Ice pick is one of the most difficult acne scars to treat because of the depth that it has. I have a few on my face, and I’ll have you know that these scars require special effort and time.
(The image that you see above are ice picks of mine.)
Ice pick usually happens from squeezing out those whitehead/blackhead.
Unfortunately, there isn’t many treatments available to do at home. Ice picks are one of those scars that requires more special care.
Individual needling should not be confused with the common dermastamper or dermaroller device.
The main difference with individual needling is that you are using a single needle, while the dermastamp/dermaroller consist of multiple tiny fine needles.
Individual needling involves puncturing the scar to have collagen growth occur.
There will be oozing during the treatment, but it should not be anything serious or painful. In fact, you should not be able to feel anything when puncturing your scars with the needles. (Needles should not be wide in diameter)
What treating your ice pick scars, make sure that you puncture the side of the skin’s wall, not just the bottom alone.
This treatment should not be done more than every 4 to 6 weeks. (Depend how fast your skin heals)
The quality that you buy for your chemical peels may not be as strong as the ones doctors use.
If your ice pick is minor, you can try applying chemical peels on your skin.
How chemical will help is that when the surface of your skin burns, it’ll regenerate new collagen to come repair that skin area.
It won’t work on ice picks that are deep, but if this is something that you would like to give a try, click here.
Laser & Chemical Peels
Some doctors may recommend that you opt for both laser and chemical peel for the best result possible. Laser treatments and chemical peels both work by burning the outermost layer of your skin in order to have new skin grow. The problem with this though, is that ice picks tend to be too deep.
Because of this, I would not recommend either laser or chemical peels. There is no clinical evidence to support the claim of showing improvements toward the very deep punctuated ice picks.
However, you should still contact your dermatologist and ask them about this. Your ice pick may be shallow enough to have these two treatments done.
The most effective treatment remains to be punch excision, despite of many improvements made in lasers and chemical peels over the years.
Doctors will attempt to perform this treatment by using a cookie like cutter to remove the scar from the skin. Afterwards, you either have the option of sewing the skin back on, or letting the skin heal itself.
Punch excision followed by a laser treatment (such as Fraxel, fractionated CO2 laser) would be a great combination to hide any existing ice pick scars that were left over from the punch excision treatment.
Note: In darker skin types, the risk of pigmentation remains high.
My thoughts on ice picks
Since I have several ice picks, I would really recommend either individual needling (for home treatment) or any punch techniques offered by doctors (elevation, graft, incision, and excision)
I find that these two treatments are the most effective for any ice picks. With basic understanding of collagen reproduction, I cannot see how other treatment can make a great impact for ice pick scars.
As always, you should consult with your qualified doctor about this and see what is in your best interest in terms of treatment options.