What Procedures Can Remove Ice Pick Scars?

Doctor Answers 3

Management of Ice Pick Scars

Hello and thank you for the question.

In review  of your photographs, I would utilize a bifurcated approach to treat the ice pick acne scars. Specifically, I would suggest a Total FX treatment of the affected area primarily. This will provide effective resurfacing to the scarred area. Additionally, I would suggest a series of 4-6 Derma-roller treatments, commencing 1 to 2 months following the fractionated laser treatment. Keep in mind, the benefits of these procedures will take months to appreciate. You will see continued improvement of your skin well beyond the 12 month mark.  

Warmest Regards,

Glenn Vallecillos, M.D., F.A.C.S.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews

Ice pick scars respond well to aggressive Fraxel Repair Laser treatments.

I have good success with agressive Fraxel Repair Laser Treatments.  Occarionally I will also add Extensive subcision, a procedure that may cut through and release some of the deeper pits.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Treatment of Acne Scars

Most of your scars look more like superficial saucer-like scars, rather than ice-pick scars which tend to be a bit deeper, bound down and with sharp angled walls to the scar. It's possible that the ice-pick scars do not show up as well in the photo. The clinical exam would give a clear indication as to whether they're saucer-like or ice-pick like. Depending upon this, we could determine the best treratment options. Also, an important factor is how much down-time you could tolerate, etc

Options for saucer-like scars include soft tissue fillers like Juvederm or Resytlane or dermabrasion or laser resurfacing. Ice-pick scars are best handled by excising and closing the scars or excision the scars and putting small grafts in each one (depends on the size). After healed the area would best be treated by resurfacing or dermabrasion of the area.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.