I'm currently on accutane and have a 1mm x 1mm hypertrophic scar right in between my eyes. It's in a terrible place, and one day when I was particlarly aggravated with it, I picked at the top a little and removed some of it. The entire hypertrophic thing became red for 1-2 days, and then a scab formed over the picked off part.

From what I've read it's that you are supposed to leave the scab on as long as possible as it is healing the area, but unfortunately I picked that off too. Two mistakes. Now there's left a pretty noticeable ice-pick above this hypertrophic thing, and the rest of this hypertrophic thing beneath it.

My dermatologist is clueless as to what to do with this, she just said she would say to inject the hypertrophic scar but is worried about creating a crater.

Any suggestions on something that is Accutane friendly to deal with this? Maybe after accutane what should I be looking at? TCA-Cross, Punch Excision? I'm primarily looking to deal with filling in the ice-pick scar. But as is my experience in the past with reading up on scars, there's no real cure, and this is more or less permanent.