Ice pick scars are deceptively complicated. They look small on the surface, but they often run deeper than any laser can safely reach without destroying surrounding tissue. That is why we cannot simply laser down to the depth of the scar. Instead, we have a few different options when treating ice pick scars: First, oil control. Managing sebum production is critical because excess oil can enlarge pores and make ice pick scars appear more pronounced over time. Second, TCA CROSS. We place a custom

This patient is on her fourth phase of a custom acne scar treatment plan. She has rolling scars with significant tethering and thick, raised edges that have been resistant to less aggressive approaches. Being Fitzpatrick 2, her skin can tolerate higher energy settings, but that advantage only matters if we use it correctly. We have spaced her treatments over several months to allow each layer of collagen to mature before advancing. Rushing the process in lighter skin can lead to over-treatment a