Punch Excisions

Punch Excision

is a precise minor surgical procedure used to remove deep, well-defined scars such as ice pick, boxcar, or traumatic scars. It restores smoother skin by replacing uneven tissue with fine, linear healing.

How the Treatment Works

Punch excision uses a specialized circular blade to precisely remove deep or isolated scars, creating a clean surface for smoother healing — with minimal downtime

Precise Scar Removal

Targets deep or well-defined scars for accurate excision.

Minimal Tissue Disruption

Focuses only on scar tissue, preserving surrounding skin.

Controlled Healing Process

Promotes even collagen remodeling and smoother texture.

Customized Depth Selectio

Adjusted to scar size, depth, and skin type.

Improved Skin Uniformity

Leaves the area smoother and better prepared for further treatments.

Natural-Looking Results

Produces fine, subtle healing lines that blend with surrounding skin.

Best For:

Ice Pick Scars

Boxcar Scars

Traumatic Scars

Plan:

Single Session per Scar

4–6 Weeks Healing

Can Be Combined with Other Treatments

Punch Excision Acne Scars in Toronto: A Complete Guide

Punch excision acne scars in Toronto are one of the most advanced and effective treatments for deep acne scars, especially for those struggling with ice pick and boxcar scars. At Canada Scar Clinic, we specialize in providing personalized scar treatments, including punch scar removal in Toronto and surgical scar excision in Toronto.

The Benefits of Punch Excision

Precise and controlled: Removes deep or resistant scars accurately.

Smooth healing: Fine sutures minimize visible marks.

Quick and safe: Performed under local anesthesia.

Permanent improvement: Targets scar roots for lasting results.

Customizable care: Can be combined with laser or RF treatments.

The Science Behind Punch Excision

Punch excision is a precise surgical technique that removes deep or resistant scar tissue to restore smoother, more uniform skin. By stimulating natural collagen remodeling, it promotes controlled healing and long-term texture refinement.

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Precision Micro-Surgical Technique

A circular punch tool excises individual scars at controlled depths, targeting damaged tissue while preserving surrounding skin for optimal healing.

Controlled Collagen Remodeling

Following excision, fibroblasts rebuild organized collagen fibers, gradually improving elasticity and skin texture in the treated area.

Safe and Clinically Proven Procedure

Performed under local anesthesia, it offers predictable results, minimal downtime, and lasting improvement for acne, surgical, or traumatic scars.

Refined Skin, Expertly Restored

Punch excision delivers precise, lasting improvement by removing deep, tethered scars and allowing natural tissue regeneration. Most patients notice smoother, more even skin as healing progresses, with continuous refinement as collagen remodeling enhances the skin’s surface over time.

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FAQs

Punch excision is used to remove deep or stubborn scars—such as ice pick, boxcar, or surgical scars—that cannot be effectively treated with non-invasive procedures.

It helps improve the skin’s surface by removing fibrotic scar tissue and allowing smooth, linear healing. It is often combined with resurfacing or filler treatments for optimal results.

A small circular tool excises the scar at controlled depth. The area is then sutured to heal evenly, stimulating collagen remodeling for smoother skin.

Initial healing occurs within 7–10 days, while full collagen remodeling and visible texture improvement develop gradually over several weeks to months.

Downtime is minimal. Patients may experience mild redness or swelling for a few days, but normal activities can usually resume within 24–48 hours.

No. Local anesthesia is used to ensure complete comfort during the procedure. Mild tenderness may occur afterward but resolves quickly.

Yes. It is often paired with fractional laser, RF, or chemical peels to enhance surface texture and blend the treated areas seamlessly.

You’re likely a candidate if you have deep, well-defined scars (ice-pick, narrow boxcar, small traumatic scars). We may delay treatment if there’s active acne, a history of keloids, recent isotretinoin use (within ~6 months), uncontrolled medical conditions, or if you’re on blood thinners. A consultation confirms suitability.

Punch excision replaces a deep pit with a fine, linear line that typically heals flatter and blends better. We place closures along natural skin lines and can refine any visible edges with laser or RF later. Temporary pigment changes can occur—sun protection is essential.

Keep the area clean and dry for 24 hours, then cleanse gently. Face sutures are usually removed in 5–7 days (7–10 days on the body). Avoid strenuous exercise and swimming for ~48 hours and skip makeup on the site until sutures are out. Silicone gel and daily SPF help optimize the result.

Punch excision physically removes a discrete, deep scar. TCA CROSS chemically remodels very narrow pits; Subcision releases tethered, rolling scars. Many plans use them together—excision for the worst pits, CROSS for tiny openings, and Subcision/laser to smooth the surrounding texture.

Expect brief redness, swelling, or mild bruising. Less common risks include infection, a widened line, or temporary darkening/lightening of the skin; nerve or vessel injury is rare. We use sterile technique, precise sizing, and tailored aftercare to keep risks low and healing predictable.

What to Expect During a Punch Excision Session

During your punch excision appointment at our clinic, a physician will carefully assess your scar type and skin condition. The procedure involves using a fine, circular surgical tool to precisely remove deep or irregular scars under local anesthesia for maximum comfort.

Most patients experience minimal redness or swelling, which resolves within a few days. As healing progresses, the treated area becomes smoother, and new collagen gradually refines the skin’s texture for long-lasting improvement.

Ideal Candidates for Punch Excision

Punch excision is suitable for individuals experiencing:

Deep ice pick or boxcar acne scars

Small surgical or traumatic scars

Resistant scars not improved by resurfacing treatments

Localized depressed scars affecting texture

Why Choose Canada Scar Clinic for Punch Scar Removal in Richmond Hill?

Canada Scar Clinic is highly experienced in surgical scar excision in Richmond Hill and provides comprehensive treatment plans. Our team is committed to helping you achieve smoother skin through expert care and advanced technologies.

Explore our specialized services like Burn Scar Treatment in Toronto and Steroid injections for keloid scars in Toronto for a complete scar care journey.

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Combination Therapies: Maximizing Results

Punch excision can be combined with:

Subcision to release tethered scars.

TCA Cross for focused chemical reconstruction.

RF Fractional therapy for skin resurfacing.

Fillers for volume restoration.

These combined treatments help achieve optimal outcomes and a smoother skin texture.

Punch Excision Treatment Cost and Sessions

The cost of punch excision scar removal in Toronto or Richmond Hill varies depending on the size, depth, and number of scars treated. Most patients require a single session, while multiple scars or combination treatments may need follow-up visits for optimal results.

Our clinic provides transparent pricing and customized treatment plans based on a detailed skin assessment to ensure precision, comfort, and long-lasting improvement.

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Punch Excisions

Punch Excisions

HIFU

Lasers

Subcision

TCA Cross

RF Fractional

Punch Excisions

Chemical Peels

Fillers (Revinesse, BellaFill, Sculptra)

Punch Excision