Punching Out Acne Scars With Punch Surgeries
Punch surgery is usually a strategy used on those pesky deeper acne scars: icepick or boxcar.
This technique uses a punch biopsy tool which is basically a round, sharp “cookie-cutter” tool that comes in diameters ranging from 1.5 mm to 3.5 mm. A particular tool is chosen to be very slightly larger than the scar – this ensures the wall of the scar is removed as well. Under local anesthesia the scar is excised with the punch tool and the skin edges are sutured together. The scar that this produces is much smaller and less noticeable, and often fades away. If the scar remains noticeable, it is certainly more amenable to further resurfacing techniques.
Punch Excision with Skin Graft Replacement
The first part of this method is excision; the acne scar and it’s “wall” are removed. Instead of suturing the skin edges together, the defect is filled with a punch skin graft usually taken from behind the ear. With this procedure a color and texture difference may be noticeable, but a skin resurfacing technique can be used 4-6 weeks after the grafting to correct this difference.
This method of surgically correcting acne scars is used on deep boxcar scars that have sharp edges and normal appearing bases. The same punch tool as above is used to excise the base of the scar leaving the walls of the scar intact. The excised base is then elevated to the surface of the skin and attached with sutures, steri-strips, or skin glue called Dermabond. Surgeons generally prefer to use the glue when possible, as it scars much less than stitches. Reuse of the naturally occurring skin also lessens any differences in color and texture.
As a surgical procedure, however small, punches are known to leave scars behind but with a more controlled healing process, the less acute scars can show better skin aesthetics.
As in most surgical process for scar removal, punches could take several seeks for the punched or grafted skin to heal. The healing process and recovery time will always depend on the extent of the punches and the patients natural healing disposition. Your dermatologist will routinely prescribe the right medicinal ointment after the punch surgery.
Cost will vary according to the surgeon performing the operation, the number and nature of the punches, and the location where the surgery is performed. It is safe to estimate that each punch can cost about $50. This affordability makes it one of the most popular methods for getting rid of pits or ice pick scars. As with any surgery, there are risks. When performed by a good doctor, and with post operative medication and care, it is an extremely safe procedure.
So, now you know about Punching Out Acne Scars With Punch Surgeries.
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