Not one condition. Icepick, boxcar and rolling scars have different architecture and respond to different things — which is why a single device rarely resolves a mixed face.
Icepick scars are narrow and deep, extending to the dermis or beyond. Boxcar scars are wider with sharply defined vertical walls. Rolling scars are shallow undulations tethered from below by fibrous bands.
Tethering is the distinction that changes the plan. A rolling scar is held down by a band; resurfacing the surface above it does very little. Release addresses the band; resurfacing addresses texture. They are not substitutes.
Scar type distribution across the face, depth, tethering, active acne, Fitzpatrick type and prior treatment history.
Mixed presentations generally need combined approaches sequenced over time — release for tethering, resurfacing for texture, and pigment work where post-inflammatory marks are the main visible issue.
Active inflammatory acne is controlled before scar work begins. Treating scars while new lesions are forming produces new scars.
Not one condition. Icepick, boxcar and rolling scars have different architecture and respond to different things — which is why a single device rarely resolves a mixed face.
Tethering is the distinction that changes the plan. A rolling scar is held down by a band; resurfacing the surface above it does very little. Release addresses the band; resurfacing addresses texture. They are not substitutes.
Scar type distribution across the face, depth, tethering, active acne, Fitzpatrick type and prior treatment history.
Active inflammatory acne is controlled before scar work begins. Treating scars while new lesions are forming produces new scars.
Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.
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