Acne scar surgery remains one of the most effective treatment options for treating depressed acne scars. With many types of acne scar surgery now available, dermatologist can remove, raise, fill, and even separate the scar tissue from the underlying skin.
The purpose of all acne scar surgery is to replace a large, deep scar with a smaller, flatter scar, which will be less noticeable and more likely to fade. After your skin heals from the surgery, your dermatologist may treat the smaller, flatter scar with laser skin resurfacing. This tends to make the scar even less noticeable.
Surgery is usually performed in a dermatologist’s office. Before the surgery, patients usually receive a local anesthesia (numbs only the area to be treated) or light sedation (you remain awake). The more common acne scar surgeries that dermatologists perform are:
*
Punch excision – A surgical instrument that looks like a round cookie cutter is used to remove the entire scar.
*
Punch elevation – After removing the scar, your dermatologist carefully raises the remaining tissue so that when it heals, it will be level with the rest of your skin.
*
Punch graft – After removing the scar, your own skin is used to fill the opening.
*
Subcutaneous incision – Your dermatologist uses a surgical probe to separate the scar tissue from the skin, which will raise the skin and flatten the scarred surface.