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I agree with Dr. Shelton. Fillers and fat transfers can make ice pick acne scars worse. In addition to the other treatment suggestions, I have been effective with mini-subcision and radiofrequency resurfacing techniques for these conditions. None of the results will be expected to be "perfect" skin, but improvement is usually appreciated.
I have not found that Ice-pick scars are improved by filler. These are very narrow but deep scars and fillers typically spread beyond the area and magnify the appearance of the scar by enlarging the skin around the depression. Ice pick scars are readily treated by surgical removal and skin grafting called punch grafts. These tiny pieces of skin are harvested from behind the ear and those wounds closed with sutures. The grafts are placed into new holes that result from the surgical removal of the ice-pick scars. Most grafts "take" but the ones that don't live can undergo a second treatment. These grafts are often resurfaced after healing has taken place. Some people have gotten improvement without punch grafts for ice-pick scars by using the CROSS technique with strong tricholoracetic acid applied very carefully to the base of the scar which intentionally wounds the base and allows the skin to heal with new collagen and builds of the scar but the acid is then applied for several sessions. There is a risk of scarring with both procedures so discuss at length with your doctor. Seek consultation with an experienced board-certified dermatologic or plastic surgeon who has done many of these procedures.
Initially after fat transfer there will be an increase in volume, due to fat , swelling , On the long run it depends why the fat was transfered to the medial thigh ? is it because of bad liposuction results? if so then the scarring may interfer with the fat staying.
Fat can be harvested by extracting it from a "trap" that is hooked up to the tubing connected to the cannula. The fat can be removed from this sterile trap and used. The liposuction technique used to extract the fat from the body, before it goes in the trap, must not be a destructive...
You need to ask your surgeon depending on what they've done, how much fat and exactly at what level of implantation, they may say that you shouldn't drive for a couple of weeks or more. As driving is your occupation, you might be pleased to hear they may allow you to resume activities...
