Does Thermage Reduce the Appearance of Icepick Scars on the Cheeks?

Does Thermage Reduce the Appearance of Icepick Scars on the Cheeks?

Doctor Answers 7

Thermage For Ice Pick Scars

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On the face, Thermage is known for smoothing and tightening sagging skin, smoothing fine lines and wrinkles and helping define the jawline and lip. It also addresses loose jowls and “turkey neck.” I would suggest meeting with a board-certified plastic surgeon or dermatologist so they can assess your scarring and determine a course of action. Best of luck.

Treating icepick scars on cheeks

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Icepick scars need to be treated with a method that smooths and retexturizes the skin.  Thermage tightens skin below the surface, but does not smooth the skin.  Fractionated laser resurfacing, such as with Fraxel, is a much better choice for treating icepick scars.  Depending on the size and depth of your scars, the fractionated carbon dioxide laser may be the most efective option.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon

Treatment of ice pick scars

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The questrion posed is "will Thermage improve the appearance of icd-pick scars".  I treat a large number of patients with acne and chicken pox scars and find that the best way to approach these is via a combination of excision of the ice-pick scars, subcision of the "boxcar" or rolling scars, followed by laser skin resurfacing.  The appearance of ice-pick acne scars can be dramatically improved via a combination of surgical and laser treatments. 

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

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Thermage and Ice Pick Scars

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Unfortunately, there is no ideal treatment for ice pick scars to date.  While Thermage and other resurfacing lasers stimulate collagen, which can improve the appearance of more shallow scars, the depth of ice pick scars limit the response to any modality.

Lori Stetler, MD
Dallas Dermatologic Surgeon

Thermage for ice pick scars?

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As Dr Mandrea suggests, Thermage is a skin tightening device so scars that don't go away when the skin is stretched, will not go away with Thermage.  The CROS technique he describes is of great value, is cheap and effective.  Other means of adressing these scars are punch excision, dermabrasion and laser resurfacing - although these are more expensive and involve downtime.

Stephen Mandy, MD
Miami Dermatologic Surgeon

Thermage and Ice Pick Scars

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Thermage may help to some degree other scars such as boxcar scars and rolled scars, but not ice pick scars.

For ice pick scars, the best treatment  is Chemical Reduction Of Scars (CROS) whereby a tiny amount of acid is applied with a thin wooden tip right into the scar. After a minute or 2 the acid is neutralized.

Several dozen ice pick scars can be treated at a time.

Always Make sure you  are being treated by an experienced, Board certified Dermatologist or Plastic Surgeon.

Eugene Mandrea, MD
Chicago Dermatologist
4.6 out of 5 stars 5 reviews

Thermage is an excellent treatment for the right candidate

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While thermage is an excellent treatment for rejuvenation and tightening, it will have very little if any impact on ice pick acne scars.

Doris Day, MD
New York Dermatologic Surgeon

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.