Acne Scarring

Acne scars are textural changes left behind after inflammatory acne heals. They include rolling, boxcar, and ice-pick types.

Signs

Depressed or raised areas, uneven skin surface, pitting, and textural irregularities where past breakouts occurred.

Causes

Inflammatory acne, cystic acne, picking or squeezing, delayed treatment, and genetic healing patterns.

Assessment

We classify scar type (ice-pick, boxcar, rolling, hypertrophic), assess depth and distribution, and review active acne status.

Treatment

Microneedling, fractional laser, chemical peels, subcision, PRP, and filler for individual scars. A series of treatments is typically needed.

Questions

Significant improvement is possible. Most patients see 50 to 80 percent improvement depending on scar type and depth.