What is the Best Treatment for Ice Pick Acne Scars?

An ice pick scar starts deep in the dermis and needs treatment that would reach that depth. For multiple acne scars, I prefer fractional erbium resurfacing. Depending on the extent of the scarring, it may require several treatments. Individual scars can be treated with a combination of subcision and fillers or punch excisions, however, when there are many, a more global approach is needed. Prior to fractional resurfacing, the best method to treat deep acne scars was with... more

Ice pick acne scars tend to be narrow and deep (by definition) and therefore superficial treatments like microdermabrasion and radiofrequency resurfacing tend to be disappointing. I have had good results improving ice pick scarring using more aggressive techniques such as punch grafting, simple excisions, subcision, and real dermabrasion (not micro).