The acne-scarred face presents a challenge to the reconstructive surgeon. Dermaplaning technic with the Castro-viejo Electrokeratome ("C-V Planner") results in precise leveling of the skin. Numerous deep pit scars are amenable to small excisions; extensive milk-cheek scarring is treatable by segmental excision and reconstruction. Both dermaplaning and scalpel surgery may be required to achieve a cosmetically satisfactory result in a face badly scarred by severe acne.