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Ice Pick Scar Excision

Ice Pick Excision is an effective treatment for scars which are quite narrow and deep. For treatment for these scars, we prefer the Refine, punch-out excisions.

Refine Ice pick acne scar removal

The Refine excision is typically performed under local anesthesia in our office-based setting. Usually, one to three, human hair-like, very fine sutures are  placed for wound closure. Five days after treatment, the sutures are removed. The healing process continues over many weeks until the visible redness resolves. Only then can the final result be seen. Ice Pick Excision is an effective treatment technique for this type of acne scar.
The scar we strive for is flat and narrow.  In this way it does not cast a shadow. Such scars are easily covered with facial makeup. Simply, you are trading a bad scar for a better one.

Biopsy punch wedge excision is the best treatment for Ice Pick acne scars. As the skin possess appreciable elasticity, the excised hole which resulted from the punch out excision can be easily closed.

Before the procedure, careful detailed photographs are taken and reviewed on a large monitor together with the patient. Together with Dr. Sadove’s advice, the patient decides which scars they wish to remove. Then, these scars are marked with a marking pen. If you are allergic to lidocaine, make sure to inform Dr. Sadove before surgery.

Procedure

The acne scar areas that need treatment are injected with local anesthesia via a tiny needle. This step is followed by application of antibiotic prep solution onto the treatment-target skin area. As each scar is often a different diameter. The correct circular biopsy punch needle is selected based upon the diameter of the excision. The available standard diameter sizes of disposable biopsy punches are 1, 2, 3 and 5 millimeters. The scar is “punched out” in a circle shape.

Dr. Sadove asks you to smile and make various facial animations during the procedure in order to determine the best orientation for the scar closure. These are called Langer’s lines or elective lines of incision. The circle changes its shape into an ellipse and a fine suture uses to close the excision carefully, by employing plastic surgery technique. After treatment, a dot band aid is applied onto the treated area for one day. Then, apply a small amount of antibiotic ointment twice or three times a day. The fine sutures are removed after five days.

No injections are used for the treatment of ice pick scars. Ice pick acne scars are too deep for any kind of peeling or laser.

No role for filler treatment of ice pick acne scar

No Injections recommended to treat Boxcar scar acne scars. Typically, injections may offer little to no improvement due to the tightness of the underlying scar. Similarly, peeling and laser therapy provides little benefit for deep boxcar acne scars.

Boxcar Acne Scars

Ellipse wedge excision is the best treatment of Box acne scars. The skin has a great deal of elasticity and the hole creates a result of excision procedure which can be easily closed without any tension on the skin closure. Fine sutures removes after 5 days.

During the procedure, Careful detailed photographs are taken and reviews on a large monitor together with the patient. The scar gets remove on his own choice and Dr. Sadove’s advice. These are then marked with a marking pen. Dr. Sadove asks you to smile and make various facial animations in order to determine the best orientation for the scar. These are called Langer’s lines. If, you are allergic to lidocaine, make sure to inform Dr. Sadove before undergoing the procedure.

Procedure

The marked areas injects with local anesthesia via a tiny needle. Antibiotic prep solution applies onto the target skin area to curb the low risk of infection. Then, the scar cuts out in a “football” shaped ellipse oriented in the proper direction. A fine suture uses to close the hole carefully by employing plastic surgery technique. Then, a dot band aid applies for one day. Moreover, a small amount of antibiotic ointment applies two or three times every day. The fine suture removes after five days.

Laser and peeling not for box acne scarThe final result often takes several months to see until redness and wound healing completes.
These deep tight scars are best not treated with lasers or peels.

Ice Pick Scars Excision Before & After

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