What is Punch Excision for Pores?

Thank you for asking this question.  I agree with the other physicians that there may be other options for improving the appearance of pores but the punch excision can be very helpful for isolated pores. Punch excision is a technique where small lesions are excised with an instrument similar to a cookie cutter which have various diameter to minimize excess tissue removed.  Typically the skin is excised to the fat to ensure complete excision of sebaceous structures underlying the pore.  A suture is typically placed and removed within a week on the face.  I recommend contacting a dermatologist for an evaluation to ensure the best treatment and also there is not a cyst underlying the pore which may be incompletely removed via punch excision.

Punch excision refers to use of a small device to remove the poor.  In some cases this can lead to improvement but and others you can trade an enlarged pore for a scar.  Sometimes following punch excision with laser skin resurfacing can help improve the appearance of scars.  I would recommend evaluation by a specialist who has a great deal of experience in treating acne scarring and facial scars before deciding to proceed with punch excision treatment for large pores.

Acne ice pick scars look like big pores and punch grafting skin from behind the ear into the hole is easy to do and works well. This fills in or closes the hole up nicely and is done under local. It is then dermabraded to cover up the scar. Sincerely, David Hansen,MD

Thank you for your question. Punch excision is a surgical treatment used to cut out benign moles or may be used for cosmetic purposes such as acne scars. I would not recommend excision for large pores. I would recommend consulting with a Board Certified Dermatologist or Plastic Surgeon for safest and best treatment option. I hope this helps.

A punch excision is
akin to a cookie cutter that we use every day in dermatology. With it, we can remove skin lesions or
concerns of various sizes, from 1 mm to many millimeters, depending on the size
of the lesion we are dealing with.
Pores, though can be tricky, and sometimes using this method can end up
leaving small scars that may not look as good as the pores were before having
something like this done. We are all
born with pores and pore size, for the most part, is genetic. We cannot shrink
pores but with various treatments, including peels and fractional lasers, as
well as the microneedling RF devices (EndyMed Intensif), we can improve the
appearance of one’s pores, with minimal risks of scarring, which we want to
avoid at all costs. I would recommend making an appointment with a board
certified dermatologist to see what the best options are for you.

This means you cut out the pore with a round circular blade and then close the excision or implant a skin graft with the sam size. This is a very aggressive approach. There are other less invasive and risky approaches including just excision, or deep lasering and trichloroacetic acid deep peeling

A punch excision is a nice method for excising certain scars and lesions. A small cylindrical knife of varying diameters from 1-5mm can be used for the punch excision. A small circle is left which can be sutured closed and will heal as a linear scar.

A punch is a small, circular, cookie cutter shaped scalpel.  It can be used to remove deep acne scars which would not otherwise respond to lasers, peels, or fillers.  The deep pitted scar gets replaced with a less noticable suture scar.  In some patients this is the best choice.

Some pores have lost their elasticity
due to destruction of elastin around that pore. The result is a dilated,
flaccid pore that is about 2 millimeters in width. This is very small, and it
is likely the pore cannot contract back to its original state.

When this happens, we perform punch
excision. We take a tiny 2 millimeter punch biopsy. This biopsy takes the
entire pore out, and brings normal skin, from either side of that pore,
together. The dilated hole in the skin is removed and replaced with a small amount
of scar tissue. The area then appears like a small, flat, line, or a 2
millimeter line, as opposed to a circular hole collecting debris and dead skin.

That is it. Deep open pores can be treated with several methods, the 2 most common methods that I employ is the punch excision method, followed by the TCA CROSS method. Which method is better? This depends on a few factors including the size and location of your pore, your skin type, and whether you plan to have other procedures following the treatments. OK, say if you pore is 1.2 mm in diameter, we would choose a 2 mm punch. This is like a cookie cutter, and we remove 2 mm down to a core (possibly 2-4 mm deep, again depending on location). We then usually use one suture that is removed 4-6 days after the punch excision. This technique is an excellent method for treating multiple large deep pores. Most often I follow this up with laser resurfacing, as it then smooths out the area. Job done. Hope that helpsRegardsDr Davin LimLaser and Cosmetic DermatologistBRISBANE, Australia.