Hi Delta,

 

I had this procedure a few weeks ago and there is a BIG difference between incision and excision. Basically, an excision cuts out the scar. Whereas an incision is merely an opening to LIFT the scar. If you can think of it this way....the cut is just a slit to allow the doctor to "get in there." Once he's "in there," he lifts the deeper layers and sutures them to the upper layers. Hence, evening out the depressed scar. I know it can sound confusing, but it's really not.

 

Kiki

 

 

 

 

It sounds like punch float. AA?

Well guys/gals,

It most certainly is not a Punch Float! I had those last year and 1 more in May. Trust me...Punch Incisions are different than Punch Floats....and they're definitely different than Excisions.

Dr. Yarborough is who I go to for all my procedures. I don't know the cost because I had other treatments at the same time. I don't think it's expensive though....probably a little more than a Punch Float, which is currently $60 per scar. Though, the best thing would be to call his office and ask the exact cost. For all I know, it varies depending on the size and type of the scar. I have to agree with "Capshaw" about getting fixated on the cost. Just pick up the phone and ask a doctor of your choice.

I can't tell you the final result yet because I'm only about 4+ weeks post-op, but so far, I think the treatment has the potential of marked improvement in the end.

Kiki

love- so you did this with dr.y?

Do you have to do any after treatment with this?? like dermabrasion or whatnot??

I would also like to know this. I've heard such wonderful things about Dr. Y that i'm definitely considering going to see him. He seems to be the expert on scar revision. I am scared of laser resurfacing.

Please tell me more about your experience with Dr. Y?

Amnesiac and Guarded,

The best thread about Dr.Y is 62 pages long and located here:

http://www.acne.org/messageboard/index.php...=ST&f=7&t=24409

Several procedures are discussed. I hope that helps.

I'm not sure what the next step is for me. I won't know until my next appointment. If after you read (or browse through) the aforementioned thread, you can send Dr.Y an "Introduction Letter." In fact, his office recommends you do so prior to scheduling an appointment. Here's how it goes....

Send in photos, a letter, and contact information. He will phone you. The rest is up to you.

Kiki

Hi Kiki,

Are these incisions that you had to correct the additional ice pick scarring you received as result of your dermabrasion? Are incisions only used to treat ice pick scarring? Can you use this method to treat rolling scars?

Amnesiac and Guarded,

 

The best thread about Dr.Y is 62 pages long and located here:

http://www.acne.org/messageboard/index.php...=ST&f=7&t=24409

 

Several procedures are discussed. I hope that helps.

 

I'm not sure what the next step is for me. I won't know until my next appointment. If after you read (or browse through) the aforementioned thread, you can send Dr.Y an "Introduction Letter." In fact, his office recommends you do so prior to scheduling an appointment. Here's how it goes....

 

Send in photos, a letter, and contact information. He will phone you. The rest is up to you.

 

Kiki

 

 

 

 

Hi Love,

Thank you so much. I can't wait to send him a letter. But, I finished accutane only 3 months ago so I have to wait a while still.

Thank you very much though,

All the best,

GO

Amnesiac and Guarded,

 

The best thread about Dr.Y is 62 pages long and located here:

http://www.acne.org/messageboard/index.php...=ST&f=7&t=24409

 

Several procedures are discussed. I hope that helps.

 

I'm not sure what the next step is for me. I won't know until my next appointment. If after you read (or browse through) the aforementioned thread, you can send Dr.Y an "Introduction Letter." In fact, his office recommends you do so prior to scheduling an appointment. Here's how it goes....

 

Send in photos, a letter, and contact information. He will phone you. The rest is up to you.

 

Kiki

 

 

 

 

Hi Kiki,AA Are these incisions that you had to correct the additional ice pick scarring you received as result of your dermabrasion?AA Are incisions only used to treat ice pick scarring?AA Can you use this method to treat rolling scars?

Well, I don't *think* any of the scars were icepicks. They were too large and odd shaped to meet that classification. I believe they were rolling and boxcars. Anyone considering incisions should weigh the option very carefully because you'll probably need some secondary treatment to remove the little marks left over by the sutures. And before anyone asks, I do NOT know what that secondary treatment would be. It could be a spot dermabrasion, laser, dermaplaning, chemical peels....I just don't have a clue. Every case is different.

thanks for all the info kiki, i wish you the best.

It is interesting to me that this has provided "90-95%" improvement on Capshaw and yet there is virtually no information on the web about this procedure and only one other poster (L0ve) that is getting this done. I mean if it's so great, why isn't there more people getting this done for their scars? I guess the long down time and finding someone that can do it are a couple of issues. Has anyone out there in scar land looked any further into this procedure or have considered getting this done? Has anyone talked to Dr. Y about this procedure? I may give him a call to find out more about it. I've emailed my derm about it and she has never heard of this for acne scars. She said it's a very common procedure in hair transplantation.

C'mon all you lurkers that have any info ... fess up

Well this is nothing but a wild goose chase. When it comes to gathering information about punch incision, I feel about as hapless as a one-legged man in an ass kicking contest.

While I trust Kiki very much, I spoke to Dr. Yarborough on the phone today and he was as confused as I was on what a punch incision is. He said he performs PUNCH FLOATS and PUNCH EXCISIONS. I persisted and tried explaining to him what was written earlier in this thread, but to no avail. He was more befuddled than ever.

I scoured the internet last night .... well okay I exaggerate, I surfed for about a half an hour online trying to find information on punch incisions. And I didn't find much. I came across something called "suture-assisted resurfacing" (google it if you want more info) and "punch and suture" described as one of the scar revision surgeries Dr. James Romano offers. I've emailed 5 very reputable plastic/derm surgeons including Romano (some might argue that he's "reputable") with one response so far. It was:

"havent heard of it. Sounds like subcision, but with subcutaneous sutures, which may cause a larger epidermal scar, because in order to suture the subcutaneous area, you need an incision, about 4mm across! "

So there you have it. I don't think I'll look any further into it at this point. And seeing as their were no replies, I am assuming no else does either.

Hi, was hoping that anybody who PMd Capshaw and got the info about which docs were used and price could Pm me the information. And any other info she said in private would be useful.

thanks a lot!!

I wonder if people are just getting confused with terminology. I mean it just doesn't make sense that LOVE (kiki) had punch incision with Dr Y real recent and Kooky speaks to the man himself today and he doesn't have even a clue as to what Kooky is talking about. That just doesn't make any sense. Love, is it definitely not punch floats you had?

Hi, was hoping that anybody who PMd Capshaw and got the info about which docs were used and price could Pm me the information. And any other info she said in private would be useful.

 

you've got mail.

FYI, I emailed one of the doctors that Capshaw used and am waiting for a reply. good luck and let us know if you find anything out about the procedure.

Can someone pm me with the doctor info too. Thanks

Hi, was hoping that anybody who PMd Capshaw and got the info about which docs were used and price could Pm me the information. And any other info she said in private would be useful.

 

 

you've got mail.

 

FYI, I emailed one of the doctors that Capshaw used and am waiting for a reply. good luck and let us know if you find anything out about the procedure.

 

 

 

 

Okay this is pretty much the exact email I sent and the reply I received from the doctor Capshaw had the majority of her PUNCH INCISIONS with .... word for word except for the phone numbers, email addresses, and names. What's funny is that I specifcally refer to incisions in the email and he keeps talking about excisions, Lol. I'm thinking this is all one big misunderstanding in terminology as Rupert pointed out. I replied to this doctor to specifically address the punch incision technique and will report back when he replies.

Email from the doctor Capshaw used for her punch incisions and my inital inquiry:

We don't use a standard "punch" for excising anything as it is

typically

not exactly contoured for the item (i.e. ice pick scar) being excised.

Excision of scars before some type of resurfacing technique is fairly

standard in plastic surgery.

Best

Dr. Anonymous

Note: Internet communications do not establish a doctor-patient

relationship.

> Greetings Dr. Anonymous,

> I did not come across the punch incision method you

> used to treat one of your patient's acne scars on your

> website dranonymous.com. It is very difficult to find

> information on this procedure. Could you tell me a

> little more about it? You can email me at

> kookydoe@yahoo.com or reach me by phone at

> (303)867-5309. I realize you are a busy doctor, so I

> would really appreciate you taking a few minutes to

> respond.

> Kindest regards,

> Kooky

Okay this is pretty much the exact email I sent and the reply I received from the doctor Capshaw had the majority of her PUNCH INCISIONS with .... word for word except for the phone numbers, email addresses, and names. What's funny is that I specifcally refer to incisions in the email and he keeps talking about excisions, Lol. I'm thinking this is all one big misunderstanding in terminology as Rupert pointed out. I replied to this doctor to specifically address the punch incision technique and will report back when he replies.

 

Email from the doctor Capshaw used for her punch incisions and my inital inquiry:

 

We don't use a standard "punch" for excising anything as it is

typically

not exactly contoured for the item (i.e. ice pick scar) being excised.

Excision of scars before some type of resurfacing technique is fairly

standard in plastic surgery.

 

Best

 

Dr. Anonymous

 

Note: Internet communications do not establish a doctor-patient

relationship.

 

> Greetings Dr. Anonymous,

> I did not come across the punch incision method you

> used to treat one of your patient's acne scars on your

> website dranonymous.com. It is very difficult to find

> information on this procedure. Could you tell me a

> little more about it? You can email me at

> kookydoe@yahoo.com or reach me by phone at

> (303)867-5309. I realize you are a busy doctor, so I

> would really appreciate you taking a few minutes to

> respond.

> Kindest regards,

> Kooky

 

 

 

 

Kooky

check your pm

 

Your story sounds a lot like mine- I've been subjecting myself to every new hopeful procedure for 13 years. I agree with you on the pulling of skin- why don't they just give us a facelift- I personally asked several docs and only now do they start to consider it- They're brains were always stuck in the "facelifts are for old folks" mode and I am not there yet!! But I would show them by stretching my skin..... I, too, became scarred more by CO2- wish we could start class action- everyone I've ever heard of having done it for acne scarring was scarred worse. If you are still out there, excision worked on icepick but still left indentation for me. I heard you need two layers of stitches to keep indentation from forming after.

Bump for ylem!

UMMM I believe CAPSHAW wants you to pm him with Questions? At least that's what Butterflies said above....Wow! Popular guy to need a go between.....LMAO! I'd love to know, too!

OOPS! SORRY-DID NOT REALIZE OLD THREAD, but good news!

Hi sad. This thread is almost a year old; Capshaw left the board shortly after he arrived. I just bumped it for someone to take a look...I suppose it couldn't HURT to PM/email him, but I don't know that you'll get a response.

Hi sad. This thread is almost a year old; Capshaw left the board shortly after he arrived. I just bumped it for someone to take a look...I suppose it couldn't HURT to PM/email him, but I don't know that you'll get a response.

 

Thanks! So I saw someone reply something to the effect of 10,000? Did you ever find out what the incisions cost, or who did incisions, specifically? I'd appreciate any info!

This was the strangest thread ever.

I spoke to both surgeons who it was claimed on this thread were doing these incisions treatments. Both said they had never heard of such a procedure and were utterly baffled when I emailed them the contents of this thread.

I have to conclude (rightly or wrongly) that this thread was a load of made up old rubbish.

How odd. H/she didn't SEEM psycho; I mean, WHY would you fabricate such a story?

Rupert, how's the Isologen holding up? I'm SO JEALOUS - I would give my right arm for some! Their main lab is only a couple hours from here, it's just MADDENING that it's just sitting there, unavailable, like the proverbial forbidden fruit. I'm thinking of hopping on over to your neck of the woods to see your beloved Chewy. Cheers!

This was the strangest thread ever.

 

I spoke to both surgeons who it was claimed on this thread were doing these incisions treatments. Both said they had never heard of such a procedure and were utterly baffled when I emailed them the contents of this thread.

 

I have to conclude (rightly or wrongly) that this thread was a load of made up old rubbish.

 

Rupert Baby,

So if I came over for Chewy treatments could you put me up for a few days? LOL.....I don't eat much, I promise!

^that sounds like a good idea! yay for the rubert motel!