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Ice pick scars are composed of rather deep but narrow depressions in the skin as a result of intense inflammation from cystic acne. These types of scars are extremely hard to treat, as most lasers and energy-based devices can’t penetrate to the depths required for proper collagen remodeling of these scars. Hence, we resort to a unique technique called punch excisions, during which we cut the deep scars surgically with a cookie-cutter instrument (called a punch instrument) and we suture the resulting holes with a very fine plastic surgery stitch. In essence, we transform the ice pick scars into surgical scars, after which we will laser them with the Fraxel laser. The combination of punch excisions and non-ablative laser resurfacing with Fraxel is the most effective way to treat deep ice pick scars. Pain level: 0 after numbing injections Recovery time: 1 week Number of sessions: 1 Duration of results: Long-lasting Procedure name: Punch excisions for treatment of ice pick scars #punchexcision #icepickscars #acnescars #excision #acnesurgery #acne #surgery #dermatology #dermatologysurgery #facialscars #scar #scarremoval #acnescar #drcameronrokhsar #nycdermatology #dermatologist