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John Roesler, M.D.
John Martin Roesler, M.D.
Tarzana, CA
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Benefits of Punch Elevation for Scar Removal


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Punch elevation methods are traditionally used to treat acne scars and deep scar tissue, and can be administered on all skin types to soften the scar tissue and smooth out the skin’s appearance. Punch elevation techniques have proven to be successful for treating ‘boxscars’, and are a relatively painless treatment. Here’s a close look at how this unique procedure works, and if you may be a good candidate for a punch elevation treatment plan.

How Punch Elevation Works

Punch elevation makes use of a small cutting tool that cuts out the tissue around the scar. The walls of the scar itself remain intact as the physician slowly removes the surrounding tissue. The base of the scar can then be easily lifted to the level of the skin using sutures, and this helps reduce the appearance of the scar. Over time, the skin will heal over with the elevated scar in place, and can be further diminished using microdermabrasion or dermabrasion techniques, or with a skin graft.
 
Some doctors prefer to use innovative technology such as the NLite laser that helps to break up the scar tissue underneath the depression of the skin. The doctor can then slowly fill out the treatment area with collagen to make the skin appear smoother and firmer.
 
Other treatments may involve the use of a non-ablative laser such as the Fraxel laser which helps to resurface the skin at a deeper level than dermabrasion or microdermabrasion can. These lasers also help to shrink the pores and reduce the risk of further acne breakouts.
 
In many cases, the punch elevation treatment plan involves using a TCA localized peel inside the scar to stimulate collagen production and close up any gaps produced by the punch excision.

Key Benefits of Punch Elevation for Scars

Punch elevation techniques are designed primarily for treating very deep, pitted scars because they may leave behind a small scar. They work best on scars that have been on the skin for an extended period of time, so you may need to wait a few months if you have fresh scars that you want to have removed. Still, this procedure offers a number of benefits. Some of the key benefits of punch elevation or scars includes:
  • Simple, one-time excision procedure
  • Relatively painless
  • Can be performed on very deep scars that are not responsive to conventional scar removal treatments
  • Scars become less visible within a month after the treatment
The punch elevation scar removal treatment plan may include a series of microdermabrasion or chemical peels for enhanced results. It’s important to remember that the skin does regenerate every 21 days, so whatever trauma is caused to the skin from the punch excision treatment will resolve itself in a very short period of time. Punch excision treatments are an attractive option for many people suffering from the side effects of acne, or those that have scars from an accident or serious injury. Some scars can be treated within one session, while others will need a series of treatments to encourage skin cell regeneration.
 
Learn more about scar repair treatments in our information guide, or consult with a cosmetic dermatologist in your area to find out if the punch excision procedure is right for you.

 

Published: 08/14/2009, Last Updated: 08/14/2009

By LocateADoc.com Medical Staff Writers

Our writers strive to present an objective, upfront and open view of the medical procedures you're interested in. We present you with both the good and bad, and work to represent both doctors' and patients' points of view. Our articles contain facts and statistics from medical associations, medical and surgical journals, and through doctor and patient interviews.





Scar Revision / Scar Repair Surgery Information Guide

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  3. Patient Financing
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Related Subjects and Keywords: punch excision  punch elevation  scar removal  scar removal procedures  scar revision  scar repair 


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