The Refine Technique

Ice Pick acne scars are narrow and deep, resembling small holes in the skin, while boxcar acne scars are deep but much wider. The most effective treatment for these types of scars is excision, or cutting out, the scar tissue. At The Acne Scar Center, we offer a specialized approach known as the Refine Technique.

What is the Refine Technique?

The Refine procedure is performed under local anesthesia in an outpatient office setting. The objective is to replace the existing acne scar with a new scar that is flat and narrow, blending seamlessly with the surrounding skin. Once fully healed, the new scar is virtually invisible.

The Refine Procedure

Prior to the procedure, detailed photographs of the acne scars are taken and reviewed with the patient. Dr. Sadove collaborates with the patient to identify and mark the scars targeted for removal.

The area is then anesthetized, and each scar is excised using either a punch biopsy or ellipse technique. The excision is slightly larger than the scar to ensure complete removal. The orientation of the new scar is carefully planned to optimize aesthetic results.

Fine sutures are used to close the excision site using advanced plastic surgery techniques, aiming for the best possible scar outcome once healed.

Recovery from Acne Scar Excision

Post-treatment, patients may experience minor swelling and redness at the excision sites for a few days. The fine sutures are typically removed after 5 or 6 days. Pain is generally minimal and can be managed with Tylenol.

The healing process continues over several weeks as visible redness fades, with full maturation of the excision sites taking 6 months or more.

Can Fillers or Lasers Treat Ice Pick or Boxcar Scars?

Unlike our Rewind procedure, injections of fat or other filler materials are not suitable for treating ice pick or boxcar acne scars. Fillers offer minimal improvement due to the tight adhesion of the underlying scar tissue.

Similarly, lasers and chemical peels are ineffective for ice pick and boxcar scars as they only address the surface of the skin and cannot penetrate deep enough to treat the underlying scar tissue.

For effective treatment of ice pick and boxcar scars, the Refine Technique at The Acne Scar Center offers a precise and lasting solution. Contact us to learn more about how this advanced approach can help you achieve smoother, clearer skin.