Acne Scar Treatments Review

Punch excision, punch elevation, and punch replacement grafts are similar techniques that are used in the treatment of moderate and deep icepick type post-acne scars.

Punch excision describes a technique of eliminating the scar through the use of a trephine. After infiltration of local anesthesia the smallest possible trephine that will completely remove the scar is used to punch- excise down to subcutaneous fat.
Depending on the size of the scar, a 1.5 to 3 mm biopsy punch is used to remove the entire defect and closed with sutures.

The downtime for Punch Excision of acne scars is approximately 1 week. Sutures are usually removed within 5-7 days, but there may be some residual bruising at the sites for a week or two.

Some of the punch excisions might be covered by insurance. I suggest you to check with your insurance provider. If not it should cost about $250 to $750 per punch excision.

Excision is recommended for icepick scars! Short downtime, pretty cheap and REAL improvement! 90% improvement!

Fat transfer can be used to elevate acne scars.


This technique is aslo known as microlipoinjection or fat grafting; fat cells are tranferred from one part of a patient’s body to another to fill in defects such as acne scars.

The Surgeon cleans and numbs the site from wich the fat will be extract and the site to wich it will be transferred. Hi then withdrawsfat tissue with a siringe or a cannula similar of that used for liposuction, separates fat cells from the other tissue, and injects the cells into the approppriate site, repeating the process until it is necessary for a good result.

Possible complications include infection, scarring and nerve or blood vessel damage during surgery.
Discoloration and swelling can last for several days or weeks, depending on the size of the filled area.