Fraxel Laser: Q&AAsk a Question
4 Doctor Answers | Asked by candy_gurl in KS
Ice pick scars are difficult to treat and usually require multiple modalities. I would begin with surgical excision. Phase two would be skin resurfacing. The best laser is CO2. I would recommend two or more Fraxel repair or a series of Fraxel restore treatments. You are better off having more treatments with less downtime and risk than an aggressive older style CO2 laser which has a greater risk of complications. I have also found replacing lost facial volume as a tremendous benefit to acne...
There is no resurfacing method that in my opinion by itself is effective in improving ice pick acne scars. Too many physicians and other providers try to resurface them alone and this does not sufficiently improve their appearance. And I agree with you that a fraxel treatment would be a waste of your time and only give you minimal improvement. The best initial treatment is punch excision of the ice pick scars to change them from divets or depressions to linear scars. Once the linear scars...
The best way to eliminate ice pick scars is by excising them. Visit an experienced plastic surgeon or facial plastic surgeon for a consultation. Fraxel will likely leave you disappointed.
It may be possible to excise or punch out and directly close these scars, but it is difficult to say without seeing you directly. Visit with an e perienced plastic or facial plastic surgeon.