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Punch Elevation/Floats Using a Scalpel

This seems doable, right? What's so hard about using a scalpel to trace around the edges/walls of a larger scar [which can't be accomodated with a punch tool] and cutting it, then elevating it? Some scars have irregular shapes and forms which a circular punch tool cannot accomodate. I wonder if using a scalpel followed by dermabrasion will produce similar results as that of a punch tool.

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It doesn't sound doable on paper - maybe with a laser, though. Draw a shape onto an orange and see if you can do it with a knife. idea.gif

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