Could this old scar be removed with punch excision between philtrum? (Photos)

Punch excision can be a viable method for removing scars, especially those that are deep or have a defined edge, such as ice pick scars or boxcar scars. However, its suitability for your specific scar depends on several factors, including the scar's depth, width, and location between the philtrum columns.

Punch excision involves using a punch biopsy instrument to remove the scar tissue, and it is often followed by suturing or grafting to close the wound[3]. This method might not be ideal if the scar is shallow or if it could potentially blur the philtrum columns further, as you mentioned.

Regarding the cost, it can vary widely depending on the location, the expertise of the practitioner, and whether it is covered by insurance. Medicare typically covers procedures deemed medically necessary, but cosmetic procedures are generally not covered unless they are part of a larger medical treatment plan.

To determine the best approach for your scar, consulting a dermatologist or plastic surgeon is recommended. They can assess the scar and provide personalized advice on whether punch excision or another method, such as fillers or laser treatments, might be more appropriate.

In terms of emotional impact, addressing the scar could potentially help alleviate the psychological distress associated with it. However, it's also important to consider the potential risks and outcomes of any procedure.