Boxcar Acne Scars: Causes & Treatment

Boxcar scars are a type of acne scar that is characterized by broad depressions with sharply defined edges. They are typically wider than ice pick scars and have a rectangular or oval shape. In this article, we will discuss the causes, appearance, and treatment options for boxcar scars. 

 Boxcar Scars

Causes of Boxcar Scars 

Boxcar scars are caused by damage to the skin's collagen fibers, specifically the fibers that support the skin's surface. This damage can be caused by several factors, including: 

Acne: Acne is a common cause of boxcar scars. When acne lesions are picked or squeezed, the inflammation and trauma can damage the skin's underlying collagen fibers, leading to the development of boxcar scars. 

Genetics: Some individuals may be more prone to developing boxcar scars due to genetic factors. 

 Skin trauma: Injuries to the skin, such as burns or cuts, can also cause boxcar scars. 


How Do Boxcar Scars Look Like?

Boxcar scars are characterized by broad depressions with sharply defined edges. They are typically wider than ice pick scars and have a rectangular or oval shape. They can vary in depth and are most commonly found on the cheeks and temples. Boxcar scars can make the skin appear uneven and rough in texture. 


Treatment Options for Boxcar Scars 

There are several treatment options available for boxcar scars, including: 

Dermal fillers: Dermal fillers, such as hyaluronic acid, can be injected into the depressed areas of the skin to plump up the skin and reduce the appearance of boxcar scars. 

Chemical peels: Chemical peels involve the application of a chemical solution to the skin to remove the outer layers of damaged skin. This can help to improve the appearance of boxcar scars by promoting the growth of new, healthy skin. 

Micro-needling: Micro-needling involves using a roller device with tiny needles to puncture the skin's surface. This treatment can stimulate collagen production, which can help to reduce the appearance of boxcar scars. 

Laser resurfacing: Laser resurfacing is a more invasive treatment that uses a laser to remove the outer layers of skin. This can help to stimulate collagen production and promote the growth of new, healthy skin, reducing the appearance of boxcar scars. 

Subcision: Subcision involves using a needle to break up the scar tissue and create space for new collagen growth. This treatment can help to lift the depressed areas of the skin and improve the appearance of boxcar scars. 


How to Prevent Boxcar Scars

Prevention is key when it comes to boxcar scars. Avoid picking or squeezing acne lesions, as this can cause further damage to the skin's collagen fibers and increase the risk of developing boxcar scars. It is also important to seek prompt treatment for acne to reduce the risk of scarring. 


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