Punch excision left huge scar on chin - what now? (photo)

Question

I had a punch excision for a pore on my chin. The edges never approximated and I have a large very noticeable vertical line now just off of center on my chin. Looks like a bad attempt at a cleft chin. Second punch attempted, fillers, and fractional laxer. Still looks deeply diveted and the line is apparent. What now?

Nelson Lee Novick, MD · Answer

Sorry this has happened to you. It is precisely to avoid this kind of problem that I have cautioning my readers for many years already that surgical excision of scars and indentations from areas under static tension or subject to much movement often result in the development of stretch scars and even in the appearance of stitch related "track track" scars.  TCA CROSS is an excellent, simple and inexpensive treatment for dilated pores (and ice pick scars) that has an over twenty-three year track record for safety and efficacy in all skin types and engenders little to no significant downtime--a word to the wise for other readers of this response.  At this point, the indentation can be treated with subcision, another time tested, simple, and proven safe and effective technique for elevating and smoothing all kinds of indented scars, including those resulting from prior surgery.  Make sure to consult with a board certified cosmetic dermatologist with experience and expertise in performing subcisions. Best of luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Sorry you're experiencing trouble with your chin scarring. It sounds like you've tried multiple things. Other options would be needle subcision with injection of nanofat. Nanofat contains stem cells and growth factors ideal for scar improvement. Microneedling RF can soften the collagen and scarring. Steroid injection with massaging may be useful. A last result, excision can make an attempt at improving the scar more efficiently than a punch would. Hope this helps you!

Punch excision left huge scar on chin - what now? (photo)

Answers (2)

Recommended reading

Everything you need to know about Punch Excision

Our mission is to create a world where every investment in modern beauty is Worth It.

Punch excision left huge scar on chin - what now? (photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Punch Excision

Our mission is to create a world where every investment in modern beauty is Worth It.