Punch Excision


A punch biopsy makes it possible to thin out the appearance of wide scars. This technique can improve the way scars look by changing their size, depth or color. No scar can ever be completely erased but it can be revised to minimize the visual impact.

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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. This treatment is best suited for wide, pitted or depressed scars, especially those in prominent places. This treatment is also an effective way to straighten out scars that have healed in a particular pattern or shape.


Skin will heal in a normal process. The treated area should be protected from the sun and care should be taken not to stretch the tissue as it heals. This will help minimize the appearance of the new scar. Sometimes laser treatments can help reduce the redness of scars.