Are lasers or fillers better for “rolling” and “ice pick” acne scars?

What are your thoughts for fillers vs laser on Fitzpatrick III-IV skin type with "rolling" and "ice pick" acne scars on the face? Thanks

Good questions!   Each person is an individual but here are some thoughts to discuss with your dermatologist:

  • Ice pick scars are more difficult to improve. They do NOT do well with fillers.   Lasers or actual surgical excision of the scars with tiny stitches or punch grafting is better.
  • Rolling scars do well with lasers, fillers and….. BOTH lasers and filler generally are even better.   Don’t overlook the value of subscision on these as well.
  • “Box car” and chicken pox scars are very difficult to improve but fortunately are less common.  Subscision and laser together tend to be common strategies.

More on treating acne scars here.

Hope this helps,   Dr. I


Dr. Brandith Irwin, MD

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