Ice-Pick Scar

A term referring the often multiple deep punched-out scars that are typical residua of acne vulgaris, which may partially respond to dermabrasion
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Ice-pick scars are commonly treated with chemical reconstruction of skin scars (CROSS), punch techniques, and radiofrequency (RF).
Thus, if ice-pick scars are predominantly in patient, the patient is likely to be unsatisfied with fractional laser resurfacing as monotherapy alone.
Table 1: Acne scar classification (adapted from Jacob et al.) Acne scars Clinical features subtype Ice-pick Ice-pick scars are narrow (<2 mm), deep, sharply demarcated tracts that extend vertically to the deep dermis or subcutaneous tissue Rolling Rolling scars may reach [greater than or equal to]5 mm in diameter.
(12,32) The ice-pick scars were the most common type of post-acne scars.
It was also seen that in dermaroller group, good response was seen in rolling and boxcar scars whereas in the TCA CROSS group, good response was seen in the patients with ice-pick scars.
Rolling scars which give the skin a wave-like appearance and ice-pick scars that are usually small, with somewhat jagged edges and steep sides--like wounds from an ice pick.
Ice-pick scars, also known as pitted scars, appear as round, deep depressions culminating in a pinpoint base; in cross-section, they are shaped like a 'v.' Boxcar scars have a flat, 'u-shaped' base.