Can Punch Graft Treatment Help Remove Acne Holes on Nose?

Can punch graft treament help remove acne holes on nose?

Doctor Answers 7

Pitted scars on the nose are very hard to fix.

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If you have oily skin and have a pitted scar on the nose punched out, the oil produced by the oil glands in the nose may prevent the punch from healing and leave another scar.  When punching pitted scars out on oily skin, I often put the patient on one week of Accutane before and after the procedure to reduce the oil that is produced.   This has worked well for many of my patients.


Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Removing Acne Scar Holes

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For those reading this who may not know, punch grafting is where a small circle containing the scar is removed and normal skin is put in its place. We often take the normal skin from behind the ear where it will not be missed or seen.

Punch grafting can work well if you are patient and realize it is a process that may take several treatments. Temporarily the areas that are worked on may be puffy with a definite border. Often it takes a dermabrasion treatment one month later to make the area one level and smooth. So it may take several months to see the final result. However, the results last forever and make it worth the wait.

T. Wayne Day, MD
Nashville Dermatologic Surgeon

Yes it can

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As suggested by Dr Young, punch grafting can help- it depends on the size of the hole and the nature of the scar. If they are small and deep, TCA CROSS can help, otherwise, punch grafting can elevate the scar. 
I usually use this as a two step procedure, followed by laser resurfacing- this will give even further improvement. 


Dr Davin Lim 
Laser and Cosmetic Dermatologist

Punch graft for acne holes

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Yes this can help. But be prepared for different skin in the punch graft. The holes can also be lifted and then re closed or TCA could help through the CROSS method.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Fraxel laser for acne scars on nose

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The nose is one area that can be forgiving to aggressive skin resurfacing procedures. In the correct skin type, aggressive dermabrasion or Co2 Fraxel repair laser treatment might solve the problem.  Discuss with your dermatologist the best options for you.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

Punch grafts for acne scars

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Yes, punch grafting can help treat acne scars.  It is a minor surgical procedure and usually takes several treatments.  The best treatment I have found for acne scars includes a combination of silicone injections and a series of Fraxel treatments.  

Monica Halem, MD
New York Dermatologic Surgeon

Punch Grafting Can Work For Certain Acne Scars

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There are many different types of acne scars and many different techniques for correcting acne scars.  For "holes" (or at least what I interpret holes to mean), punch excision/grafting can be effective.  As mentioned by others, it is a minor procedure and requires minimal downtime.  Generally speaking, in our office, we attain excellent results for our acne scar patients with injectable liquid silicone and resurfacing techniques such as electrodessication (light burning of the skin). I personally think lasers are overrated for improving acne scars. Click on the link below to see before and after photos of patients with acne scars treated with liquid injectable silicone. 



Channing R. Barnett, MD
Boca Raton Dermatologist
4.1 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.