“…Prior to the advent of lasers, facial acne scarring was treated primarily by dermabrasion, chemical peeling, excisional surgery with closure, punch grafting, punch elevation, and dermal fillers such as collagen implants and silicone injections 1–10 . Punch excision with primary closure and/or punch grafting of deep dermal scars followed 1–2 months later by dermabrasion has traditionally been utilized in the treatment of acne scarring with good results 11 …”