Punch Excision for Acne Scar ...100% WORSE - Springfield, MO

Two years ago I had punch-excision performed for a...

Two years ago I had punch-excision performed for a couple of small acne scars on my cheek. I was initially going to have the procedure performed on scars over my entire face, but wanted to first try it on a small area to see the results came about. I was told by the doctor that the resulting "improved" scar would be no larger or noticeable than the fine wrinkles on your knuckles. Pretty good results, I figures. Heck, even that small of a scar could be covered the rest of the way with makeup!

The procedure itself was relatively painless under the localized anesthetic. The scars were "cut" out and the ski was stitched back together. I had the stitches on for about one week. Of course I didn't go out in public much for those seven days. After the one week I went in to have my stitches removed. I was excited to see this "great' improvement I was told to expect. However, when the doc was removing my stitches, the two sides came apart. For whatever reason, the wound had not completely healed yet. When I was given the mirror I could see immediately what the problem was. But instead the doc saying, "oops, looks like we need to stitch it back up and give it another week," he just left it. When I expressed my concern that I know had a gash to deal with, he simply stated that the results would get better with time. Well, to make a long story short, it did not get better.

As it healed, I ended up with a half-inch long gash-looking scar that is much worse and unsightly than the acne scars ever were. And it is no where near the promised result of a "fine line". I know docs say they can never guarantee results. But I believe results could be more guaranteed if procedures are done correctly.

Since then, I've had (by other docs) two laser treatments, subcision on the scar, and injections of Restalyne. Amazingly, those treatments have helped improve all the rest of the acne scars on my face. But they have done little to improve this gash now on the side of my face. It's obvious, when examined, that it was a wound that came apart and didn't heal correctly. Each other plastic surgeon I've been to wants to know who did this "job".

Unfortunately, all of them are afraid to try and repair it with another excision "just in case. So- I guess the results of this might procedure might be good if done CORRECTLY.

I can't NOT recommend it, since I would have had good results if I had a different doc.

Hi, 2332anon... What I used, that helped, was Aquaphor. It's a medicated Neosporin-type ointment that can be purchased at most pharmacies and stores. I just put some on before bed- and that helped keep it hydrated. Of course, it is an oil-based product, and I've heard others mentioned it gave them acne. However, I have extremely acne-prone skin and it didn't bother me. I'm no doc, but as long as your stitches didn't come apart, and the wound healed clean, then I'd venture to say you won't have the same problems I did. On the areas of my wound that DID NOT come apart, the resulting scar is barely noticable (of course, I did have 2 laser treatments later on) Hope that helps!
Have a quick question for you Mike. I recently got facial sutures removed underneath my brow and my eye (2 weeks ago). Right now, my main concern is to not have any scarring. I seem to be taking the precautionary steps-using Mederma 3-4 times a day (keeping the area moist at times) and putting sunblock/sunscreen SPF 110 on when leaving the house. Is there anything else you recommend. As you can relate, this is my face so am a little worried. Also, the area around the affected areas are getting red (not infectious) and they seem to be getting dry. What do you recommend for moisturization? Lotion or Vitamin E (if either)? A zillion questions I know. Thank you in advance!

List Pros & Cons, Advice you can offer others

List Pros & Cons, Advice you can offer others

Hey mike, so your pictures look great and I have to know who u went to for your second round of treatments. I have acne scarring and I'm bound and determined to gets rid of it. Also, who did your first procedure? Sounds like I need to be sure to avoid them.

Many years ago when punch excision was new, I had the exact same experience as you with the two sides falling apart and a gash to boot. Reading your story was deja vu. Later, I had the gash cut out by a different doc who pulled the skin over and sewed it to a clear area of my skin. However that didn't work so well either because now I had a longish scar on my cheek where the two sides met. If that second scar had faded correctly, that procedure might have been the answer. But probably because of some peculiarities of my skin, the latter scar never faded very much so there was no true improvement.
Wow!!! Thanks for sharing your experience here. I was thinking about having that done since I have Ice Pick acne scars, but after reading your horrible experience....I don't wanna take the risk. So I guess I am gonna go for Active FX or and some fillers....thanks!!!
Springfield Facial Plastic Surgeon

5 out of 5 stars Overall rating
1 out of 5 stars Doctor's bedside manner
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