Laser resurfacing or dermal filler works for some acne scars. For deeper ice pick scars, options are: Punch excision: The scar is cut out, and the opening is stitched or glued shut. The resulting scar is smaller and level with the surrounding skin, so it’s less noticeable. Punch grafting: For deeper scars, the scar is cut out and skin is grafted to make it level with the surrounding skin.