Do All Plastic Surgeons Perform Punch Excision? (photo)

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, fractional laser, ablation, etc?

Only after all these issues have been addressed would I proceed with scar revision.  "Punch" techniques are good for pock marks and small defects but can be disappointing with larger areas.  Larger excisions can be risking with the resultant scarring.  Often, less is more......

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 needed. Also, derms, plastics, and other physicians can and do punch excisions. Additionally, I'm not sure why someone recommended you have a punch excision anyway; that's just going to go around the acne scar and widen and deepen it. Which will require healing and can possibly scar again. I'd recommend you get filler in the scars - a much simpler procedure with no downtime. I'd at least suggest you see another physician for a consult before going in for a punch excision - I just don't think this is the right treatment for you.