Will punch excision work for my ice pick scars? (photo)

Question

I've tried chemical peels and the E matrix laser and nothing seemes to work. My goal would be to proceed in doing the punch excision and the Cross TCA. According to my picture are either options going to make a valid difference in my acne scarring?

Anil R. Shah, MD · Answer

Punch excision is not currently a favored treatment of mine as it has the potential to make acne scars worse.  Essentially a scar is either removed with a punch or lifted with a punch and sutured to the skin.

Jason Emer, MD · Answer

Acne scarring needs a combination approach for improvement.  Punch excisions and TCA cross work well for ice pick scars along with lasers and needling.  Best, Dr. Emer.

Michele S. Green, MD · Answer

eMatrix combined with TCA cross and fillers such as Restylane will greatly reduce the scars and improve your complexion.  PRP with microneedling will also be a great adjunct to your skin care.  Please consult an expert.  Best, Dr. Green

Jennifer Trent, MD, FAAD · Answer

Punch excision can help ice pick acne scars.  TCA cross can also be of benefit.  Always seek help from a qualified professional.  Good luck!

Philip Young, MD · Answer

I have done punch excision and TCA cross. This might help you to a degree and that's possible. It's also possible that you may not get as much of a result from these. TCA cross can be a long recovery and sometimes it's hard to control. Sometimes you can get worsening of your scars. Punch excisions tends to leave patchiness on your face. Both approaches may require multiple treatments at different dates and points in time. Would you approach that can all be done in about 2 hours that treats all types of acne scarring with one treatment

Will punch excision work for my ice pick scars? (photo)

Answers (5)