Ice-pick, boxcar, rolling and raised scars

Acne-scar types

Identify the broad scar families that make combination planning more useful than one treatment for the whole face.

Four-part Idalia educational diagram explaining acne-scar types
Idalia educational diagram - simplified and not to scale.

What it means

Start with the pattern, not the treatment name

Depressed acne scars include narrow deep ice-pick scars, sharper-edged boxcar depressions and wider rolling scars that may be tethered. Raised hypertrophic or keloid scars reflect excess scar tissue. Mixed patterns are common and need different tools.

Options at Idalia

How this concern may be approached

Treatment is selected after your concern, skin response, medical history, suitable product route and realistic benefit have been reviewed.

From £85

Microneedling

A broad remodelling route for selected shallow depressed texture.

Explore this route

Referral

Specialist referral

Ice-pick, deep boxcar, raised or complex scars may need other procedures.

Explore this route

A useful home-care foundation

  • Control active acne first
  • Map scar types in directional light
  • Plan combinations in stages
  • Use realistic percentage improvement goals

When to pause cosmetic treatment

  • Active acne is not controlled
  • Keloid or raised-scar history
  • Deep ice-pick or complex scars
  • Significant pigment-change risk

Medical boundary

New, changing, painful, severe or unexplained symptoms should be assessed by a GP, pharmacist, optometrist, dermatologist or another appropriate clinician before cosmetic treatment.

Further reading