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    What is a dermatologic surgeon?

    One of the most innovative and progressive medical subspecialties, these ASDS experts perform medically necessary and cosmetic treatment and procedures to improve skin health and beauty.

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    From aging skin to skin cancer...

    No one is more qualified to help than an ASDS member dermatologist. Each year, these skilled doctors perform 5 million cosmetic procedures and 2.6 million skin cancer treatments.

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    One American dies of melanoma almost every hour

    The good news: With early detection, melanoma has an almost 100 percent five-year survival rate. Schedule a free skin cancer screening today.

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    From crow's feet to spider veins...

    You'll look and feel your best when ASDS member dermatologists combine their training and expertise with the widest range of options available.

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Excision and Punch Replacement Graft for Acne Scars


Treatment Options


Learn more about treatment options for acne scars


In excision, the doctor cuts into the skin to remove the acne scar and then closes the wound with stitches.In punch replacement grafting, the doctor uses a round sharp tool matched to the size of the scar to remove it. A skin graft, usually taken from behind the ear, is used to fill the wound.  



Patients with deep "icepick" acne scarring are good candidates for excision and punch replacement grafting. These treatments can sometimes be combined with laser resurfacing. 


While no specific risks are associated with excision and punch replacement grafting, patients should be aware that the procedure leaves behind scars that are much smaller and lighter than the original. 

Estimated cost

Excision and punch replacement grafting acne treatment can range from several hundred to several thousand dollars depending on the extent of treatment. Since most medical insurance companies consider excision and punch replacement grafting for acne scarring a cosmetic procedure, it is generally not covered. 

Preparing for the procedure

  • Thoroughly discuss medical history and expectations with the doctor. 
  • Arrive to the appointment with a makeup-free face. 

What to expect after the procedure

  • Patients may not see immediate improvement.
  • Wounds must be cleansed, and bandages changed daily. 
  • Some bruising may occur for the first one to two weeks. 

Finding a doctor

Visit "Find a dermatologic surgeon" and choose "Acne Scar Treatments" from the dropdown menu. Because ASDS dermatologists are trained in a variety of the best and latest techniques, they are the most qualified to evaluate and select the best treatment choice based on the individual patient's condition. 
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