what i didn't know at the time, and apparently, my dermatologist didn't know either, is that punch excision is ONLY to be used on boxcars that are *3mms or LESS*.
mine was *4mms* -- a full 2 sizes larger than the 3mm maximum (as per virtually every single board certified facial plastic surgeon on the planet). .
therefore, due to too much tension on the wound, my incision widened, leaving an even larger scar, slightly indented, with two bumps and a few shallow-moderate depth icepicks where the stitches had been (as he also apparently didn't know that stitches on the cheek shouldn't be left in for five days).
a few months later, i had the area treated with an ablative co2 laser -- it eliminated two of the three icepicks, and smoothed out the area somewhat. i'm now looking into having dermabrasion for the bumps and further smoothing, and a dermal filler for the remaining indentation...
so much for the "fine line" he said i'd have -- if i'm lucky, with the above additional procedures and time, the final result will be a circular scar almost twice the size of the boxcar (which was very deep, btw), but virtually flat and able to be concealed well with makeup -- an overall improvement of about 75-80%...not bad.
but it's so upsetting that i could have had excellent chances at an even better outcome from the beginning with a scalpel incision, if i'd simply gone to the right doctor.
please, please don't make the same mistake i did...sure, dermatologists may be cheaper, but this is your *face* we're talking about. see a BOARD CERTIFIED FACIAL PLASTIC SURGEON.