What Are The Causes & Treatments For Boxcars?

What Are The Causes & Treatments For Boxcars?

In particular, boxcar scars are the most common type of atrophic scar in the acne scar family. BOXCAR scars represent approximately 20 to 30% of the atrophic scar. The other types of atrophic scars are rolling, and ice pick scars. These scars can be easily treated with specialised treatments such as laser treatment.

Boxcar scars look round or oval in your skin, depression or crater. They usually have sharp vertical rims, broader than scars but not as wide as scars that are rolling. Shallow ones can well react to therapy, but deeper scars can be difficult to get rid of. Read more and know how to treat boxcar scars.

What triggers boxcar scars to develop?

The skin can suffer from deep acne breakouts. Then, by obtaining collagen, your body tries to heal this damage. When the body does not produce sufficient collagen, the boxcar scars form. Here your skin is not supported sufficiently, and your skin is healed as it forms a boxcar scar.

Inflammatory acne is more likely to scar, particularly if left untreated, than any other type of acne. Picking or popping pimples can also increase the likelihood of scarring. Genetics can also be instrumental in determining whether you develop acne scars or not.

Specialized treatments for Boxcar scars

Boxcar scar treatment will depend on various factors, like the redness of the scar, the depth of the scar, and the skin type. Shallow scars can be more easily treated than deep scars. The best way to reduce the appearance of boxcar scars is to combine treatments in many cases.

Laser treatments

An intense energy pulse is used in laser therapy to target acne scars. This is a long-lasting treatment that is usually effective. There are two types of lasers: ablative and non-ablative for acne scars.

Chemical peels

Chemical peeling is used to remove the top layer of your skin using different chemicals. Then the skin will peel off, and the skin will grow. A board-licensed physician, for example, a dermatologist, should perform chemical peels. The deeper the chemical peel used by the doctor, the greater the chances of side effects such as redness, pain and skin flattening. Skins may also be darker or lighter than normal with chemical skins. In people of darker skin, these changes are more common.


Dermabrasion is similar to microdermabrasion but is further removed by a machine or handheld device from the whole top layer of the skin. It can be performed on your entire face. Dermabrasion can contribute to improving shallow boxcar scars, but in shallow ones, it is not as effective. For a few days, it can make your skin sore and red and several months sun-sensitive.


A needle is placed under your skin in subcision and moved in various directions to separate the top skin layer from the scar tissue. Due to the healing process, collagen is formed, and the scar is raised. This is not as effective as the above treatments in the treatment of boxcar scars. However, there are only minor side-effects during the procedure, for example, bruising and pain.


Fillers under the skin are injected and used to fill in and increase the depression under the skin. Redness, lumps, swelling and pain may be part of the side effect. There are three types of fillers: Temporary, semi-permanent, and permanent fillers.

Punch excision

During a punching process, a punching device, like what is used for hair transplantation, removes scars. Less shallow wound closures replace the deeper scars. For small scars, the Punch Excision is best suited to the shape of the pouncing device. It deals only with individual scars, not any redness or inequality due to the scars.


In order to punch your skin, Microneedling uses a system with many thin needles. These needles do little injury. As your body heals injuries, more collagen is built, and scars are reduced. After the procedure, micro-needling causes slight facial pain, swelling and redness.


This treatment is a superficial procedure that removes the highest skin layer. A dermatologist will rub your skin with small crystals. They do not deal with deep scars, but they have very little side effects. This type of treatment is often done in health centres and not by a dermatologist. Outcomes may differ.

Do boxcar scars fade away on their own?

Boxcar scars may be fading, but they won’t go away all by themselves. The appearance of boxcar scars can nevertheless be improved by 50% to 75% in most people. They may no longer be visible after treatment.

The only possible way a scar may fade away if it’s mild. We won’t really call it a scar since scars usually stay on the skin for life. Acne marks have a higher chance of fading on their own. That is if you use the right skincare products.

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