Thursday, January 26, 2023

How To Get Rid Of Ice Pick Acne Scars

How To Get Rid Of Ice

Face Scars Treatment | à¤à¥à¤¹à¤°à¥ à¤à¥ निशानà¥à¤ à¤à¤¾ à¤à¤²à¤¾à¤ | KAYAKALP LASER | DR GOYAL M.D.

When pimples are plucked or popped, they can leave indented scars on your skin.

These scars go all the way down to the dermal layer of the skin, sometimes even further. Some ice-pick scars may require numerous sessions or a mix of therapy to be successfully treated.

A few options for minimizing the visual impact of ice pick scars are explored in this article. We also discuss the causes of ice pick scars and how to avoid them.

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“At-home microneedling can be effective, however you can achieve faster results with medical-grade options,” says Martino. To improve the texture of your skin at home, look for a face roller that uses surgical grade stainless steel like Gold Roll CIT.

5. Don’t skimp on sunscreen.

The most important acne scar treatment in your arsenal is actually SPF. Sunscreens help tremendously with reducing hyperpigmentation associated with scars, says Dr. Henry. Bonus: It also prevents your acne scar from getting any darker.

6. It might sound weird, but try to avoid coconut oil.

Some people like this ingredient to soothe inflammation, but on the face it can do the opposite. Coconut oil can actually clog pores and cause scars, says Dr. Henry.

Ice Pick Acne Scar Removal How To Remove Ice Pick Acne Scars

We hadnt been focusing so much on ice-pick scars until one of our valued readers sent us an email asking us to please provide me with information on the options available for removal of ice-pick scarring.

Punch techniques is always a safe bet, but TDA-CROSS can as well be helpful. The best thing is to talk to your dermatologist about the most suitable option for you.

Also Check: What Is The Cost Of Laser Treatment For Acne Scars

What Is The Recovery Period Following This Treatment

You dont need to plan a significant amount of downtime after this treatment. Most people are able to return to work or school the next day following their treatment. Usually, it only takes 3 to 10 days for your skin to renew itself after the treatment. During this time, you might see significant initial results followed by gradual improvement.

Certain measures, like avoiding sun exposure and going without makeup for a few days after your appointment, will help your skin adjust to the Laser Acne Scar Removal treatment quickly. Washing your face daily and keeping the treated area moisturized are also recommended ways to care for your skin.

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Tca Cross: How To Treat Ice Pick Scars

How To Get Rid Of Acne Scars : Expert Advice

One of the methods I do the most in my practice is TCA cross. TCA cross stands for TriChloroacetic Acid Chemical reconstitution of Skin Scars. This treatment is performed by applying a tiny droplet of TCA in the bottom of the ice pick scar. The delivery system can be as simple as a toothpick which has been dipped into a jar of TCA.

Immediately after the application of the acid in the acne scar, local tissue damage occurs, which breaks down the scar tissue, denatures

One of the methods I do the most in my practice is TCA cross. TCA cross stands for TriChloroacetic Acid Chemical reconstitution of Skin Scars. This treatment is performed by applying a tiny droplet of TCA in the bottom of the ice pick scar. The delivery system can be as simple as a toothpick which has been dipped into a jar of TCA.

Immediately after the application of the acid in the acne scar, local tissue damage occurs, which breaks down the scar tissue, denatures

the collagen and stimulates the tissue to start remodeling. The remodeling process begins immediately after the treatment through the stimulation of fibroblasts in the dermis, which creates new collagens and raises the scar.

Several acne scars can be treated in the same session, and the treatment is repeated after 4 to 6 weeks.

This is an incredibly effective and safe method for treating ice pick scars and narrow boxcar scars.

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Rf Microneedling For Ice Pick Scar Treatment

RF microneedling is one of those procedures that can be used to treat a wide variety of cosmetic concerns. Heres how it works: the RF microneedling device makes small, controlled punctures in the skin while exposing the underlying layers of skin to radiofrequency heat waves. When the skin is exposed to heat, it naturally constricts and tightens this is why RF microneedling is so effective for reducing the appearance of fine lines and wrinkles.

When the skin is artificially damaged by the microneedling device, it prompts the body to heal itself. This means that your body will produce more collagen to heal and smooth out cosmetic concerns on its own. RF microneedling works so well on ice pick scars because this type of acne scar is caused by a shortage of collagen in the skin. When the microneedling device causes your body to make more collagen, those indented ice pick scars can be healed and filled in.

While there are many derma-roller devices on the market, Dr. Qazi always tells patients to avoid DIY skin treatments like these. This is because these DIY rollers can cause even more damage to your skin by puncturing too deep, creating more scarring, and spreading bacteria into your pores.

If you are interested in RF microneedling as an effective ice pick scar treatment, schedule a consultation at Qazi Cosmetic Clinic! Dr. Qazi is a microneedling expert, who can give you the results you want in a safe, sterile setting.

What Are Pitted Acne Scars

Pitted acne scars are a name given to acne scars that are characterized by a hollow, indented impression in the skin. This concave appearance is due to a sudden loss of collagen. Unlike hypertrophic scars , which result from an overproduction of collagen, pitted acne scars result from the damage and inflammation of deep breakouts, which create a small pit-like structure on the facehence the name.

According to Camp, pitted acne scars are often categorized based on their appearance, within three common types: boxcar scars, ice pick scars, and rolling scars.

  • Boxcar scars: “Boxcar scars are broad and have sharp, well-defined edges. A good example is a chicken-pox scar,” says Camp.
  • Ice pick scars:”Ice pick scars are small, narrow, and deep. Because they are deep, they tend to be difficult to treat,” Camp explains.
  • Rolling scars:”Rolling scars are similar to boxcar scars but have smooth, undulating edges that make the skin surface look uneven. They tend to be more shallow,” he says.

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What Causes Ice Pick Scars

Ice pick scars are usually caused by severe acne, such as cysts and papules that occur deep in the pores. As you might already have read in the article, What causes acne and acne scarring?, acne is an inflammatory disease with inflammation in and around the pores .

The inflammation is what makes the pimple get red and hurt when it is touched and is basically the bodys response to the bacterial growth in the pores.

When the bacteria have been defeated by the bodys own immune system, wound healing begins aiming to repair the damages after the fight between the bacteria and the body. During the wound healing, new tissue is created, but at the same time, the body also removes all the tissue which was damaged during the initial fight between the bacteria and the body. This is one of the most complex biological processes where new collagens are created and damaged collagens, elastins, and extracellular matrix are destructed.

How Common Is Ice Pick Scars

[ENG] ì¬ëë¦ í?í° ìì ëë² í¼ë¶ê³¼ì 문ì? í¼ë¶ì¬ì?´ ìë ¤ë립ëë¤!/How to get rid of acne scars: Treatments

Atrophic acne scars are the type of acne scars that have a loss of volume and depression in the skin. Ice pick scars are the most frequent form of atrophic acne scars.

In total ice pick scars occur in 60%70% of all patients with atrophic acne scars. Thus, this is the most frequent form of acne scar which I treat as a laser and acne scar specialist.

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How To Prevent Ice

Treating the inflammatory acne that leads to ice pick scars is the best method to avoid getting them. Avoiding scarring is a good first step.

  • Maintaining a good skincare routine is essential.
  • Talk to your doctor about the breakouts youve been having. You can contact any of our Skin Cancer Specialists in Sugar Land, Conroe, Katy, and Memorial, Texas.
  • To prevent further breakouts, its best to refrain from scratching or popping pimples when youre experiencing one. There is a risk of infection and worsening of existing outbreaks.

Treatment Of The Hyperpigmented Acne Lesions

Post-inflammatory hyperpigmentation is caused when pigment is produced during the inflammation of acne. This is a temporary darkening locally in the scar that will typically last for a few months. PIH should be expected in darker skin types.

To improve the skin healing process and lower the risk of PIH, I always recommend my patients to:

  • Use a fading cream starting on day 7 after the treatment.
  • Use a high factor sun blocker two times a day starting at day 7 before the treatment and again at day 7 after the treatment for 3 months
  • Sun avoidance in the months after the treatment.

Remember that youre always allowed to use a recovery makeup or similar products to cover any PIH as long as the darkening persists.

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Atrophic Scars: Ice Pick Scars Boxcar And Rolling

Atrophic acne scars refer to any acne scar that is sunken into the skin. Atrophic acne scars such as ice pick scars are more common than the other category of acne scars known as hypertrophic or keloid acne scars in which the scarring is raised, thick and elevated. Along with ice pick acne scars, the two other types of atrophic scars are boxcar scars and rolling acne scars.

Ice pick acne scars appear as small, deep holes in the skins surface resembling very dilated pores. Rolling acne scars tend to be more shallow and broad with rounded edges that merge into each other. Boxcar acne scars are more superficial than ice pick scars and are very well demarcated often taking on square or rectangular patterns.

How To Get Rid Of Hypertrophic Acne Scars And Keloids


Hypertrophic acne scars and keloids often have to be treated with a combination of different techniques, including surgery, lasers, intralesional injections, and silicone gel sheeting, to achieve a good result.

The recurrence rate though is high in these types of acne scars, particularly in keloids because the main problem is that the patient produces too much collagen during wound healing. Hence, every approach should have this in mind, and try to avoid the uncontrolled production of collagen.

Also Check: How To Treat Severe Acne Scars

What Treatments Do Dermatologists Offer

1. For faster results, try a laser resurfacing treatment.

Dr. Henry recommends the Fraxel Dual laser or Lutronic Infini laser for acne scaring, specifically for rolling or boxcar scars. Both lasers create micro injuries in the skin , which activate the production of collagen as they heal.

If you’re noticing more post inflammatory redness than brown pigmentation, ask a derm about the VBeam or IPL laser, both of which target the red capillaries.

2. Do a chemical peel.

In-office chemical peels, like the Sensi peel by PCA and the VI Peel, can improve skins tone and texture, helping to reduce the appearance of scars. While these can be good for rolling and boxcar scars, ice pick scars may require a more intense peel, like TCA cross therapy. In this treatment, high-strength TCA is applied to the base of the scar to induce healing.

3. When in doubt, ask your derm about cortisone.

For raised scars, Dr. Henry often treats acne scarring with a shot of dilute cortisone to reduce inflammation and help flatten the scar.

4. Fillers are a temporary but effective option.

5. You could ask about dermabrasion, too.

The process, which essentially sands down the skin with an exfoliation tool, will even out the skin by reducing the top layers of the skin allowing it to appear more even overall, Dr. Gohara explains.

6. And then there’s always surgery.

Punch Excision For Ice Pick Scars

With punch excision, a surgical tool called a punch uses a cylindrical blade to sharply cut around the outer edges of an acne scar. The scar is removed and the wound is covered with a skin tape or possibly stitched. The idea with punch excision is to exchange the atrophic, pitted acne scar for a more conventional scar that is hopefully less noticeable.

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Types Of Acne Scars Treatment Options & How To Get Rid Of Scars

There are two main types of scars, those caused by an increase in tissue, known as keloids, and those caused by tissue loss, which are shallow saucers or ice pick scars. Keloids occur when the body heals by producing excess collagen, creating thick, fibrous, red brown nodules, often linear in shape and significantly larger than the pimple itself. The most common locations for keloids are the jawline, shoulders, chest and back. Dermatologists treat them with a series of cortisone injections until they flatten, then use a vascular laser to remove the keloids red color. After the age of 40, youre less likely to form keloidsone benefit of aging!

Scars caused by tissue loss result in permanent depressions in the skin that are dell or saucer shaped with either smooth or ragged edges. There are many different treatment options for improving the appearance of these scars. Microdermabrasion can lessen very superficial ones. Deeper and more extensive scarring can be improved with multiple fractional laser treatment sessions. Vascular lasers help to reduce a scars redness. Hyaluronic filler injections plump up the depressed center of scars, helping the skin look smoother.

Ice pick scars, usually found on the cheeks, are small, deep holes that can look like gigantic pores. Difficult to treat, ice pick scars usually require surgery followed by a laser resurfacing procedure.

The Benefits Of Micro

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Fractional skin resurfacing can also be achieved with other methods such as micro needling with a dermapen or a dermaroller. However, in my eyes, micro needling is only relevant in patients with shallow acne scars, since much more powerful methods exist, including treatment with fractional lasers.

However, the benefits of microneedling are that it can be combined with different serums and plasma-rich plasma which enhances the healing and remodeling after microneedling and other procedures that are performed during an acne scar revision program.

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How To Treat Boxcar Scars

Boxcar scars are the second most frequent form of atrophic acne scars. They usually have sharply demarcated vertical edges, similar to varicella scars, and clinically they are wider at the surface than ice pick scars and do not taper to a point at the base.

The picture shows an example of boxcar scars.

This type of acne scar can be treated in a number of different ways either by replacing the volume loss or simply excising the scar with punch excision.

In most cases, I prefer treating boxcar scars with a fractional CO2 laser, but other methods can also be used in certain types of boxcar scars, including micro-needling, TCA cross, dermal filling, and surgical excision.

How Are Acne Scars Classified

Acne scars are classified based on their appearance on physical exam. They can be depressed or raised .

Atrophic scars are the most common type of acne scars and they are caused by the destruction of collagen, and present as indentations.

Atrophic scars can be classified into three categories: ice pick, rolling, and boxcar scars.

Ice pick scars

These are narrow , deep, and sharply demarcated tracts. They are wider at the top of the skin and taper as they go deeper.

Rolling scars

This type of scarring is usually wider and are more shallow than ice pick scars. They have an undulating appearance with the rise and fall of skin surface due to abnormal collagen attachment.

Boxcar scars

These scars are wider at the base compared to ice pick scars and do not taper. They are typically round or oval shaped dimples that can either be shallow or deep

Hypertrophic scars and keloids

These are less common and are characterized by collagen gain, resulting in a firm raised lesion. Hypertrophic scars stay within the margin of the wound whereas keloids extend beyond the wound margin.

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A Laser And Acne Scar Specialist Explains

Treating acne scars is a medical art that requires great skills and the use of the right methods. Not one method fits all acne scar types. Hence, I treat acne scars with different methods and choose the best methods for each individual acne scar. Combining different methods when relevant is the only way to achieve the highest cure rate. Therefore, patients come from most of the world to visit my office and have their acne scars treated by me personally.

Acne Marks Versus Acne Scars

How To Get Rid Of Acne Scars Fast and Naturally Overnight

What’s the difference between acne marks and acne scars? Acne marks refer to the discoloration or dark spots from post inflammatory hyperpigmentation. Hyperpigmentation can fade on their own although it can take several months and years, even. Whereas acne scars are a result of texture change that can be raised or indented that are permanent without treatment.

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Can Boxcar Scars Heal On Their Own

Boxcar scars will not heal on their own. However, they may fade over time.

Treatment for boxcar scars can reduce their appearance. Sometimes, though, very deep boxcar scars remain visible even after treatment.

There are a variety of ways to try to minimize the appearance of boxcar scars. The method a person chooses may depend on the depth and severity of the scars.

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