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

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 deeper ones.  If you try to put any type of filler under a boxcar or icepick scar, you may end up with a doughnut type of effect where the filler spreads to the outer portion of the scar and the deep, middle portion remains bound down.  If this happens, the scar will most likely look worse.  The best option for these scars is to do punch-excision or punch-grafting initially to replace the deep scars with a more superficial scar.  Then you can use a fractional resurfacing laser to blend and possibly subcision (breaking up deep scar tissue with a special type of needle) and/or filler for more resistant rolling scars.  As you can see, there is no magic bullet that works for all acne scars.  Multiple modalities used in combination will give you the best results.    

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 fillers, in my opinion Restylane gives the best results for treatment of acne scars.