New York Cosmetic, Skin & Laser Surgery Center

Punch Excision for Acne Scars

Refining acne scar surgery for over two decades, the New York Cosmetic, Skin & Laser Surgery Center in Garden City offers advanced punch excision for acne scars, combining surgical precision with Fraxel laser resurfacing for smooth, lasting skin restoration.

Punch Excision for Acne Scars in Long Island

Expert Surgical Correction for Deep Acne Scars

Punch excision for acne scars treats deep ice pick scars—those narrow, deep pits that extend through the skin and resist standard resurfacing treatments. It’s an ideal solution for patients whose scars remain after peels, microneedling, or laser sessions. By surgically removing the scar, healthy tissue is brought together for a smoother, natural look.

During the procedure, Dr. Cameron Rokhsar uses a small circular surgical tool to excise each scar precisely. Local anesthesia keeps the process comfortable, and the tiny wound is closed with delicate sutures to minimize visible marks. Typically, five to ten scars can be treated in one session.

As the skin heals, the area becomes flatter and smoother. After a few weeks, a Fraxel or CO2 laser session can refine the surface even further. This combined approach transforms deep scars into even-toned skin with minimal downtime and long-term improvement.

Dr. Rokhsar: National Leader in Acne Scar Revision

Dr. Cameron Rokhsar is a double board-certified dermatologist and dermatologic surgeon, Harvard and NYU-trained, and one of the foremost authorities on laser and surgical acne scar correction. As a fellowship-trained MOHS and laser surgeon, he brings unmatched precision to every punch excision case.

Recognized by Castle Connolly and New York Magazine as a Top Doctor, Dr. Rokhsar is also the developer of the Fraxel laser technology and teaches at Mount Sinai Hospital as Associate Clinical Professor of Dermatology. His approach combines medical rigor with aesthetic artistry, ensuring both functional and cosmetic excellence.

Unlike standard dermatology practices, our Quad A–accredited facility in Garden City offers hospital-level sterility, safety, and over 40 laser systems on-site. Dr. Rokhsar personally performs each punch excision and laser follow-up, never delegating these procedures to technicians.

His results consistently surpass competitors due to his expertise in combining punch excision with Fraxel laser resurfacing, delivering smoother, long-lasting outcomes that blend seamlessly with natural skin texture.

Punch Excision for Acne Scars Before and After

* Results May Vary.

How Long Does Punch Excision for Acne Scars Last?

Healing after punch excision for acne scars occurs gradually. Within the first one to two weeks, sutures are removed and the treated areas begin to flatten. After four weeks, follow-up laser resurfacing helps refine tone and texture, blending the skin for uniform results.

Because the procedure converts deep pits into shallow, flat scars, most patients see significant and permanent improvement. When combined with Fraxel Restore Dual or CO2 resurfacing, results can be life-changing—restoring smoother, more youthful skin.

Unlike temporary fillers or resurfacing alone, punch excision offers a structural correction that lasts. Patients typically experience lasting improvement for years, with maintenance laser treatments only if desired to optimize texture and tone.

Punch Excision for Acne Scars Downtime or Side Effects

Downtime with punch excision is minimal. Most patients resume normal activity within a few days, though sutures remain for about one to two weeks. Gentle wound care with topical antibiotic ointment and bandages helps promote rapid recovery.

Temporary swelling, redness, or mild bruising may occur at the excision sites. These effects usually resolve within several days. Once steri-strips are applied, the area feels comfortable and protected during healing.

Dr. Rokhsar’s precise surgical technique minimizes risks like infection or pigment change. Because the treatment is performed in a Quad A–accredited setting with advanced aseptic protocols, complications are exceedingly rare. Patients leave with improved confidence and visible progress within weeks.

Long Island Punch Excision for Acne Scars FAQs

What types of acne scars does punch excision treat?

Punch excision specifically treats deep ice pick scars—narrow, deep depressions that extend through multiple skin layers. It is not intended for shallow or rolling scars, which respond better to subcision or laser resurfacing.

How long does the procedure take?

The treatment typically lasts 30 to 60 minutes, depending on the number of scars. Because local anesthesia is used, patients remain comfortable throughout and can return home immediately after the procedure.

When will I see results?

Most patients notice smoother skin within two weeks of suture removal, with optimal improvement appearing after follow-up Fraxel laser treatment performed a few weeks later.

Are there any restrictions after surgery?

Patients should keep the area clean, avoid makeup on healing sites, and refrain from strenuous exercise or swimming for one week. Sun protection is crucial during recovery to prevent pigment changes.

Is punch excision combined with other treatments?

Yes. Dr. Rokhsar often pairs punch excision with Fraxel or CO2 laser resurfacing to achieve optimal texture and color blending, resulting in the most natural, refined skin possible.

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Common Body Areas We Treat

From your face to your feet, we offer precise, physician-performed treatments for every area of your body. Whether you’re targeting wrinkles, scars, unwanted hair, or skin concerns, Dr. Rokhsar and our team provide customized care to achieve natural, lasting results.