Acne typically affects the majority of people at one time or another. Most of the time, after the acne has subsided, the area where the acne was is healed. However, especially with severe acne, a permanent scar is left. Acne scars range from several different types, and sometimes a combination of acne scar types.
If you are unsure of what type of acne scar you have, the descriptions and images below can help you identify your scarring. Treatment options for each type of acne scarring is also listed under each type. Ready to get lasting results for your stubborn or deep scars, request a free consultation with Dr. Richard Sadove.
Rolling Acne Scar
Rolling atrophic scars are common for in individuals who have had patches of skin that have been afflicted by long term inflammatory acne. They tend to become more pronounced as the skin ages and loses its original elasticity and fullness. They vary in depth and can create an illusion of uneven or wavy skin. To treat rolling acne scars, you have to fill the area using the technique of subcision with the use of a special needle.
Ice Pick Acne Scar
Ice pick scars are quite deep scarring that looks like small holes in the skin. The holes tend to be smaller and narrower than other acne scars. Ice pick acne scars are often found on the cheeks.Due to its deep nature, resurfacing techniques such as chemical peels and laser are not effective. However, punch-out wedge excision has been proved to be very effective to treat these lesions.
Boxcar Acne Scar
Boxcar scars are usually broad, box-like scars that often cast a very deep shadow and are highly visible in low light. These scars are usually found on the
cheek or jaw area where your skin is thicker. Boxcar scars can be characterized by the presence of clearly defined and steep edges. In this regard they are like ice pick scars, however they are much wider. They differ from rolling scars due to their deep steep edge and limited diameter. Due to its complex nature,
box acne scars are more difficult to smooth out, or blend to match with the surrounding skin.
Laser resurfacing, particularly ablative resurfacing with an Er:YAG or CO2 laser cannot achieve desired results, as these scars are simply too deep. In many box scar instances, the excision of the scar will create the best result. However, the most common treatment for boxcar scars, are dermal fillers.
Acne Scar types can be treated with all the above mentioned types for a wonderful texture of your skin.