When you look in the mirror and see deep pits or dents left behind by old acne, it’s natural to feel self-conscious. These indents, known as boxcar scars, are one of the most common and stubborn types of acne scars. Living in a city like Bangalore, with its humid climate and rising pollution levels, can aggravate post-acne skin concerns, making treatment even more essential.

But here’s the good news—boxcar scars don’t have to be permanent. Thanks to advanced dermatological treatments now available locally at Evenly Clinic Bangalore, smoother and scar-free skin is within reach. Whether you’re wondering what causes boxcar scars, how to remove boxcar scars, or which treatment works best, we’ve got you covered with expert advice tailored for Bangalore’s skin needs.

Quick Fact: Bangalore’s tropical climate and pollution levels often lead to more acne flare-ups and slower healing, increasing the risk of atrophic scarring like boxcar scars.

What are boxcar scars?

Boxcar scars are a type of atrophic acne scar, appearing as round or oval-shaped depressions with sharp, defined edges. They often give the skin a pitted appearance and are usually caused by moderate to severe acne, chickenpox, or other skin trauma.

These scars occur when the skin fails to heal properly and produces less collagen than needed, leaving sunken marks. Unlike rolling scars, which have sloped edges, boxcar scars are more noticeable due to their well-defined borders.

What causes boxcar scars?

If you’re asking “what causes boxcar scars,” the short answer is: damaged collagen production during acne healing.

Key causes include:

• Severe inflammatory acne (especially cystic acne)
• Popping or picking at pimples
• Genetic predisposition
• Delayed treatment of acne
• Bangalore-specific factors: Humidity, pollution, and sweat build-up can worsen acne, increasing scarring risk.

Must Read: Everything You Need to Know About Scar Treatment and Healing

How to remove boxcar scars: Most effective treratments

Some boxcar scars may fade away over time, but some may leave noticeable scars and need an effective boxcar scars treatment solution. Untreated, deep boxcar scars can even be more prominent.

The first step in addressing boxcar scars is a consultation with a dermatologist. They will assess the severity and type of your scars to develop a personalized treatment plan tailored to your specific needs. Now let’s understand the most advanced boxcar scars treatment options available at Evenly Clinic.

Fractional CO2 laser resurfacing

• Best for: Moderate to deep scars
• Sessions: 3–6 sessions spaced 4–6 weeks apart
• USFDA-Approved Technology

This is the most effective treatment for boxcar scars. It works by creating micro-injuries in the skin, promoting collagen production and skin regeneration. It essentially resurfaces the skin, smoothing out the scars and stimulating new, healthy skin growth.

How Does Fractional CO2 Laser Help Boxcar Scars?

• How it works: The laser penetrates deep into the dermis, targeting the scarred areas without damaging the surrounding skin. Over time, the skin heals, and the appearance of boxcar scars significantly reduces. Results can be seen after just one session, but multiple treatments may be necessary depending on the depth of the scars.
• Who should consider it: Fractional CO2 laser is ideal for individuals with moderate to severe boxcar scars. If you’re looking for a minimally invasive option with impressive results, this could be your best solution.

Microneedling Radio-frequency

• Best for: All skin types including Indian brown skin

• Sessions: 3–6 sessions spaced 4–6 weeks apart
• USFDA-Approved Technology

MNRF is an ideal treatment for acne scars, and due to the combination of microneedling and radiofrequency, it penetrates deeper into the skin, improving both surface and texture of the skin. Ideal for deeper scars and safe even during Bangalore’s hotter seasons.

Is Microneedling Radiofrequency (MNRF) Effective for Boxcar Scars?

• How it works: MNRF uses fine needles to create micro-injuries in the skin, similar to traditional microneedling. However, during the process, radiofrequency energy is delivered through these needles, heating the deeper layers of the skin. This stimulates a more intense collagen and elastin production, promoting skin remodeling from the inside out. The controlled heat delivered by MNRF not only enhances the healing process but also tightens the surrounding tissue, improving the overall texture of the skin.
• Who should consider: It is effective for people with moderate to severe boxcar scars. It is safe for all skin types and can be combined with other treatments for enhanced results.

Microneedling with PRP Boxcar Scars Treatment

This is one of the most popular treatments to address all types of atrophic scars, including boxcar scars. It is also called as vampire facial treatment. With the combination of microneedling with PRP, it enhances the effectiveness.

• How it works: Microneedling involves the use of a device that creates tiny punctures in the skin, which encourages the production of collagen and elastin. When combined with PRP – which is derived from your own blood and rich in growth factors – the healing process accelerates, and skin rejuvenation becomes more effective.
• Who should consider it: This is a great option for those with less severe boxcar scars or individuals who prefer a natural, non-invasive treatment.

Dermal fillers For Boxcars Scars

For individuals looking for immediate results, these dermal filler treatments can be used to plump boxcar scars. Fillers, such as hyaluronic acid, are injected directly into the scar, leveling the skin.

• How it works: The filler lifts the depressed area, giving the skin a smoother appearance. While results are immediate, they are not permanent, and touch-up treatments are required every 6–12 months.
• Who should consider it: This is an excellent short-term solution for those with mild to moderate boxcar scars who want immediate improvements.

Must Read: The Cost of Dermal Fillers: What to Expect and How to Budget

Chemical peels

• Best for: Superficial scars
• Peels used: Glycolic, TCA, Salicylic
• Plant-based exfoliants

Chemical peels utilise various plant-extracted acidic solutions to gently exfoliate the skin’s surface. Our dermatologists will recommend the most suitable chemical peel type based on the specific scar characteristics. By removing the damaged outer layer, chemical peels can reveal smoother skin by minimising the appearance of scars.

• How it works: A chemical solution is applied to the skin, which causes the top layers to peel away. As the skin heals, new skin cells emerge, giving the skin a smoother, more even texture.
• Who should consider it: Chemical peels work best for individuals with superficial boxcar scars. For deeper scars, they can be used in combination with other treatments like fractional CO2 laser resurfacing.

Before and After Results of Boxcar Scars Treatment in Bangalore

Disclaimer: Individual results may vary. Please consult with a qualified dermatologist for personalized advice.

These before and after images showcase the incredible results achieved by one of our clients through boxcar scar treatment.

Preventing Boxcar Scars: What You Can Do

While learning how to remove boxcar scars is key with effective treatment options, preventing boxcar scars from forming is even better. Here are a few steps you can take to minimize the risk of developing scars:

1. Treat acne early: The sooner you treat acne, the less likely it is to leave behind scars. At Evenly Skin and Hair Clinic, we offer a range of acne treatments tailored to your skin type and condition.
2. Don’t pick or pop pimples: This can cause further inflammation and increase the chances of scarring.
3. Follow a proper skincare regimen: Keeping your skin clean and moisturized can reduce the severity of acne breakouts and promote faster healing.
4. Cleanse Regularly: Use a mild, non-stripping cleanser twice a day, and apply a light, oil-free moisturizer to keep your skin hydrated.
5. Apply Sunscreen: Protect your skin with sunscreen daily to prevent further damage and pigmentation.
6. Boost Skin Health: Incorporate vitamin A-rich foods into your diet to promote cell turnover and keep pores clear.
7. Avoid Heavy Products: Stay away from comedogenic makeup and skincare products that can clog pores and exacerbate breakouts.
8. Use Vitamin C: Include Vitamin C-based serums or creams in your skincare routine to support skin repair and lighten discoloration.

Preventing boxcar scars involves proactive skin care and early intervention. Consulting a dermatologist when dealing with persistent acne can help you avoid scars and maintain healthier skin.

When to see a dermatologist for boxcar scars?

Knowing when to consult a dermatologist is crucial for effective scar management and overall skin health. Here are key situations where you should seek professional advice:

• Persistent or severe acne
• New or worsening scars
• Scars with pain or discomfort
• Unusual changes in the skin
• Redness and inflammation
• Acne spreads all over the body

Why choose Evenly for boxcar scar treatment?

• Experienced dermatologists are committed to providing safe and effective treatments.
• Medical expertise with the latest technology
• Advanced techniques that deliver natural results.
• USFDA-approved types of equipment for advanced solutions.
• Tailored treatment plans as per customer’s skin goals.
• Proven track record of serving thousands of customers
• Gained a 98% satisfaction rate with a five-star rating
• Stringent protocols and safety measures to ensure safety.

Boxcar scars may seem permanent, but they don’t have to be. With the right boxcar scars treatment at the right time, you can reduce their appearance and achieve scar-free, smooth skin.

Contact the Evenly clinic today to schedule a consultation and find the best treatment for your boxcar scars. Let us help you say goodbye to scars and hello to flawless skin!

Visit us at: 

Evenly Skin and Hair Clinic – HSR Layout

Third Floor, 815, 27th Main Rd, above Bluestone, 1st Sector, HSR Layout, Bengaluru, Karnataka 560102

Evenly Skin and Hair Clinic – Jayanagar

35, Ground Floor, Vinyas Arcade, 11th Main Rd, Vishya Bank Colony, 5th Block, Jayanagar, Bengaluru, Karnataka 560041

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Frequently Asked Questions

We hope this information has been helpful. If you have any skin and hair-related questions or would like to discuss personalized solutions, please reach out to us at 7337899030. Our team of experts is dedicated to providing personalized care that meets your unique needs. Take the first step towards a healthier, more confident you by scheduling a consultation with us today. Your journey to vibrant skin and stronger hair begins here.