Punch excision is a surgical procedure used for deep acne scars. This method of treatment for acne scars requires local anesthesia. A tool called a punch biopsy tool is used to cut out the scar. The normal edges of skin are then stitched together. This allows a more controlled healing process. The edges of skin being sewn together are undamaged by scarring; so they are able to heal in a normal manner. All skin lesions heal with scars. There will be a scar following this procedure, but it will eventually fade and become unnoticeable. In addition, the area will have skin that is more likely to respond to other therapies, such as Fraxel resurfacing.
Fractional CO2 or erbium lasers are used to resurface skin that has been damaged by acne scars, age and sun exposure. The laser beams stimulate the skin to produce more collagen, a protein found in abundance in young skin. These lasers are used to improve uneven skin tone, smooth acne scars, improve elasticity, and erase wrinkles. These lasers target and remove damaged areas of skin on a microscopic level by creating controlled ‘holes’ of damage. This damage stimulates the skin to heal itself more rapidly; replacing the damaged, aged, scarred areas with fresh skin. These lasers are more powerful than Fraxel lasers and create more damage. An important difference is that there is a higher potential for side effects. The treated skin will appear to be redder, swollen, and crusted following a Fractional CO2 laser treatment, and recovery time is longer. On the other hand, Fractional CO2 lasers provide incredibly dramatic results with fewer treatments.
Patients have to be aware that there is no cure for (acne) scars but that the Fraxel Laser in Dr. Rokhsar’s hands can result in significant improvement in the appearance of acne scars, far superior to any other procedures. Dr. Rokhsar is a recognized national and international authority on the use of lasers, and in particular the Fraxel laser for the treatment of acne and other scars.