peeling agent into an ice-pick scar to stimulate collagen growth. You... more
Bryan K. Chen, MD
San Diego Dermatologist
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