Icepick scar

Generally, best results are achieved in depressed and atrophic or rolling and boxcar scars. Icepick scars always need to be preceded by punch excision. Our experience shows that in older patients, when skin is less elastic, it is possible to achieve more significant improve-... 

Icepick scars are narrow (<2 mm), deep, sharply marginated epithelial tracts that extend vertically to the deep dermis or subcutaneous tissue (Fig. 11.9). 

A few morphologic acne scar classifications have been proposed to assess the efficacy of different therapeutic options based on the scar types. Standard classification includes three basic types of scars icepick scars, rolling scars, and boxcar scars [7, 8]. Icepick scars are narrow (<2 mm), deep sharply marginated epithelial tracts that extend vertically to the deep dermis or subcutaneous tissue (Fig. 18.1). Rolling scars occur from dermal tethering of otherwise relatively normal-appearing skin and are usually wider (4-5 mm) (Fig. 18.2). The subdermal tether precludes treatment from the surface above thus, correction of subdermal... 

Atrophic scars (icepick, rolling, boxcar) Hypertrophic scars (keloids)... 

Useful with icepick and narrow-deep boxcar scars that are excised with a 1.5-mm punch biopsy and sutured with a 6.0 or smaller suture. Nonabsorbable sutures are preferred to avoid inflammation and must be removed within 5 days. 

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