Types of Acne Scars, Boxcar, Rolling & Icepick scars

    There are several types of acne scars that we have seen over the years. Most of these will fall into the following categories – Ice-pick, rolling, boxcar, keloid and hypertrophic. Here we review the various types and what the potential treatment options may be, such as a laser treatment or microdermabrasion.

    Ice pick Acne Scars


    Ice-pick acne scars are small, deep pits that go into the skin and give the skin the appearance of having been punctured accordingly. These are often treated with laser skin resurfacing. Dr. Green recommends the Fraxel Laser, which is the gold standard for treating acne scars. For darker skin types though, you may also want to consider the eMatrix treatment which is more suitable for darker skin. Sculptra and PRP may also be used to treat ice pick scars. TCA cross techniques for ice pick scars may be used on lighter skin as well.

    Boxcar Acne Scars

    Boxcar scars are often found on the cheeks such as in the example above. They tend to be broader than the ice pick scars and often are quite angular. Boxcar acne may require surgical excision, however Fraxel or Ematrix are uniquely effective at treating these types of scars.

    Rolling Acne Scars


    Rolling scars are wide shallow scar areas that are commonly treated by the Fraxel Dual with the 1550 wavelength, or ematrix laser. Rolling acne scars are often caused by damage under the surface of the skin and these are the most suitable candidates for laser treatments, after a series of 4-5 treatments, the skin is rejuvenated and the scarring reduced effectively.

    Hypertrophic Acne Scars


    Hypertrophic acne scars are less common and are often due to wounds with slow healing. These often appear on the torso, but sometimes on the face too as part of a larger scale acne condition. Hypertrophic scar treatments are often treated with a mix of Vbeam & Fraxel lasers combined with intralesional cortisone injections.

    To get the best treatment for acne scars though, one should consult a dermatologist as each case is different. To find out what acne scar treatment will work best for you, please contact us online today or call 212-535-3088.