What is the Best Treatment for Boxcar Scars?

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?

Doctor Answers 2

Boxcar scars

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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.


San Diego Dermatologist

Treating boxcar scars

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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
Silver Spring Dermatologic Surgeon

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