Concise answer
Ice-pick scars can often be improved, but their narrow depth makes complete removal unrealistic. Treatment selection depends on the number, depth, skin type and other scar patterns present.
Broad resurfacing alone may not adequately reach a very narrow deep scar, while focal methods are not suitable for every mark.
A staged combination plan may address deep pits separately from rolling texture and pigmentation.
When evaluation may help
An in-person scar assessment is needed before focal procedures, needling, resurfacing or subcision are selected and sequenced.