Rolling vs Boxcar vs Ice Pick Scars: Which Treatments Work?

Not all acne scars are the same, and the most effective treatment depends on the scar type. Identifying your scars is the first step towards a plan that works.

1. Rolling scars

Rolling scars are wide, shallow depressions with sloping edges, caused by fibrous bands pulling the skin down. They look worse in side lighting.

Best treatments: Potenza RF microneedling, Juvelook or collagen stimulators to lift depressions, and subcision to release bands.

2. Boxcar scars

Boxcar scars are round or oval depressions with sharp edges and flat bases. They can be shallow or deep.

Best treatments: CO2 fractional laser for resurfacing, Potenza for remodelling, and Juvelook for deeper bases.

3. Ice pick scars

Ice pick scars are narrow, deep scars that extend into the dermis, like small holes.

Best treatments: focused techniques targeting individual scars, often combined with fractional laser. They are usually the hardest type to improve.

4. Why combination plans work

Most people have more than one scar type. Combining treatments addresses each type and gives smoother overall texture.

5. Number of sessions

Acne scar treatment typically involves three to six sessions spaced four to six weeks apart.

6. Recovery

Potenza: one to three days of redness. CO2 fractional: five to seven days. Juvelook: two to three days of small bumps.

7. Cost

At MIN Clinic, acne scar treatments typically cost KRW 150,000 to KRW 500,000 per session. See our event price list.

Conclusion

Rolling scars respond to microneedling and collagen building, boxcar scars to resurfacing, and ice pick scars to focused techniques. Send photos to our English-speaking team on WhatsApp, or read more on our acne scar removal page.

This article is for general information and does not replace medical advice. Results vary by individual, and a doctor's consultation is required before any treatment.