Chronic acne sometimes results in the formation of deep pits on the face that dermatologists call ice-pick scars. These scars can detract from an otherwise healthy complexion and are difficult to camouflage with makeup. According to the American Academy of Dermatology, punch graft surgery can improve the appearance of deep ice pick facial scars. The procedure removes and replaces the indented scar tissue with a skin graft from elsewhere on the body. This results in a smaller, much less noticeable scar that might fade over time.
Step 1
Familiarize yourself with the possible side effects and complications associated with punch graft surgery. Bruising and scabbing might occur with the procedure, notes Acne.org. Other possible complications include skin graft rejection, the grafted area being higher than or differing in color from the surrounding skin. Also, tell your doctor if you have a blood clotting disorder, as this condition could increase the likelihood of complications.
Step 2
Budget properly for your procedure. As of 2010, your-best-acne-treatment.com reported that punch graft surgery cost about $50 per scar.
Step 3
Avoid blood thinning medications, such as aspirin or non-steroidal anti-inflammatory drugs, for two weeks prior to your surgery. Also, don't take vitamin E, garlic supplements or ginkgo supplements for five days before surgery, recommends the Berman Skin Institute.
Step 4
Undergo the procedure. The American Academy of Dermatology explains that punch graft surgery takes place in an outpatient setting, such as your dermatologist's office, and only local anesthesia or light sedation is used. During the procedure, your doctor uses a round punch device to punch a hole in the skin and remove the scar tissue. Then, using a slightly larger punch device, he harvests a patch of unscarred skin--usually from behind your ear--which he places over the opening on your face. Your doctor sutures the skin donation site with stitches and dresses the treated area with surgical adhesives to secure and protect the grafted skin.
Step 5
Keep the bandages in place for eight days, and let your dermatologist remove them. Also, the Berman Skin Institute advises that you keep the bandages dry.
Step 6
Avoid exercise for eight days. The Berman Skin Institute notes that limiting strenuous activity reduces the risk of a skin-graft rejection.
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