what are these sharp oval/circular marks on my face? (photos)

Question

28, male, haven't had serious acne since early 20s. have dry oily skin and eczema. had microneedling subcision and tca cross early nov 2022. barely any results. tca left skin pigmented and red with loads of little thred veins wthat have lasted till now. tried diode twice no results. recently ive been getting these circular pigmented marks, they are horrible. they look surface level when in the mirror but horrible on camera. are they scars or? what can i do? they might be threid veins?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Brooke Jeffy, MD · Answer

These appear to be boxcar scars generally seen after acne. I wonder if these are new or were not treated when you had microneeding and tca cross. Those would certainly be reasonable treatment options for these.

what are these sharp oval/circular marks on my face? (photos)

Answers (2)