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Do All Plastic Surgeons Perform Punch Excision? (photo)

asked 5 months ago by ashleys in Minneapolis, MN
Latest answer by Stacey Tull, MD
Question viewed 471 times
Tags: choosing a surgeon, punch excision

im trying to find a doctor to do punch excision on my acne scars. Is it only plastic surgeons who perform them, should i be looking at a hospital or a clinic? Also, my doctor told me not to do a excision any reasons why?

4 answers to Do All Plastic Surgeons Perform Punch Excision? (photo)

+2

Punch excisions aren't great

I don't recommend punch excisions, actually. What happens with a punch biopsy or punch excision is that the depth can be too deep, which actually results in too much being taken out. Usually physicians who aren't comfortable with scalpels and excisions use a punch technique, but I've found you can actually customized depth and size with a regular excision, and a lot of the time a punch version is actually worse because you have to widen the margins and depth more than is actually... more
F. Victor Rueckl, MD

Las Vegas Dermatologist
+1

Punch excisions for acne scars

In the past, we did a lot of punch excisions for deep, ice-pick acne scars. This worked for some lesions but sometimes you just traded the acne scar for a new scar that was no better or even worse. I the recent years, we have been treating these types of lesions with a combination of fractionated resurfacing for the more shallow scars and for overall tightening and using a very strong chemical peel applied to the inside of the deep scars to get them to seal themselves off. more
Stacey Tull, MD

Chesterfield Dermatologic Surgeon
+1

Dermatologists also perform punch excisions for acne scars

Dermatologists also perform punch excisions for acne scars, however, tnis might not be the best cnoice fpr you. Before you pick a method of acne scar revision, get a consultation to be sure you have determined your best options. Also make sure that uou acne is under control. I tend to use punches only on very deep acne scars.
Dina D. Strachan, MD

New York Dermatologist
+1

Acne scar revision

Before proceeding with any surgical treatment for acne scars it is extremely important to have covered all other possible bases of treatment. 1) Is the acne condition under control or are you still prone to breakouts and cysts? 2) Are you using antibiotics, topical or oral? 3) Is the acne hormone regulated? 4) Have you tried Accutane? 5) What kind of skin care and exfoliants are currently utlized? 6) Any laser treatments tried, BBL,... more
James Wire, MD

Minneapolis Plastic Surgeon

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