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

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 quick and there is minimal recovery time needed afterwards.  For ice pick scars, I would recommend a series of CROSS treatments with 100% TCA.  This has replaced punch excision and punch grafting in my practice. 

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 venturing on any corrective procedures. It doesn't make sense to do corrective work if you continue to form scars.  Good luck!

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 treatments for optimal outcomes.