I Have Ice Pick Scarring. Will Radiesse or Other Fillers Minimize Their Appearance? (photo)

I am a mixed race male with olive skin tone and I have ice pick scarring from old acne on my forehead and cheek area. Would Radiesse and other fillers be effective in minimizing the appearance of these scars or would I have to consider subcission, laser, or some other technique?

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5 Doctor Answers | Asked by albsurre in NY, NY

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Acne Scars

Patients with a darker skin type have a higher risk of post-inflammatory hyperpigmentation after laser treatment. For this reason, I would probably avoid more aggressive laser procedures. I would consider a series of Dermaroller medical needling procedures to break up the scar tissue and soften the scars. This is being used more and more by physicians who specialize in the treatment of acne scars, including myself. It is a somewhat painful procedure but it is very... more

Treatment for acne scarring

Just as there are multiple kinds of acne scars, there are multiple treatments for each variety of scar. The results of these treatments depend as much on the skill of the treating physician as it does on the treatment being used. For your type of scarring, I would recommend a series of fractionated laser treatments to soften the transition at the edge of the scars, followed by Restylane filler injections to raise any scars that are not "bound down" with scar tissue. Of all of the... more

Combination treatment is the best

I have found that the best way to treat acne scars is combination treatment. You will need about 5-7 Fraxel Repair treatments along with a filler injections. I have found that micro-droplet silicone injections work the best. This is a permanent filler so you do not have to worry about having to repeat it once the scar is filled in. it is safe to use as long as your doctor uses the micro-droplet technique. Also, make sure your acne is under control before... more

Fillers for Acne Scars

There are whole books written on treating acne scars because there are so many treatments and none is perfect. For your type of scars, several treatments should be combined: lasers to blunt the edges and fillers to decrease the depth of the pits. Which filler depends on a variety of characteristics that can be assessed during a visit but Radiesse, Perlane, Restylane and Sculptra have all been used. Each has its advantages. I would say that you will require a few different... more

Using multiple modalities for treating acne scars

Most people who have acne scars have different types of scarring. There are the "rolling scars" which can be distended and appear to improve when the skin is stretched. The deeper scars such as the "boxcar" (like a wide chicken pox scar) and the "icepick" scars are more bound-down to the deeper skin layers and are more difficult to treat. It appears from your photo that you probably have all of these types of scars including a number of the... more