Explore the Various Types of Acne Scars: Identify and Treatment


Types of acne scars must be correctly identified before exploring both medical and natural treatments. It is crucial for those looking to know what they are fixing to improve their skin’s texture and appearance.

Acne scars can linger long after acne breakouts have healed, serving as reminders of past skin struggles.

These scars vary widely in appearance and severity, affecting areas like the face, including the nose, which often requires special attention due to its prominence.

This article aims to shed light on the various types of acne scars, with a focus on those that commonly appear on the face and nose, and delve into natural methods alongside aesthetic treatments for managing these scars effectively.



Understanding Types of Acne Scars

types of acne scars

Acne scars are the result of inflammation caused by acne lesions. The skin’s pore swells, causing a break in the follicle wall.

Deep breaks lead to more serious scars, while shallow lesions are usually mild and heal quickly. The types of acne scars include:

  • Ice Pick Scars: Deep, narrow, pitted scars that often appear on the nose and are difficult to treat due to their depth.
  • Boxcar Scars: Broad, rectangular depressions with steep edges, resulting from widespread acne.
  • Rolling Scars: Caused by fibrous bands under the skin, these scars give the surface a wavy appearance.
  • Hypertrophic Scars: Thick, raised scars that develop on the chest and back but can also appear on the nose.

Ice Pick Scars

ice pick acne scar

Identification: Ice pick scars are deep, narrow, and pitted scars that appear as if the skin has been pierced with a sharp tool. They often result from severe acne outbreaks, such as cysts or nodules, that penetrate deep into the skin.

Treatment: Due to their depth, ice pick scars can be challenging to treat. Options include punch excision, where the scar is surgically removed, and TCA Cross, which uses high concentrations of trichloroacetic acid to encourage skin regeneration.

Boxcar Scars

boxcar acne scar

Identification: Boxcar scars are characterized by their round or oval shape with steep vertical sides. Unlike ice pick scars, they tend to be wider and give the skin a pitted appearance. These scars arise from widespread acne infections that destroy collagen, leading to tissue loss.

Treatment: Treatments for boxcar scars include fractional CO2 laser resurfacing, dermal fillers to elevate the depressed areas, and RF microneedling to stimulate collagen production.

Rolling Scars

rolling acne scar

Identification: Rolling scars are known for their wave-like appearance on the skin. They are caused by fibrous bands of tissue that develop between the skin and subcutaneous layer, pulling the epidermis down and creating an uneven surface.

Treatment: Subcision is a common treatment for rolling scars, as it involves cutting the fibrous bands, allowing the skin to lift. Fractional CO2 Laser, RF microneedling and Rejuran S are also effective in improving the skin’s texture.

Hypertrophic Scars

Hypertrophic keloid acne scar

Identification: Hypertrophic scars, and their more severe form, keloids, are raised scars that form at the site of the wound. Unlike the other types, these scars are the result of an overproduction of collagen.

Treatment: Treatment options include steroid injections to reduce inflammation, laser treatment for acne scars to smooth the skin, and silicone sheets to flatten the scar.

Types of Acne Scars on Nose

Dealing with acne scars on the nose can be particularly challenging due to the area’s visibility and the unique skin texture.

The nose is particularly prone to ice pick scars due to the unique skin texture and the type of acne that typically affects this area. Managing these scars requires precise treatments that target the depth and shape of the scar tissue.

Boxcar scars, with their broad depressions and sharp edges, can also appear on the nose, resulting from inflammatory acne breakouts.

While less common, rolling scars, which give the skin a wavy texture, can affect the nose area as well, typically resulting from long-term inflammatory acne.

Natural Treatments for Acne Scars

While various aesthetic clinic treatments are available for acne scars removal, many individuals seek natural remedies to improve their skin’s appearance. These methods include:

  • Aloe Vera: Known for its healing properties, aloe vera can soothe scarred skin and promote healing.
  • Lemon Juice: Its acidic nature can help lighten scars, but it should be used with caution to avoid skin irritation.
  • Honey: An antibacterial and healing agent, honey can reduce inflammation and encourage the regeneration of skin tissue.

Aesthetic Clinic Acne Scar Treatments

For those seeking more intensive acne scar treatments, professional options include the following:

  • Laser treatment is effective for various types of acne scars, especially on the nose, by resurfacing the skin and promoting collagen production.
  • RF microneedling encourages the skin to heal itself, reducing the appearance of scars over time.
  • Chemical Peels: Remove the outer layer of the skin to reveal smoother, less scarred skin beneath.
  • Subcision: using a small needle to break these fibrous bands, releasing the tension to lift and smooth out skin
  • Dermal Fillers: using dermal fillers to plump up the skin, and promoting a smoother surface texture.


Understanding the different types of acne scars, including those specific to the nose, is essential for selecting the most effective treatment.

While natural remedies offer a gentle approach to scar improvement, professional treatments can provide more significant results for deeper or more severe scars.

By combining insights into acne scar identification with a guide to both natural and professional treatments, this article aims to equip readers with the knowledge to pursue a clearer, more confident complexion.



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