In punch excision 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. Laser resurfacing procedures can be done to further improve the contours. If the scar is small, a 2mm punch is used and usually no stitch is required and the skin would heal on it’s own and fill the small defect.
