@dermprep: The secret to choosing the right treatment? Understanding scar architecture. 🔬 Three acne scar types every medical student and resident should know: 🟢 ICE PICK: Narrow, deep, V-shaped scars. → Selected treatments: TCA CROSS or punch excision. 🟢 BOXCAR: Round or oval depressions with sharply defined edges. → Selected treatments: Resurfacing, punch elevation, or excision. 🟢 ROLLING: Broad, wave-like depressions caused by underlying fibrous tethering. → Selected treatments: Subcision, sometimes combined with fillers or resurfacing. THE CLINICAL PEARL: Scar depth, edges, and tethering help determine which procedures may be effective. Many patients have mixed scar types, making combination treatments an important consideration. And remember: Not every post-acne mark is a scar! PIE = Flat red or pink marks. PIH = Flat brown or darker marks. Neither necessarily represents dermal tissue loss. The takeaway? Match the treatment to the scar—not just the diagnosis. 📌 Save this for your next dermatology rotation! #DermPrep #AcneScars #DermTok #DermatologyEducation #MedEd

DermPrep—Practice-Ready Skills

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Wednesday 28 October 2026 15:27:19 GMT