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Punch excision scar

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  2. imally invasive acne scar removal technique that requires the physical removal of problem skin using a small punch tool. Most plastic surgeons and dermatologists recommend pairing punch excision with other types of scar removal treatments, such as chemical peels and lasers
  3. imally invasive surgical procedure, ideal for deep ice pick scars

What is punch excision? Punch excision is a surgical procedure that's usually used for scar revision. It uses a sharp, cookie-cutter-like punch tool to punch around a scar and ultimately remove it. The remaining hole is then closed with a tiny suture Recovery from a punch excision of a mole typically takes about a week with the appearance of any scar fading within 1-2 months. If non-absorbable sutures are used they will be removed after 1-2 weeks. Avoid direct and artificial sun exposure to ensure optimal scar healing MD excised base of scar with a 4mm punch-excision tool followed by the insertion of 2 sutures to close the open wound. Instructed to return back in 7 days for removal of sutures Had my stitches removed on May 30th The punch excision acne scar removal method uses a small cookie cutter like tool to cut out the individual acne scar. After the scar is removed, the tiny wound that is formed during the process is covered up using steri-strips Ok, so the scar is in the middle of the cheek bone area, closer to the centre of the face (vs. the side). The plastic surgeon used a 2mm punch, stiched it with one 6.0 nylon thread and put a steri strip on top. I get the stitch out in 7 days...I know some say 5 days but he was fine with the timing

Punch Excision: The Run-Down on This Acne Scar Removal

Punch Excision for Acne Scars - Dr

  1. or procedure called punch excision, your doctor cuts out individual acne scars and repairs the wound with stitches or a skin graft. With a technique called subcision, your doctor inserts needles under the skin to loosen fibers below a scar. OnabotulinumtoxinA (Botox). Sometimes the skin around acne scars puckers
  2. A punch excision is a method that involves cutting out the ice pick scar. After the excision process, your skin is closed up from all sides. Punch excision is one of the most effective treatments..
  3. What is Punch Excision? An alternative or complement to TCA CROSS is punch excision, in which the troublesome ice pick or pore is surgically removed from the skin. Using a circular blade, Dr. Emer carefully cuts around the ice pick scar, removes the scar itself, and sutures it closed
  4. Punch Excision Alternatively depressed scars can be treated with punch excision of the most depressed and tethered segment after which, the defect may be filled by a punch graft. Harvested from another area, commonly the post auricular sulcus, a punch graft is pressed into the created defect and either sutured or glued in place
  5. Dr. Jason Emer is the top acne scar treatment dermatologist in California. He is an expert in punch excision acne scars treatment procedure. Visit https://ja..
  6. There are different kinds of acne scars, each one requiring a unique combination treatment to treat. In this case, the first step to treating my patients' de..
  7. Excision and Punch Replacement Graft for Acne Scars In excision, the doctor cuts into the skin to remove the acne scar and then closes the wound with stitches In punch replacement grafting, the doctor uses a round sharp tool matched to the size of the scar to remove it. A skin graft, usually taken from behind the ear, is used to fill the wound

Punch excision is done for each scar, which is surgically removed using the skin punch tool. It is best used for removing narrow and deep pitted scars located in visible and easily accessible locations on the face. The procedure can also be used to straighten and smoothen out scars that have healed in an unusual pattern Excision and Punch Replacement Graft for Acne Scars: In excision, the doctor cuts into the skin to remove the acne scar and then closes the wound with stitches In punch replacement grafting, the doctor uses a round sharp tool matched to the size of the scar to remove it. A skin graft, usually taken from behind the ear, is used to fill the wound Punch excision is an ideal technique for revising deep ice pick scars and narrow, deep boxcar scars (<3 mm). This can be a much faster and efficient way of resolving these more difficult scar types. Many of the cosmetic problems faced by acne scar sufferers arise from the indentation and visibility of deeper scars Although punch grafting makes a big difference in the look of your skin, the procedure itself can leave a slight scar. This scar is smaller, though than the original scar. Instead of a depressed or pitted area, you'll notice a small line Biopsy punch wedge excision is the best treatment for Ice Pick acne scars. As the skin possess appreciable elasticity, the excised hole which resulted from the punch out excision can be easily closed. Before the procedure, careful detailed photographs are taken and reviewed on a large monitor together with the patient

Punch biopsy is considered the primary technique for obtaining diagnostic full-thickness skin specimens. It requires basic general surgical and suture-tying skills and is easy to learn. The. Punch excision helps ice pick scars that normally resemble tiny puncture wounds. Punch elevation technique is ideal for boxcar scars that resemble large angular pores. Since the size of the scar means that simple removal will leave behind an ugly gaping hole, procedures like punch grafting, elevation or suturing is done to smoothen the skin's. Acne scar surgery involves a minor procedure that makes the scar less noticeable by lifting the scar or breaking up the scar tissue. Punch excision is best for icepick scars that are deep and have jagged edges. The scar is removed and the wound in sutured closed

Is Punch Excision for Acne Scars Worth the Cost? RealSel

Traditionally, punch excision and grafting have been performed, followed 1-2 months later by dermabrasion. OBJECTIVE: To determine the effectiveness of laser skin resurfacing and the concurrent use of punch excision performed at the same treatment session in the treatment of acne scarring METHODS A Medline search was performed on the various treatments for acne scars, and particular attention was placed on articles that used the acne scar classification system of icepick, rolling, and boxcar scars. RESULTS Therapies for acne scarring included surgical modalities, such as subcision, and punch excision

Punch Excision of a Mole Overview: Cost, Recovery, Before

Punch excision. Punch excision is used to treat deep ice pick scars. Your dermatologist makes an incision in your skin, removes the scar and places a skin graft over the area. The procedure leaves behind its own scar, but that scar will be much less noticeable than the original scar. Laser treatmen Punch excision is a minor surgical procedure used to treat every scar separately. It involves incision of scar and stitching it to reduce its appearance. The surgery depends on the type of scar and healing time is dependent on the surgery. Dr. Behnam is a professional when it comes to acne scars and offers acne scar removal Los Angeles Punch excision is a technique that involves removing the top few layers of skin covering an ice pick scar. Dermatologists do this using a punch tool that is similar in size to the scar

Punch Excision Reviews Was it Worth It? RealSel

Scar Subcision and Punch Elevation Treatment Options: What

  1. During punch excision treatment a small, cookie cutter-like tool is used to cut out individual scars. Under local anesthesia the scar is excised with the punch tool and the skin edges are sutured together. The newly produced scar eventually fades and may not be noticeable. If it is noticeable, it is more amenable now to resurfacing techniques
  2. ishing ice-pick acne scars. A punch excision closes a scar with sutures, allowing the dermatologist to bring the dermis back together in a uniform line. This procedure can leave behind a faint, tiny scar, but this can often be eradicated with dermabrasion, laser resurfacing, or chemical peels.
  3. Punch excision and punch elevation: Punch excision is indicated for icepick and boxcar scars. Punch elevation is best suited for treatment of broad boxcar scars without underlying fibrosis. Punch excision is only performed by a professional dermatologist so you can meet with yours to see if it is a fit for your scarring and situation
  4. Punch excision procedures that create a wound that is not easily suturable might require a punch replacement graft. After the dermatologic surgeon excises the scar, they take a skin graft from another area of less visible skin, such as behind the ear. The surgeon then grafts the donor skin to the acne scarring wound
  5. The punch excision acne scar removal method uses a small cookie cutter like tool to cut out the individual acne scar. After the scar is removed, the tiny wound that is formed during the process is covered up using steri-strips. After the wound heals, you can discover a well textured and even toned skin

Punch Excision - Scar treatments - Acne

Punch excision of scar is done across the country by both dermatologists and Plastic surgeons. It is a routinely practiced treatment modality for post acne scars. Bit it is suitable for scars less rhan 3mm in size. Scars bigger than those are bett.. Punch excision is used when the base of the scar has normal looking skin and punch excision when the base of the scar does not have normal looking skin. The Punch Elevation technique is the same as in the video below, except no tissue is excised from the body The 'Scar' Treatment . If after your mole removal area has healed, you're uncomfortable with any remaining scar, there may be options for you moving forward. While scarring from mole removal is usually minimal, everyone's individual insecurities and preferences vary. And it doesn't hurt to explore procedural options • Punch biopsy » Advantages: quick, full-thickness, good cosmetic outcome » Disadvantage: can only sample a small area (1-4mm) • Inflammatory skin conditions: 1 » Sampling of deep dermis is important (e.g., lichen planus vs cutaneous lupus) » Use 4mm punch for rashes » For 1-4mm punch, scar is same w/ or w/o suturing 2 7 1 In punch excision grafting, the doctor uses a round sharp tool matched to the size of the scar to remove it. A skin graft, usually taken from behind the ear, is used to fill the wound. Laser resurfacing procedures can be done to further improve the contours. If the scar is small, a 2mm punch is used and usually no stitch is required and the.

WHO TO CALL. DermAssociates, PC at 301-681-7000 for problems, Monday through Friday from 8am to 4pm. Ask for your physician and inform the staff if you have a problem with your biopsy site. For urgent problems in the evenings or after hours, call 301.681.7000. After the prompt, press 1 to contact the physician on call Punch excision is a technique using a specific tool that is often used for taking a sample of the skin which is a procedure called biopsy. The tool is called a punch biopsy tool and is a circular sharp apple core-like tool which excises (meaning cut out) the deep ice pick scar under local anaesthetic injection. The subsequent very small wound. Punch excision is the best therapy here with a single stitch closing the tiny hole. Rolling scars are depressed scars of otherwise normal looking tissue. They are held down by fibers that tether the skin to underlying tissues, lighting tends to accentuate these scars, producing unwanted shadows Punch excision alone is an extremely successful acne scar removal therapy for pitted acne scars. In conjunction with skin grafting, it is the best way to eliminate bigger scars. There aren't any particular dangers linked to punch excision. If you do not want the lighter resultant scar, then a great choice for you is laser skin resurfacing

3. Punch Excision and Subcision Surgery. If you want to know how to reduce acne scars, consider punch excision surgery. Individual scars are cut and closed up with stitches or skin grafts. Subcision surgery uses needles to cut the fibers below scars to loosen them. The loosened fibers relax the look of the scar. 4. Natural Remedies for Reducing. Punch grafting is a treatment for large or very deep ice pick scars. This procedure is similar to punch excision. The scar is removed, but instead of closing the opening with stitches or glue, a skin graft is used. This raises the level of the scar to that of the surrounding skin. The skin for the graft is taken from an inconspicuous place. The main disadvantage of a punch biopsy is that it only provides a single small piece of tissue. It may not be representative or may miss an area of substantial change. It tends to leave a more prominent scar than the incisional biopsy. Punch biopsy—tool inserted Punch biopsy—plug of skin. Excision of skin lesions is both curative and. Punch excision is best for small scars that can easily fit the shape of the punch device. It only treats the individual scars, not any redness or unevenness caused by the scars Excision/Punch Excision. Excision, also known as Punch Excision, is a minor surgical procedure used to treat depressed acne scars. Excision is performed using a circular blade attached to a pen-like handle. The blade is rotated down through superficial and deeper tissues of the skin, into the subcutaneous fat

SCAR Punch - Piston Removal Tool quantity. Add to cart. Categories: 03. FNH-SCAR, 08. Tools, MISCELLANEOUS Products, SCAR Tools. Description Reviews (0) Description. A guided punch that fits in the rails of the upper, aligning a punch pin to drive out the gas piston using the BCG If the scars are larger, punch excision can be combined with a skin graft where the scar is removed and replaced with new skin. How much does lip piercing scar removal cost? img source: thestar.com. Depending on where you are, the cost may be anything from $300- $1000. It is best to first identify a well experienced plastic surgeon in your area. Punch excision removes the base of the scar, and the skin is then closed with sutures and allowed to heal. Punch elevation uses the punch tool to remove the base of the scar which is then sutured to the surrounding skin. Punch replacement involves the removal of the scarred skin which is then replaced with a skin graft (most commonly from. Punch Techniques There's a variety of punch techniques including excision, elevation, and replacement grafting. The type of punch technique you need depends on the type of scar

Surgical Techniques for Scar Revision - Skin Therapy Lette

  1. The procedure involves breaking up the fibrous tissue under the scar which pulls the skin downwards. Punch Excision, Punch Elevation and Punch Grafting are techniques where damaged skin is removed by excision of tiny areas of scarred skin, depressions in the skin are elevated, and undamaged skin (usually taken from behind the ear) can be used.
  2. In the Philippines, Dr. Arambulo recommends the following treatment procedures according to the type of scar: punch excision, elliptical excision, cross, dermal planning, subcision ,dermabrasion and laser resurfacing. Each of the procedure will produce improvement as stand-alone treatment but to optimize treatment outcome several procedures or.
  3. Punch excision. Some authors have advocated punch excision with full-thickness graft replacement as a means for improving deep icepick acne scars. 12 The postauricular skin is most often used to create these grafts. Unfortunately, the thickness and color of the postauricular skin often creates a color and textural mismatch leading to unnatural-appearing circles on the face
  4. Punch Elevation is particularly effective for certain types of acne scars, punch elevation involves the use of a punch tool rather than a typical scalpel. This device can precisely remove small quantities of tissue without affecting the skin nearby. The punch tool is used to elevate the base of the scar, making it appear much less recessed or pronounced on the face
  5. I had a mole removed 2 months ago and has darkened back to the original pigment. Inquiring if I should get additional punch excision. how bad is scar? Answered by a verified doctor: What is path?: You should first review pathology with surgeo

The typical treatment for acne scars is a laser facial using a fractional CO2 laser such as Mixto or Fractora. These lasers target deep layers of the skin to stimulate collagen renewal which in turns smooths out acne scars. At Be Medispa, we offer multiple acne scar treatment options Prevent Scarring Post-Removal. The unfortunate thing about mole removal is the fact that, in most cases, a scar will remain after removal. However, these tips will help you care for your skin after mole removal and will help you avoid this occurrence. [3 Punch grafting is used to fill a defect after excision of larger ice pick scars. The scar is removed as described under punch excision. Instead of closing it, a similar piece of skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar A skin biopsy is a procedure to remove cells or skin samples from your body for laboratory examination. A doctor uses a skin biopsy to diagnose skin conditions and remove abnormal tissue. The three main types of skin biopsies are: Shave biopsy. A doctor uses a tool similar to a razor to remove a small section of the top layers of skin.

Acne Scar Removal & Treatment Austin, Texas CT

Scar excision is used primarily for indented, deep and hard scars like ice picked scars and punch out scars. With full surface resurfacing CO2 laser, patients will have to undergo several sessions of laser treatment in order to improve these scars Punch grafting. Punch excision can easily also be implemented with the addition of a skin graft in place of a suture. The scar is removed using a punch biopsy technique and as opposed to stitch the opening, the physician can fill it using a skin graft of the person's own skin. Punch replacement method. This method is the same as punch excision

Punch Excision or Replacement Graft: Punch excision of each individual scar is a technique for ice pick scars. In this procedure, each scar is excised down to the layer of subcutaneous fat; the resulting hole in the skin may be repaired with the punched skin glued or sutured at skin level, or the resulting hole may simply be closed with a. Inquiring if I should get additional punch excision. how bad is scar? 1 doctor answer • 1 doctor weighed in. Two raised facial moles cheek area removed 6 weeks ago by shave excision no sutures. Smaller one healing nice. larger area ( 1.2cm by 1cm) still indented. Doc says no need to see him again before 3 mos. IS THIS NORMAL

Excision of Scar. Patient comes in for what they are calling scar revision and the note states that standing cutaneous excess of the left abdominal scar was sharply excised. We are billing with a diagnosis of hypertrophic scar (L91.0) and CPT codes of 11406 (excision of benign lesion) and 12034 (intermediate repair) for the procedure I had punch excision on an acne scar and was disappointed in the results. I had skin removed from the back of my ear and placed in the area. (3 replies) Depressed over acne scars. Apr 23, 2001... I've had two test punch excision by two different derms. The end result is a shallower scar. (5 replies Acne scars: • Ice pick acne scars; punch excision + Fraxel Re:store • Boxcar acne cars, also seen in chickenpox scars, do well with punch elevation (cutting out the base and elevating the scar) or subcision (severing all the attachments under the scar) + filler to keep the scar elevated followed by FXL resurfacin Restylane is an effective family of dermal fillers that can be injected into your scar to temporarily smooth and plump the scarred area. Excision and Punch Graft . This procedure takes a delicate touch. Your dermatologist will gently excise your acne scars and then stitch them up for healing

This Coverage Policy addresses methods employed for the revision of scar tissue. Coverage Policy . punch grafts : radiation, laser therapy and surgical excision (Goldstein, et al., 2019). Silicone gel sheeting is frequently used for the treatment and prevention of hypertrophic scars and keloids (Goldstein, et al., 2019). Combination. Excision. Some acne scars respond well to surgical excision, which may include punch excision, elliptical excision, or punch grafting. The advantage of surgical excision is complete removal of the scar. Punch excision with a small stitch may produce good results and is likewise a straightforward procedure Punch excision: punch excision is the most effective treatment option for ice pick scars. This is surgical procedure whereby a punch biopsy tool is used to remove the scar from the skin while under local anesthesia. Once the scar has been cut out, the normal edges of the skin are stitched together. Once the wound heals, a smoother and even skin. A saucerization, punch (for lesions smaller than 4 mm), or elliptical excision biopsy may be performed when a lesion is suspicious for melanoma

What Is a Scar Excision? (with pictures

  1. ent scar than the original one. This is also called punch excision. The new scar is likely to fade over time, giving a smoother-looking appearance
  2. (3) The various surgical techniques that can be employed in removal of melanocytic nevi are shave excision, round/punch excision, elliptical excision. Shave excision is a technique in which the exophytic part of a skin lesion and part of the intradermal structure down to the papillary dermis are shaved of using surgical or razor blade
  3. Punch excision is the most commonly used treatment option, but other treatments such as dermabrasion and laser resurfacing are often be used in alongside punch excision to reduce the appearance of the scar left by punch excision sutures
  4. Punch excision of deep and small scars such as ice-pick scars Subcision with filler and volume placement under acne scar Pan-facial volume restoration is a generalized volumizing of the skin and fac
  5. Punch excision removes the base of the scar, and the skin is then closed with sutures and allowed to heal. Punch elevation uses the punch tool to remove the base of the scar that is then sutured to the surrounding skin. Punch replacement involves the removal of the scarred skin which is then replaced with a skin graft (most commonly from behind.

Acne scars: What's the best treatment? - Mayo Clini

Deep atrophic and hypertrophic scars, however, will likely require a surgical procedure. According to Dr. Elmais, there are three common types of scar removal surgery: punch excision (cutting the scar out then stitching it up), punch elevation (removing the scar and raising the remaining tissue), and punch grafting (cutting the scar out and replacing it with skin from another part of the body) Results: Therapies for acne scarring included surgical modalities, such as subcision, and punch excision and elevation, injectable fillers, chemical peels, dermabrasion, microneedling, and energy-based devices. In the past decade, there has been a trend toward using cosmetic fillers and energy-based devices to improve acne scarring Surgical excision is most often used for severe contracture scars, and involves making an incision to surgically remove the scar and surrounding damaged tissue with a scalpel. Particularly effective for certain types of acne scars, punch elevation involves the use of a punch tool rather than a typical scalpel. This device can precisely. - Punch excision - this involves the surgical removal of a scar and the closing of the wound to create an even appearance. Punch extension is used to treat mild ice pick scars. - Punch elevation - In punch elevation, a boxcar scar's base is removed and then brought up and attached to the sides so that the base and sides of the scar are on.

Ice Pick Scars: Identification, Causes, and Treatmen

Punch Excision & Grafting - for improving deep ice pick scars Excision done Post auricular punch grafts of either same or slightly larger size taken Placed over excision area 33. Punch Incision & Elevation / Punch float- for scars with sharp edges and normal appearing base Surgical scar excision: This technique is used to reposition or reduce the size of the scar. The techniques we use include: Excision and direct skin closure involves cutting the scar out and then is drawing and stitching the surrounding skin together to form a new, neater scar. Excision and repositioning involves cutting the scar out and. Alternatively, after punch excision of a small scar, the defect may be filled by a punch graft. Harvested from another area, commonly the postauricular sulcus, a punch graft is pressed into the created defect and either sutured or glued in place. Subcision is a surgical intervention that may be useful for a subset of scars Understanding Punch Elevation Acne Scar Removal. Punch Elevation can be understood as a microsurgical method that is performed as a part of outpatient procedures. The attending cosmetic surgeon uses a cutting device that is called a punch tool. The punch tool is a bit different from conventional tools used in plastic surgery to cut through tissues

Get a punch excision. If you want to get rid of chickenpox scars, see your dermatologist and ask about a punch excision. This is a method where scars are removed by a doctor cutting into the skin surrounding a scar and removing it. The doctor will use a round, sharp-edged tool to remove the skin surrounding the scar If a provider removes the entire lesion with a punch then it is an excision not a biopsy. A biopsy is always sent to path and an excision is always sent to path. The reason to take only a piece of a lesion is to determine the morphology, and the reason for excision is the same thing. A biopsy is more scar sparing Dermatologists and skin surgeons often perform minor surgeries to remove persistent scar tissue. Surgeries are most common in the case of a few separate boils that have each caused large scars. The doctor may choose to use a procedure called a punch excision, in which they remove individual boil scars and stitch or graft the skin back together As with a punch excision, the scar is removed, but the wound is plugged with a sample of skin taken from elsewhere on the body (usually from the back of the ear) Subcision. Subcision is a surgical treatment that can be used to treat rolling scars. During surgery, the upper layer of the skin is removed from the underlying scar tissue

WHiTe CoLLaR LaDy: ACNE SCARS

Punch excision technique: The punch excision of icepick acne scars or deep boxcar scars is a technique that can be easily adopted into a dermatology practice. Most dermatologists are often performing punch biopsies for diagnostic purposes of inflammatory dermatoses. The same technique is used to remove appropriate acne scars. A disposable punch. Traditionally, punch excision and grafting have been performed, followed 1-2 months later by dermabrasion. Objective: To determine the effectiveness of laser skin resurfacing and the concurrent use of punch excision performed at the same treatment session in the treatment of acne scarring. Methods: Twenty-one patients with skin types I-III with.

Scar ReductionSubcision For These Chicken Pox Scars? - Scar treatments

Dr. Jason Emer: TCA CROSS - Jason Emer M

What you should know about punch grafting for scars. The skin plugs inserted into the treatment area usually are removed from behind the ear lobe. The plugs are taped into place for about a week to promote healing. While the procedure produces new scarring, the new scar will be smoother and less conspicuous than the old depressed scar Another treatment for boxcar scars is punch excision where the indented area of the scar is removed and the edges are pulled together with a suture. These treatments are often followed up with a. For punch excision, typically used on acne scars, scar removal typically costs $250 to $750 per scar, according to a dermatologist at RealSelf.com [ 3] . Patients on an Acne.org [ 4] message board report paying about $250 per scar. For multiple scars, this treatment could total $1,000 or more. For laser treatments, which can be used for almost. Punch Biopsy is a superb method to biopsy the full depth of skin. Melanoma almost always requires a second procedure to remove the scar with wider margins ('excision of scar'). A standard formal surgical excision is in the shape of a diamond or ellipse. The procedure is sterile procedure & performed under local anaesthetic 1. Punch Excision. In this method, the ice pick scar is cut out using a circular tool. The wound is then stitched from all sides. A new flat scar forms in place of the ice pick scar. Instead of a deeper scar, this technique will form a less noticeable, much smaller, and linear scar . 2. Punch Replacement Grafting Or Punch Graftin

Video: Boston Acne Subcision & Punch Excision Boston Acne

Melanoma - &quot;marsden skin cancer clinic&quot;Acne Scar Laser Treatment & Removal London | Dr H ConsultShave and Punch Biopsy for Skin Lesions - - AmericanHow To Get Rid Of Acne Scars : Expert Advice

A surgical excision of a mole, also called a full-thickness excision, removes unwanted growths down to the subcutaneous fat. By removing the mole from deep within the skin, the growth should to return and be permanently removed. While a punch excision also removes moles down to the subcutaneous fat, the cylindrical tool used cuts out. The punch biopsy is generally the most useful type of biopsy. It is quick to perform, convenient, and only produces a small wound. It creates a full thickness sample of skin that allows the pathologist to get a good overview of the epidermis, dermis, and most of the time, the subcutis also.. A disposable skin biopsy punch is used, which has a round stainless steel blade ranging from 2-6 mm. Punch Excision, Grafting Or Elevation: It is a minor surgical procedure used for treating more extensive boxcar scars. It involves the removal of scarred tissue using a punch and suturing the rest of skin together. This method ensures that the larger holes on the skin become smaller in size and are treatable with the use of other procedures Punch excision and Grafting: Punch excision and grafting is used for deep ice pick scars that cannot be effectively treated any other way. This process consists of removing the scar using a punch (small cookie-cutter looking device) and then suturing the edges of the scar together