Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

see all q&a
Posted underPunch Excision q&a

What should I do to improve my wound after punch excision? (Photo)

S
skinworry123May 10, 2023

I had a punch excision in January to remove an ice pic scar. Unfortunately, once the stitches were removed, the wound opened up creating a hole. I had a fractional C02 laser treatment on it to help but wondered if there were any treatments that you could recommend for me to have. The dr has offered to redo the treatment, however I'm scared the same will happen, leaving an even bigger hole. Thanks in advance.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Nelson Lee Novick, MD
Nelson Lee Novick, MD profile photo
Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 119 Reviews
Answered on May 14, 2023
Answer
🔗 Link

More Punch Excision Questions

Top Answer
User Avatar
Raffy Karamanoukian, MD, FACS

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and...

+1 answers
Top Answer
User Avatar
Nelson Lee Novick, MD

I am not at all surprised by the lack of success following the various light-based treatments, such as fraxels and IPL. I have been cautioning my regular readers for years already that the use of these expensive, hear-today-gone-tomorrow "bells and whistles" treatments are much more heavily...

+1 answers
Top Answer
User Avatar
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...

+1 answers
Top Answer
User Avatar
Nelson Lee Novick, MD

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...

+2 answers
Top Answer
User Avatar
Nelson Lee Novick, MD

Microneedling, which is best used to treat very superficial, surface texture and color irregularities and topical tretinoin had little chance of working on a deep ice pick scar. So, no surprise there. If by TCA chemical peels is meant conventional 10%-35% peels, this, too, had little to no...

+1 answers
Top Answer
User Avatar
Nelson Lee Novick, MD

At least from the photos provided, the predominant issues are ice pick scars and dilated pores. If this is indeed so, then TCA CROSS, rather than subcision (best for boxcar/rolling scars) would be indicated. TCA CROSS, which was developed in South Korea over two decades ago, is also safe as well...

+1 answers
See all Punch Excision Q&A
See more Punch Excision Q&As
See all Q&As
SEE PUNCH EXCISION GUIDE →