Treating ice pick scars

Ran Y. Rubinstein, MD answers: Alternative to Fraxel Laser for ice pick scars?

Is there another procedure besides Fraxel that can help improve or eliminate ice pick scars? A procedure that does not involve multiple visits or passes? Longer downtime is okay.


Ran Y. Rubinstein, MD
17 days ago

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

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