I don't think anyone has experience with punch excisions or scalpel excisions over here. Everyone seems to do lasers/tca cross/subcisions.

I actually have experience with punch excisions, I had a few done, the results vary. Still would choose it over 5 ablative procedures that do nothing at all. At least there is a difference.

But I haven't had scalpel excisions so I can't comment on that. Wish more people talked about this and punch elevations, which for me proved the most successful by far.