Dermatology Care · Mumbai
Acne Scar Treatment by Scar Type: Ice-Pick, Rolling, Boxcar
<p><strong>Acne scar treatment that actually works starts with one thing: correctly identifying your scar type.</strong> At <strong>Cozmaa Clinic</strong>, sessions are planned and overseen by <strong>Dr. Prajct Sao</strong>.</p>
Identify Your Scar Type Before Choosing a Treatment
- Ice-pick scars: Narrow, deep, V-shaped pits.
- Rolling scars: Wide, shallow depressions.
- Boxcar scars: Round or oval with sharp vertical walls.
- Mixed presentation.
- Post-inflammatory marks: Flat brown or red spots are pigmentation.
Which Procedure Matches Which Scar
| Scar Type | Primary Procedure | Sessions | Downtime |
|---|---|---|---|
| Ice-pick | TCA CROSS | 4-6 | 5-7 days |
| Rolling | Subcision + Microneedling | 3-5 | 2-4 days |
| Boxcar | Fractional laser / RF | 4-6 | 3-5 days |
| Mixed | Combination | Customised | Varies |
| PIH | Chemical peel series | 4-6 | Minimal |
Honest Tradeoffs
- Realistic improvement is 50-80% - not erasure.
- Time horizon: Collagen remodelling continues for 3-6 months.
- Skin type matters.
- Active acne first.
- Cost factors.
- Maintenance.
Aftercare That Protects Your Results
Do
- Sunscreen daily.
- Gentle cleanser.
- Moisturise.
- Follow the schedule.
Don't
- No actives.
- No picking scabs.
- No gym sweat.
- No DIY needling.
When to Consult a Dermatologist
- You cannot tell scar from mark.
- Acne is still active.
- Past treatments stalled.
- Keloid tendency.
- You want a realistic plan.
FAQ
Frequently asked questions
Can acne scars go away naturally?
Pigmentation marks fade over months; true atrophic scars do not self-resolve.
Is microneedling enough on its own?
For mild rolling scars yes; for deep scars it is paired with subcision.
How soon will I see results?
Initial softening at 4-6 weeks, full remodelling by 6 months.
Are lasers safe for Indian skin?
Yes when settings are calibrated for Fitzpatrick IV-V skin.
Will scars return?
Treated scars do not refill; new scars only form if new active acne is left untreated.
Can I combine procedures in one visit?
Subcision plus microneedling is a common same-day pairing.
Ready to take the next step?
Book a consultation with Dr. Prajct Sao at the Cozmaa branch most convenient for you.