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!