Treatment for Boxcar and Icepick acne scars.

Bryan K. Chen, MD answers: Best treatment for box car and ice pick acne scars?

I saw a dermatologist yesterday and she classified my acne scars as "minor, box car, and ice pick." I am wondering what the best treatment would be for these types of scarring? I am considering beginning with Microdermabrasion and also Fraxel Laser, but Fraxel may be out of my price range. Any suggestions? I am not looking for a miracle, any improvement is better than none. Thanks!

Bryan K. Chen, MD
11 months ago

For your kind of scarring, I have had success with a combination of subcision and spot application of strong chemical peel solutions such as TCA or phenol. With subcision, you would expect bruising and with the spot chemical peel application, redness or pigmentation that can last for weeks to months.

Microdermabrasion would not give you significant improvement in the kinds of scars you are describing. The fractionated CO2 lasers (Fraxel repair and Deep FX) can give you significant improvement if you have the 7-10 days of available down-time.

Good luck.

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