Surgery
Deep “punched out” scars can be cut out and closed side to side with stitches, while large raised scars may be improved by surgically removing them. Surgery may be performed prior to laser resurfacing which can sometimes help blend in and hide the surgical scars.
Subcision or freeing up of an indented scar is a valuable procedure when the scar is bound down to underlying tissues. Other so called ‘punch’ techniques include punch grafts - where a small graft is used to replace the scar or punch elevation - where the scar is punched and lifted up to a higher position in the skin.
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