TCA Cross needed before laser resurfacing? (Photo)

It's hard to tell from just one picture, but for ice pick scars I would generally favor starting with a series of TCA CROSS treatments.  This is less invasive than laser resurfacing with easier recovery and in my hands provides better results for ice pick scars.Regards,Dr. Ort

I suspect you will be left with a few deep ice pick and pick scars after your laser resurfacing treatment. This would depend on your skin type. I personally like to raise everything to the same depth, BEFORE resurfacing. Hence my recommendations- 1 or 2 TCA, re-evaluate, then resurface. Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. 
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, PRP 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 surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars. 
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. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best, 
Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.