Ice pick scars need deep and full thickness treatment

Otto Joseph Placik, MD answers: Laser resurfacing and microdermabrasion for acne scars?

I have ice pick scars on my cheeks. I've done 5 laser resurfacing and 5 microdermabrasion treatments, but I don't see any significant improvement on my scars yet. I was told I still have 3 treatments left. Can I expect the scars to look better after 3 more treatments, or are there any other options I should be better off trying?


Otto Joseph Placik, MD
9 months ago

Laser resurfacing and dermabrasion generally treat surface irregularities.

Ice pick scars are essesntially holes in the skin that usually traverse the enitre thickness of the skin. The best treatment is to punch (cut) them out and then perform a resurfacing procedure to soften the resulting scar.

If I can provide an example to illustrate the point. IF you have a piece of wood that has a knot or worm hole that completely traverses the entire thickness of the wood plank, you can sand, buff, polish, plane and burr the wood plank all you want but you will never eliminate the "defect" unless you completely burr all the way through the wood.

If you do this in skin you will create a scar (3rd degree type wound).

Therefore, consider having the worst ice pick scars cut out and then dermabrasion or laser to eliminate the surface irregularity.

I hope this helps!

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