Acne scars can remain long after active acne has cleared, but not every scar looks the same or responds to the same treatment. Understanding the type of acne scar is an important first step in determining which treatment approach may be appropriate.
Common Types of Acne Scars
Acne scars are commonly classified as depressed or raised scars. Depressed acne scars include ice pick, boxcar, and rolling scars.
Ice pick scars are small, narrow, and deep indentations. Boxcar scars are broader depressions with defined edges, while rolling scars create a wavy appearance because of scar tissue beneath the skin.
Some people may also develop raised scars, which appear elevated or thicker than the surrounding skin.
How Are Acne Scars Treated?
Treatment depends on the scar type, depth, skin type, and individual goals. Depending on the patient's needs, treatment options may include Fractional CO₂ Laser Resurfacing, PRP with Microneedling, TCA CROSS, subcision with dermal fillers, scar excision, and other dermatologist-recommended approaches.
For example, TCA CROSS may be considered for certain deep acne scars, while subcision can be useful for selected rolling or tethered scars. Fractional CO₂ Laser and PRP with Microneedling may help improve the appearance of certain depressed scars and uneven skin texture.
Some patients may benefit from a combination of treatments rather than a single procedure.
Choosing the Right Acne Scar Treatment
Because acne scars vary significantly from person to person, professional evaluation can help determine the most appropriate treatment plan. A dermatologist can assess the type and severity of scarring and discuss realistic expectations for improvement.
For those looking for acne scar treatment in Irvine and Orange County, OC MedDerm provides personalized dermatology care and offers several treatment approaches based on individual skin concerns.

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