Characteristically, ice pick scars are narrow at the surface but deep. Due to its deep nature, resurfacing techniques such as chemical peels and laser are not effective. However, punch out wedge excision has been proved to be very effective to treat these lesions. The success rate of this procedure will increase if the patient has scars some normal surrounding skin. Ideally, there should be some space between the scar to be removed and any surrounding scar. A large number of scars close together are more challenging to treat. These scars are commonly located on all areas of the face.
Ice pick scars are the type of acne scar that are difficult to treat without surgical intervention. The situation can be more challenging, when many scars are present in close proximity to each other. Ice pick scars are usually quite deep, making them very difficult to treat with standard resurfacing techniques such as chemical peels, micro-dermabrasion and laser resurfacing techniques, which are unlikely to have a significant impact. These techniques do not effectively penetrate deeply enough to achieve the desired treatment outcome.
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