Ice pick scarring is a difficult problem to correct. There are several treatments I will use for patients with ice pick scarring. The first is to use a punch biopsy tool to elevated the skin around the scar. The incision is then allowed to heal and about 3-4 weeks later, I use either dermabrasion or dermasanding to smooth the area. Another option is a process called subcision. The basic ides is to use some type of needle to undermine the scar and then fill the area to prevent the scar from reforming. The filler can be either a temporary or permanent filler, though often even a temporary filler will produce a permanent result. The last option is direct excision. This produces excellent results and sometimes needs to be combined with dermabrasion or dermasanding.


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