Boxcar and rolling scars
Acne scars are treated differently depending on their appearance and structure. A variety of treatments can be performed to remodel most scars from energy-based lasers and radiofrequency devices to mechanical disruption of the scar with microneedling. Specficially, deep wide scars such as boxcar and rolling scars can also be released and filled in with subcision and fillers (Bellafill). Ice-pick (thin, deep) scars are best treated by excising them completely. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
Johnson C. Lee MD
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
Acne scarring requires a combination approach. Fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars. Eclipse Micropen for all types of scars and improvement in texture and tone. Lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Sublative or Viva to improve the scars and give long term collagen production. I suggest consulting with a board certified dermatologist for further assessment. Dermasanding does very little. Best, Dr. Emer
Ematrix RF and Hidef Acne Scar Protocol in Los Angeles
I would begin with our Hidef Acne scar protocol which includes lasers, subcision, fractional RF, and Ematrix RF combined with fillers.
Best, Dr. Karamanoukian