What is Acne Scars

Scars are the natural result of the way the body heals a wound. The actual scar tissue is a section of repaired skin that does not look or feel like ordinary skin. The more you understand about scars and your skin, the better the decisions you can make about what, if any, care or treatment you might need. Sometimes, scars can affect one’s self-esteem and confidence.

Even with the most careful and conscientious treatment, acne scars may still occur. But not all scars are created equal. Generally, acne scars fall under two categories: those caused by a loss of tissue (atrophic), and those caused by an excess of tissue (hypertrophic). Within these categories, acne scars fall into one of four types: ice pick, boxcar and rolling scars.


Types of acne scars




Ice pick 

Ice pick scars are deep pits that are usually less than 2mm across. They extend into the skin, giving the skin an appearance of having been punctured by an ice pick.

Development: Ice pick scars develop after an infection from a cyst or other deep inflamed blemish works its way to the surface. Skin tissue is destroyed, leaving a long column-like scar.

ice pick scars 06




Boxcar scars are angular scars with sharp vertical edges, and resemble the scars left by chicken pox. They may be shallow or deep, and are most often found on the cheeks and temples.

Development: When an inflammatory breakout destroys collagen, tissue is lost. The skin over this area is left without support, and a depressed area is created. Boxcar scars may be superficial to severe, depending on the amount of tissue lost.





Rolling scars are caused by damage under the surface of the skin. They give the skin a wave-like appearance. They tend to be wide and shallow.

Development: Rolling scars arise when fibrous bands of tissue develop between the skin and the subcutaneous tissue below. These bands pull the epidermis, binding it to deeper structures of the skin. It is this pulling of the epidermis from within that creates the rolling appearance of the skin.




Each of the Beauty Specialists at DRs Medi Lase are trained to provide the best advice and treatments to help you achieve younger, more beautiful looking skin. If you would like to organize a consultation with one of our acne scar experts, please call our care line 03-6250 3301.