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