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Thinking about Punch Excision or subcision for acne scars. What would be the best option for my scars on both cheeks? (Photo)

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questionsgirlMay 23, 2022

I'm thinking about either getting subcision or punch excision for acne scars on both of my cheeks I have done micro needling with a little results and I am afraid to get CO2 laser because of the color of my skin and the risk that comes with that, also not sure I would see results I'm looking with a laser rather than subcision or a punch excision.

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Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 119 Reviews
Answered on May 24, 2022
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Nelson Lee Novick, MD

Punch excision of indented scars, which is a form of surgical removal followed by stitching, runs the real risk for the subsequent development of stretch scars and even tram track stitch marks, especially when performed in areas under tension or subject to a great deal of movement. I have a...

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Raffy Karamanoukian, MD, FACS

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce...

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Nelson Lee Novick, MD

So sorry for your distress. As any reader who follows my posts would know, I gave up doing punch excisions many years ago, precisely because very often, particularly in areas subject to muscular tension or movement, such as the cheeks, they often result in unsightly stretch scars (and not...

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Jason Emer, MD

Punch excision followed by laser would be best, you need co2 and then long term halo with TCA cross. at home peels like cosmelan, enlighten and aerify along with dermarolling (Emerageskin roller with anteage MD AERIFY ampules weekly) should be started now (see link to emeragecosmetics). if y...

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Jason Emer, MD

For chickenpox scars, I recommend a combination of lasers, subcision and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

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Rohit Seth, MD, MRCS(Ed), PhD

Hi Jfh2001 Thank you for your question and the photograph. My initial thought on reading the question was no visible scar with an excision is not possible. I wanted to check what exactly you had done as a procedure.  If it was a punchy biopsy excision, even if this was a small punch -...

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