Concurrent Use of Laser Skin Resurfacing and Punch Excision in the Treatment of Facial Acne Scarring

Abstract

Laser skin resurfacing with the concurrent use of punch excision improves facial acne scarring. This newly described method negates the need to delay additional resurfacing for a future visit.

Acne scarring: A review and current treatment modalities

“…It was found in a study of 21 patients (10 male, 11 female; age 17-59 years, mean age 35.52 years; Fitzpatrick skin I-III) that there was good improvement, as rated by both independent assessors and patients, when laser resurfacing was done after punch excision of scars. 38 The noted advantage was that punch excision eliminates the deeper components and allows for only superficial laser treatment with fewer passes. So, if surgery is done, laser resurfacing may also be a Rivera 663…”

Satisfacción de pacientes con cicatrices atróficas de acné tratados con láser ablativo y/o técnicas quirúrgicas

“…La ventaja de la técnica combinada se sustenta en que la CP elimina los componentes profundos de la cicatriz permitiendo el tratamiento superficial con láser en un menor número de sesiones 9 .…”

Efficacy and safety of Erbium-doped Yttrium Aluminium Garnet fractional resurfacing laser for treatment of facial acne scars

“…[1] Many therapeutic measures such as chemical peeling, [2] subcision, [3] dermabrasion, [4] fillers, [5] and punch techniques [6] have been performed to improve acne scarring but with suboptimal outcomes. Although significant clinical improvements can be seen with ablative lasers, adverse effects such as prolonged postprocedure erythema [7] and dyspigmentation [8] impede their widespread use especially in patients with darker skin.…”