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 scars. Sculptra works well to replace lost fat. Other fillers for more superficial residual scars works well such as Juvederm or Restylane.




