Which Surgery Would Remove This Hole from my Cheek?

The photo is rather blurry,  but, as several others have commented,  an option that is often useful is excision of the defect and careful layered closure.  During the healing period care must be taken with proper wound care.  If scarring started to re-develop,  steroid injections and other scar treatments could be considered.

Mark Lucarelli, MD, FACS

Madison, WI

Punch excision is the standard of care for ice pick scar. The only complication may be if an epidermal inclusion cyst exists underneath the hole where the cyst sac should be removed prior to repair or else you may be dealing with a bigger problem of an inflamed cyst. Consult with a board-certified dermatologic surgeon or plastic surgeon.

I would recommend using a punch biopsy technique to remove this area.  The skin is closed in a straight line with a few skin sutures.  This is an office procedure.

Dr. ES

I do agree with the previous surgeons that the best option is likely excision of the scar and defect in the skin with very meticulous repair. Additional photos would allow me to give a more specific answer and an in office consultation with an experience plastic surgeon would give you the most accurate information. I would add that a procedure like that I've described can be optimized in certain patients with dermabrasion ("sanding") of the skin about 6 weeks after scar revision.Stephen Weber MD, FACS

This appears to be an 'ice pick' scar of the face- the simple solution is the remove the scar entirely using a punch biopsy instrument and closing the resulting wound (not much larger than original hole) with a couple of sutures. This will result in a linear scar which should heal quite well. Seek out a board certified plastic surgeon in your area for a consultation.