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Hi Jfh2001Thank you for your question and the photograph.My initial thought on reading the question was no visible scar with an excision is not possible. I wanted to check what exactly you had done as a procedure. If it was a punchy biopsy excision, even if this was a small punch - this would still leave a scar. This would require a stitch to close the defect otherwise the scar will stretch and leave a wide and indented scar. If this was a shave excision, then no stitch is required but the scar will be flat and of the diameter of the original lesion/ scar. With many acne scars, the pitting is quite deep. I see it with many face-lifts in patients with acne. Not only is the scarring reaching the SMAS layer that is deep to the skin, but in areas of active acne, these pores are quite deep. Therefore a superficial punch biopsy might not be enough. For the area you are showing, whether you repeat the punch biopsy or have it formally excised as a small elipse - the resulting scar will be a small straight line. This will be less evident then the current area as there will be no indentation and therefore no shadowing on the skin which highlights the area of concernI hope this helps Best wishesRohit SethPlastic, Reconstructive, Aesthetic and Hair transplant surgeryBella Vou Cosmetic Clinic
A punch excision may still leave a scar. I would recommend first trying a filler into the scar and see if that makes a nice improvement. I like Restylane for these types of scars and I have great results. Please consult an expert in scars. Best, Dr. Green
I choose a particular laser based upon the size of the pore, skin type of the patient, and expectations. I find that the most reliable method is with INFINI RF, micro needling using energy. This beats all my Fraxel lasers and chemical peel techniques. Very little downtime, and it is ideal for ...
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!
Thank you for your question ScarMom. I am sorry to hear about your situation. Fractional CO2 laser resurfacing is an outstanding treatment that can address multiple aspects of aging in a single treatment. For those in whom excision does not work well, fractional laser treatment can be tried. A ...