Laser resurfacing for ice pick scars: what to know

Ice pick scars are small, deep depressions that extend into the skin. Resurfacing removes or remodels selected surface layers and can soften sharp edges, uneven texture, and nearby acne-scar changes. It may not fully reach the narrow base of every scar. A clinician may first check whether acne is active, whether the scars are tethered, and whether the skin has a tendency to heal with raised or darkened marks. The scar pattern and skin tone influence the safest treatment depth.

Bring a clear history of acne treatments, outbreaks, cold sores, previous procedures, and unusual scarring. Ask whether resurfacing alone is appropriate or whether a focused scar technique should be combined or chosen instead. During healing, cleanse gently, keep the surface moisturised as directed, and do not remove crusts. Avoid tanning and protect treated skin from ultraviolet exposure after the surface has recovered. Learn about [Laser Skin Resurfacing](/treatments/laser-and-energy/laser-skin-resurfacing/) and device choices such as [CO2 Laser](/technology/co2-laser/) or [Thulium Laser](/technology/thulium-laser/).

Contact the clinic if pain increases, redness spreads, swelling becomes pronounced, or the treated area develops pus, fever, blisters, or delayed healing. Seek urgent care for facial swelling that affects breathing or vision. A dark or light mark that continues to intensify after the expected healing phase deserves assessment, especially if it is changing or tender.

How deep and narrow are my scars? Can resurfacing reach them, or would a targeted approach be more suitable? What result is realistic for my skin tone? How will active acne, cold sores, or a history of raised scars change the plan?