Box Car Scars – The Aftermath of Inflammation

June 23, 2009 by  
Filed under Acne Tips

Although not as common as ice pick scars, nor as pronounced, box car scars are a familiar type of acne scar, most frequently found after an inflammatory acne breakout. In comparison with ice pick scars, box car scars are a good deal wider and though not quite as deep as ice pick scars they do give the skin a somewhat pitted appearance. Usually a box car scar will be round or oval in shape and have steep sides. They are recognisable for the amount of tissue that is removed to make them.

The box car scar is created when an inflammatory breakout of acne strikes, destroying some of the collagen which gives facial skin its rubbery, flexible texture. Where the tissue is effectively burned away by the inflammation, the skin is left without support and develops a sunken look. There is no set level of severity for a box car scar, and it is recognised purely by its shape. They can consequently be fairly superficial or very severe depending on the severity of the breakout and the amount of tissue destroyed.

To treat a box car scar, it is possible to use punch excision, although the nature of that form of surgery is more suited to ice pick scars. Instead, punch elevation is a more frequent choice for surgeons. This style of surgery involves cutting out the base of the scar and lifting (or elevating) it to a point where it is level with the surrounding skin. It is then held in place using surgical sutures until it heals, leaving the skin looking much less pitted.

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Ice Pick Scars – The Most Common Acne Scar

June 23, 2009 by  
Filed under Acne Tips

There are four major types of acne scar which affect acne sufferers in a major way. They are, in order of regularity: ice pick scars; boxcar scars; rolling scars and hypertrophic or keloid scars. The most common of these is the ice pick scar, it is not difficult to work out how this kind of scar got its name – in short, it looks as though the sufferer has been attacked with an ice pick or a similarly sharp, thin instrument. Ice pick scars are characterised by their depth and their narrowness. Some people say that ice pick scars look like a hyper-large open pore.

The way that an ice pick scar is formed explains its unique appearance. Usually a result of cystic acne, the scar develops after a cyst, or other rooted, inflamed blemish works its way up from the inner layers of dermis. Al the skin tissue in its path, and nothing else, is effectively burrowed away, leaving behind this long and deep scar. If seen as a cross-section diagram, an ice pick scar looks like a deep, narrow ravine.

Treatment is available to improve the appearance of ice pick scars, if not remove the scarring entirely. The most popular metjhod of treatment is a form of surgery known as punch excision. A small tool is pressed into the skin like a cookie-cutter in order to pull away individual scars. The wound, scarcely any wider than the original scar, is then closed using surgical stitches or skin glue. Once it has healed, the skin looks a great deal more normal.

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