Do Derma-rollers Help Ice Pick Scars?

Dermarollers are not ideal for ice pick scars; these scars respond well to punch grafts and skin resurfacing. Raffy Karamanoukian Los Angeles

There are no treatments that will absolutely eliminate these scars. Isolated scars can be excised, grafted and subsequently dermabraded. I have utilized skin needling in combination with fat grafting and believe it does provide some benefits but generally advise patients that a 30% improvement is considered a successful outcome.

DermaRollers are ideal for mild, early rolling acne scars, however for deeper ice pick scars, procedures such as TCA CROSS or surgical punch excision works the best. See below for more on how I perform TCA CROSS and the before and afters. All the best, Dr Davin S. LimLaser and aesthetic dermatologistBrisbane, Australia. 

  Ice pick scars are the least responsive to the usual modalities. These scars are deep in the dermis beyond the reach of the derma-roller.

  Often one can obtain a good result with Fraxel, CO2 laser resurfacing , a deep chemical peel, or dermabrasion. 

   A dermatologist or plastic surgeon who is experienced in a procedure called subcision would be most helpful. The scar is released from the underlying normal tissue and removed. This, in skilled hands may work. Small punch excisions also can be used successfully for ice pick scars. This treatment can be combined with Fraxel or fillers. 

 However, realize ice pick scars  are much more difficult to remove than say boxcar or rolling scars.