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Punch Excisional Surgery for Acne Scars

"Punch" methods provide a more forceful fix for acne scars. Punch excision, punch grafting, and punch elevation all begin in the same way, cutting out the scar with a circular knife. After "punching" a hole around the tissue, the small hole is sewn up. This method is particularly useful for ice pick scars. Grafting refills the hole with skin transferred from (usually) behind the ear. Elevation is best for boxcar scars, where the base of the opening is lifted up to level out the puncture wound.