Ice-pick
Narrow openings can extend deeply into the skin. Surface procedures alone may have limited effect; a dermatologist may discuss targeted options.
Pulsar Advice and Knowledge Centre | Texture, depth and structure
Understanding Acne Scar Types
The word scar describes several different changes in the skin. Depth, edges, tethering and whether a scar is raised all affect which treatment may be useful.
Chapter 01
Indented acne scars
These scars sit below the surrounding skin. Several types can occur on the same cheek.
Boxcar
Round or oval depressions with defined sides. Some are shallow, while deeper examples may need a different specialist approach.
Rolling
Broad, wave-like dips can occur where tissue is tethered below the surface. A surface-only approach may not release deeper attachments.
Chapter 02
Raised scars and lookalikes
A scar that stands above the skin is assessed differently from a dip.
Hypertrophic scars
Raised tissue stays within the original area of injury. Assessment is important before applying a resurfacing technique.
Keloid scars
Keloid tissue extends beyond the original injury. Tell the practitioner about personal or family history, because new procedures may carry extra risk.
Flat post-acne colour
Persistent red or brown colour on level skin is a mark, not an indented scar. It may need a different approach or time to fade.
Chapter 03
What happens during scar assessment
Texture becomes clearer when history and examination are considered together.
Review current acne
Active breakouts may need to be controlled before scar work, especially if new scars are still forming.
Examine and photograph
The clinician assesses scar distribution, depth, skin tone and healing history; consistent photos help make later comparisons fair.
Agree realistic goals
Treatment may soften contrast or edges. Complete scar removal cannot be guaranteed, and very deep or raised scars may warrant dermatologist-led care.
Choosing a next step
How Pulsar Can Help
Our Chorley team can assess whether a cosmetic consultation is useful for your concern. We will explain the boundaries of the available service and recommend medical advice when appropriate. The appropriate pathway and any treatment risks are discussed before booking a course.
Important: This guide provides general information. It cannot diagnose acne, identify a lesion from a picture or replace advice from a GP or dermatologist. Results and healing vary.
Frequently asked questions
Questions About Understanding Acne Scar Types
Are ice-pick scars treatable with a standard facial?
Deep narrow scars usually need specialist assessment. A general facial cannot be expected to correct their underlying depth.
Why do my scars look worse under side lighting?
Shadows emphasise changes in texture. This is why comparable photographs should use consistent lighting and angles.
Can laser remove every type of acne scar?
No. Suitability depends on scar type, depth, skin tone and risk. Different scar types may need different procedures, and outcomes vary.
Continue reading
Related Acne Guides
Further information
Independent Sources
For general acne and scar information, see American Academy of Dermatology scar types, NICE acne guideline.
Start With the Right Assessment
Whether you are dealing with new breakouts, a flat mark or a change in texture, we can help clarify which consultation is the best starting point.