The Beauty of a Punch in the Face

If you have acne scars there are numerous acne scar removal procedures that can help you get your nice smooth-appearing skin back again. There is a process called dermal injection which is done by a series of injections into acne scars to raise the surface of the skin and give it a smoother look. Such fillers as fat, human collagen, bovine collagen, hyaluronic acid derivatives, and polytheyl-methacrylate microspheres with collagen are all used. When you have a dermal injection done with these materials, they do not permanently correct acne scars, so you may have to have several injections to be successful.

Another method, which is surgically done, is called punch excision which surgically corrects acne scars. It specifically focuses on ice-pick scars and deep, boxcar scars. A biopsy is taken with a punch biopsy tool, which is a round, sharp, cookie-cutter device that comes in diameters ranging from 1.5 mm to 3.5 mm. The size of your acne scars determines the size of the tool which is matched to the scar and includes the walls of the scar. You will have to have a local anesthetic applied when the scar is excised with the punch tool. The scar edges are sutured together, and though this procedure will produce a new scar, it eventually fades and may not be noticeable. If for some reason it continues to remain noticeable, the surface of the skin is now more amenable to further resurfacing techniques.

There is another technique called punch excision with skin graft replacement, where the scar is excised with the punch tool. However, instead of suturing the edges together, the defect is filled with a punch skin graft that is usually taken from behind the patient's ear. You may find that there will be a color and texture difference that is noticeable with this type of procedure. And as a rule after four to six weeks, a skin resurfacing technique can be applied to correct this difference in texture. With treatment, acne scars can be effectively brought under control.

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