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.