Punch Techniques
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Punch techniques consist of punch excision (cutting the scar out completely), punch grafting (putting tissue from another place in the hole that is...

Punch techniques consist of punch excision (cutting the scar out completely), punch grafting (putting tissue from another place in the hole that is left after punch excision), and punch elevation (similar to punch excision, but not removing the scar and instead elevating it to the skin’s surface).

The procedure is normally done only once, and you should see gradual results with time. Your skin should continue to improve month after month.

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February 25, 2016
Punch Elevation
I had 8 punch elevations done about 5 months ago. I am extremely happy with the results. Five were done on my forehead, a couple right next to my nose, and one on my cheek. These were done on deeper scars left from cystic acne (I believe they were boxcar scars). The procedure itself was quick and fairly painless - the only painful part was the numbing injections. I had stitches in for a week, so I didn't leave the house much during that time. Once the stitches were out, the remaining scars were just a bit red, but otherwise fully closed up and I had no issue covering them with makeup. Basically, I ended up with smaller, flatter scars that replaced the deep, indented scars. In fact, a couple of the punch elevation scars on my forehead have since disappeared completely. My doctor recommended doing laser after the punch elevations to smooth over what is left of the punch scars and to help the rest of my acne scarring (just had my first session a couple days ago). All in all, I'm super happy with the results. Instead of a few deep indentations in my forehead, I'm left with just a couple of barely noticeable scars. Hopefully the laser takes care of what is left.
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