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In this video I wanted to talk about something called ‘punch excision’ for acne scars. The patient, Pauline, has had a difficult journey with adult acne over the past few years. I used a combination of laser treatment and medication to clear up Pauline’s acne which was fantastic, however, the acne had created a very specific type of scarring referred to as ice pick scarring. These particular types of scars do not perform well with traditional laser treatments and often the only option is to surgically excise them and suture the wound. This leads to the formation of a new scar which, over time, will fade to a fine white mark rather than the deeper indentation. In this case we are not really getting rid of the scar, just exchanging it for a better looking scar. As always, treatment of acne and acne scarring is a journey we go on with our patients that often involves multiple treatments over time.