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Boxcar Scar Treatments
Boxcar scars are one of the most common types of acne scarring that look like hollows in the skin. Below are some common causes of boxcar scars, how to prevent them, and the available acne treatments for boxcar treatments at CuraMed Medical and Aesthetic Clinic.
What is a Boxcar Scar?
Boxcar scars are atrophic scars that appear like sunken or pitted indentations in the skin. They have sharp edges and a broad base, causing the skin texture to look rough and irregular. Boxcar acne scars are formed from severe inflammatory acne, such as cysts and nodules. When the acne heals, but the skin cannot produce enough collagen to fill the dent, the tissue damage may leave a permanent depression on the skin surface. Boxcar scars may also develop from other conditions such as chickenpox or infections.
How to Identify Boxcar Scar, the Difference with Other Acne Scars
Boxcar scars can commonly be found on areas with thicker skin, like the lower cheeks and jawline. They can be shallow to deep, depending on the severity of the previous injury and the healing patterns.
Below is a table that helps to distinguish boxcar acne scars from other types of acne scars.
| Type of Scar | Appearance | Common Locations | Scar Depth |
|---|---|---|---|
| Boxcar Scars | Broad, rectangular shape with sharp edges | Cheeks, temples | Shallow to moderate |
| Ice Pick Scars | Small, pin-like, resembling a puncture | Mostly on the cheeks | Deep |
| Rolling Scars | Sloping depressions causing uneven texture | Lower cheeks, jawline | Shallow to deep |
| Hypertrophic Scar | Thick, raised scars with redness | Chest, back, elbows, shoulders | Protruding above the skin |
Causes of Boxcar Acne Scars
Here is a closer look at the causes of boxcar acne scars:
Inflammation and Collagen Loss
The root cause of boxcar scars is the inflammation from acne lesions. When an inflammation occurs, it leads to a breakdown of collagen, a protein found on the skin that gives it elasticity and support. If the body produces too little collagen to heal the skin, the skin may lose its structure, forming boxcar scars.
Genetics
Although not a primary cause, genetic factors may cause some individuals to be more prone to scarring on their skin. This may make them more likely to develop boxcar scars after suffering from acne breakouts.
Overall Lifestyle
Poor wound healing process, influenced by lifestyle factors such as diet, overall health, and skin care practices, may significantly impact whether boxcar scars form and their severity.
Picking or Squeezing
Picking or squeezing acne may trigger further inflammation and increase the likelihood of scarring. This habit does not just spread bacteria to wider areas on the skin, but also interrupts the natural healing process and may lead to the formation of boxcar acne scars.
Treatments For Boxcar Acne Scars
Boxcar scars may significantly affect confidence and self-esteem. The good news is, there are various boxcar scars treatments that your doctor can recommend to help address your condition, such as:
Subcision
Subcision for acne scars is one of the common methods to help reduce the appearance of scars while supporting collagen production and skin regeneration. During this treatment, a hypodermic needle is inserted beneath the scar, loosening the tissues and helping to fill in the dented appearance of the scar. This treatment is minimally invasive and performed with numbing agents to help manage any pain.
Dermabrasion and Microdermabrasion
Depending on the severity and depth of the boxcar scars, dermabrasion or microdermabrasion may be recommended by your doctor. For deeper scars, dermabrasion is typically done to exfoliate the upper layer of the damaged skin, helping the boxcar scars appear more shallow. After this treatment, your skin may be sensitive and blotchy for several weeks. For boxcar scars that are not as deep or severe, microdermabrasion is a gentler treatment that helps remove the top layer of the skin with minimal downtime.
Chemical Peel
Another option for boxcar acne scar removal is chemical peels. Chemical peels use an exfoliating solution to peel off the top layer of the skin, supporting collagen production and skin regeneration. This may help address the appearance of boxcar scars as the collagen formed causes the skin to fill in the dents.
Upon assessing the condition and depth of your acne scars, our doctor may recommend specific chemicals to be used, such as trichloroacetic acid or a TCA peel. TCA may help trigger the skin’s healing response and support the formation of collagen, which may reduce the appearance and depth of the scars.
Dermal Fillers
Dermal filler injections can help with deep, depressed scars by giving them an almost immediate lift. Containing hyaluronic acid, dermal fillers can help to fill the gap beneath the scar and may improve collagen production. Dermal fillers are typically recommended alongside subcision treatments. After the injection, there may be some swelling and redness on the skin that may last for about a week.
Microneedling
Microneedling is a boxcar acne scar removal in Singapore aimed to improve collagen production. Small needles are used to puncture the scars, which may help to reduce their depth.
Punch Excision
Punch excision may be recommended for narrow, deep boxcar scars. In this treatment, your doctor will cut into the skin to help remove your scar and stitch the wound. This treatment should be combined with other treatments, as it will only help flatten the scar.
How To Prevent Boxcar?
Preventing boxcar scars involve lifestyle adjustments that help reduce the likelihood of scarring after acne lesions. Here are some steps that you may follow:
Get Early Acne Intervention
As soon as you notice an acne developing, start treatment to address it and prevent further severity. You can use over-the-counter products containing salicylic acid or benzoyl peroxide for mild acne, or consult a dermatologist for more severe cases.
Avoid Picking and Squeezing Acne
Picking and squeezing acne can worsen the inflammation, causing infection and scarring. Give time for your acne to heal, and avoid touching your face with your hands throughout the day.
Maintain a Skin Care Routine
Maintain a consistent skincare routine with gentle cleansing, moisturising, and non-comedogenic products. Regular exfoliation may also help remove dead skin cells.
Use Sun Protection
In a tropical country like Singapore, protecting your skin from UV exposure is essential, as UV rays can worsen the appearance of boxcar scars and slow down the healing process. UV rays can also impair collagen production, which is needed for your skin to heal. Use a broad-spectrum sunscreen daily, and wear protective clothing especially if you leave the house during hours of high UV intensity.
Pay Attention to Your Lifestyle
Eat a balanced diet rich in fruits, vegetables, and omega-3 fatty acids, and stay hydrated throughout the day. Vitamins A, C, and E are especially beneficial for skin health. Make time to exercise regularly and manage stress, as stress may potentially worsen acne.
Contact CuraMed Medical and Aesthetic Clinic
Boxcar acne scars can affect skin texture and confidence, but various treatment options are available to help improve their appearance. The most suitable treatment depends on factors such as the depth of the scars, your skin condition, and your treatment goals. A personalised assessment by an experienced doctor can help determine the most appropriate approach for your needs.
At CuraMed Medical and Aesthetic Clinic, our doctors provide customised treatment plans to address boxcar scars and other types of acne scarring. We will evaluate your skin condition and recommend suitable treatment options to help improve skin texture and support long-term skin health. Contact us, today!
FAQs About Boxcar Scar Treatment in Singapore
When should I consult a doctor for my boxcar scars?
It is recommended to consult a doctor as soon as you notice boxcar acne scars to improve your chances of addressing them early. A professional doctor can assess your condition and recommend your treatment options.
How soon can my boxcar scars fade?
Addressing boxcar scars involves stimulating your body’s natural collagen production, which is a naturally slower process. Therefore, it is important to discuss your expectations with your doctor and understand the given timeline.
After your first professional treatment, you may start to notice that your skin is slightly smoother. However, your doctor will most likely recommend you to have your treatment in regular sessions 4 to 8 weeks apart, allowing sufficient healing between sessions to help create progressive improvement over a few months. Keep in mind that this timeline is an estimate and may vary depending on each individual’s condition.
How much does it cost for boxcar acne scar treatment in Singapore?
The price for boxcar scar treatments vary depending on the treatment advised by your doctor and severity of the scarring. Contact us for detailed pricing.
Can I receive acne scar treatment while I have active acne?
Your skin has to be blemish-free before you start acne scar treatment, so you can only start your acne scar treatment once you do not have any active acne. This prevents the medications and treatments used for acne and acne scars from interfering with each other.
Can I manage my boxcar scars permanently?
With professional treatment, boxcar scars may become less noticeable over time, but it depends on your skin condition and their depth. Your doctor can discuss the expected results in more detail based on the recommended treatment.
Need help with Boxcar Acne Scars?
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Dr. Kan Hun Yee
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She possess a number of qualifications which speaks to her knowledge:
- Medical Degree (University of Southampton, UK)
- Diploma in Family Medicine (National University of Singapore)
- Diploma in Dermatology (Cardiff, UK)
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