Will punch excision work for my ice pick scars? (photo)
Doctor Answers 6
Ice Pick Scars
eMatrix combined with TCA cross and fillers such as Restylane will greatly reduce the scars and improve your complexion. PRP with microneedling will also be a great adjunct to your skin care. Please consult an expert. Best, Dr. Green
Yes, TCA is better in your skin however...
Looking at your pictures, I believe you primarily have box car scars, I m sure you have a few ice pick ones, but the predominant type is box car. I use a lower concentration of TCA followed by laser resurfacing a few months after. To answer your question on ice pick scars, attached a video on scar treatments.
For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery.
The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars.
All the best,
Dr Davin Lim
Laser, surgical & aesthetic dermatologist
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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