I had punch excision done and the scars are much deeper than before. How can I fix these? (Photo)

Question

I had five acne scars excised with a small punch. They are much deeper and wider than before and I am looking for realistic results and a plan to fix them. I visited plastic surgeons and dermatologist all over my state and they all tell me CO2 laser but they are deep and look dark holes I'm wondering how to raise them up or what the best thing is.

Daniel Barrett, MD · Answer

Dear KeevTHo,I would certainly have to examine you but in general, treating acne and the scars takes a comprehensive approach.There are a variety of ways to treat the scars .  A good first step is to get on a skin care regiment that normalizes and conditions your skin such as ZO Skin Health.  The next step that is relatively inexpensive is a peel or series of peels.The next step up would be laser resurfacing such as fraxel. Even with laser, some of the "ice-pick" scars still subsist and remain. I've found in my practice that local subscision, using a needle to elevate the scar followed by fat grafting gives the best results for these deeper acne scarsDaniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Jason Emer, MD · Answer

A combination approach and a series of treatments is needed to get the most improvement. These types of scars need a combination of lasers, microneedling/prp, TCA cross, punch excision, Cosmelan and fillers. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Stephen J. Ronan, MD, FACS · Answer

HI, we have found success with combining BellaFill Injections along with a dermapen/laser or Vivace procedure for treating acne scars. This is the best combination to fill in and smooth out the scarring. Good luck!

Davin Lim, MBBS, FACD - Account Suspended · Answer

Very hard area as its depressed on a convex area of the cheek. I would agree with either CO2 fractional lasers, or microneedling RF, subcision then filler. It is a very hard area to treat, and realistic improvements of 40-50% can be made. Narrow but deeper scars - TCA CROSS is ideal. All the best, Dr Davin Lim.

I had punch excision done and the scars are much deeper than before. How can I fix these? (Photo)

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