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What is the Best Treatment for Boxcar Scars?

asked 2 years ago by smh09 in Houston, TX
Latest answer by Beverly Johnson, MD
Question viewed 1,191 times
Tags: acne scars, boxcar, scar

I have old pitted acne scars on my cheeks. I've used Merderma, Microdermabrasion and had Chemical peels but the scars are still there. From what I've read, I think they may be boxcar scars. What do you suggest is the best treatment?

2 answers to What is the Best Treatment for Boxcar Scars?

+1

Treating boxcar scars

I use a surgical method. Subcision means to release the fibers holding the epidermis down. That usually requires a little bit of local anesthesia. You do want to have the acne under control first.
Beverly Johnson, MD

Washington Dermatologic Surgeon
+1

Boxcar scars

I would consider a series of saline subcision treatments (involving the use of a fine needle and saline/anesthetic to break up the collagen that is tethering the skin down to produce the depression) to the individual scars. The only side effect I have seen with this approach is a variable degree of bruising which always resolves within 7-10 days. Good luck.
Bryan K. Chen, MD

San Diego Dermatologist

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