Scar Removal: Q&A

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What Treatment Would You Recommend for Ice Pick Scars?

I've been told they are ice pick but i don't know if all of them are ice pick or just some of them. I have a feeling I have a mixture of ice pick and boxscar/rolling but not sure. What treatment would you suggest for the indents? Is TCA Cross something I should consider? Thanks

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5 Doctor Answers | Asked by Hope11

Doctor Answers (5)
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Scar Removal

Many of the fractional lasers do a very good job, as does the eMatrix from Syneron. Find a BCAPS in your area with one of the listed technologies and have a consult.

Combination approach is often the best for acne scars

While your scars are the appropriate subtype for CROSS technique, I would be concerned that based on the width of the scars, CROSS technique would not be ideal. This is also taking into consideration your skin color. I would agree with Dr. Biesman that a combination approach of subcision, punch excision, and resurfacing may be the best approach.

Treatment of ice pick acne scars

I treat a lot of acne scars and have had excellent success treating scars such as yours using a combination of punch excision, subcision, dermal grafting, and skin resurfacing. In any given case it may not be necessary to use all of these treatments; only 1 or 2 may be needed. While your skin will never look as if it never had acne scars, I believe that you shouldl be able to achieve substantial improvement in the appearance of your scars.

Brian Biesman, MD

14 reviews

Nashville Oculoplastic Surgeon

www.drbiesman.com

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Acne scar treatment

Dear Hope11, the scars that show in the pictures you posted, would respond to CROSS technique, as you mentioned. Other options are punch excision, or punch grafting. Subcision can be done for more shallow scars. Any of the aforementioned procedures can be later enhanced by a resurfacing procedure such as dermabrasion, sandabrasion, chemabrasion, or fractional/ablative laser. Your dermatologist/plastic surgeon can discuss which method[s] would be best for your skin type & your... more

Khaled El-Hoshy, MD

Detroit Dermatologic Surgeon

www.elhoshy.com

Treatment of (Acne) Scars

Scars are often difficult problems to address because patients want them to be completely gone following treatment. Unfortunately, there are no medical or surgical treatments to remove scars completely. Scar treatment or revision is a very individualized procedure that depends upon the appearance, characteristics, and size of the scar(s). In general we would evaluate a scar(s), determine if some reasonable improvement could be obtained, and then discuss treatment options and expectations... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Scar Removal: Q&A