Best Laser Treatment for Ice Pick and Rolling Scars?

I have some acne scars on my face, most are ice pick and rolling scars. Now I know there are 3 companies that provide laser treatment: Fraxel restore/repair, Palomar fractional laser, and Deep FX and Total FX. Which among the treatments is best for me?

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3 Doctor Answers | Asked by seafalcon_zj in hongkong

Doctor Answers (3)
Community Comments (2)

Palomar XD fractional laser for acne scars

Acne scars can be diffficult to treat even in the most expert hands. Fractional resurfacing typically results in improvement, however improvement can range widely from 20 - 90%. A recently released XD optic for the Palomar Starlux and Palomar Icon systems was designed to deliver energy more deeply. We have seen responses on ice pick and other acne scars with this new device that have not responded to other non-ablative fractional lasers.

Robert A. Weiss, MD

5 reviews

Baltimore Dermatologic Surgeon

www.mdlsv.com

Treatment of acne scars is multi-modality approach

Treatment of acne scars is never as easy or as straight forward as we would like it to be, or as it is made out to be by some companies and some practioners. The treatment of acne scars, especially when there is a combination of fine pitting, deep ice pick scars and rolling scars usually requires many different treatment approaches. The easiest may be the treatment of fine pitting scars (which your picture seems to be showing). These type of scars can be dealt with various resurfacing... more

Fraxel for Ice Pick and Rolling Scars

Thank you for your question. At my practice, I use Fraxel Laser treatment. Fraxel eliminates irregular skin discoloration, and stimulates new collagen production, tightening the skin without prolonged recovery. After a series of 2 to 4 Fraxel treatments, the cumulative cosmetic improvement is near more aggressive lasers, but unlike more aggressive lasers, redness and swelling eliminated within 2 to 4 days after each treatment. Fraxel is outstanding for fine wrinkles, mild skin laxity,... more

Comments (2)

Aunarue 28 Apr 2013

Hey Sea Falcon, I've had a few deep ice pick/boxcar acne scars that I got rid of with 99% dicloroacetic acid (very similar to Tricloroacetic acid). Google TCA Cross Method. It works!! It targets the specific pit rather than the surrounding area, which can round the edges. I do it myself on my largest pits. It's very dangerous, but I'm a DYI'er. I recommend only doing one or two until your comfortable. The pit will first appear as if it's much larger then it will scab. You'll have a sore that will heal in about a week. Do not pick it!! When it falls off your pit will be smaller and will continue to get smaller. You don't want sores all over your face unless you plan on being in hiding so chose strategically ;) The next treatment is derma rolling. YouTube it. It's great for rolling scars and an amazing anti-ager. You have to roll the sh!t out of your face for it to work. Don't be scared ;) Roll until you bleed then your face will peel for the next few days leaving your skin fresh. It's similar to an acid peel. Continue rolling once or twice a month.... forever ;) YOu will see a difference. During this time your skin will constantly be healing and producing collagen. As for alllll the many ice pick scars, I don't know. I have a similar problem. I feel like I should start accutane dry the oil glands, but accutane makes me very nervous. If you find something that works for your skin, let me know as well! Best luck to you!! :)

Aunarue 28 Apr 2013

Btw, I'm not recommending you to TCA cross your own skin. A few doctors are familiar with the method. I bought my 99% dicloroacetic acid from a chemical company that only delivers to business addresses.

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