Box Car Scars – The Aftermath of Inflammation

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.

Thinking Outside The Box

Although there are plenty of products available for the treatment of facial acne, many of them are only partially effective, and the ones that are most effective have a tendency to carry side effects that are proportionately worse than the problem they are trying to cure. There are a number of less frequently used treatments for acne which can make a major difference by working on the less widely known causes of acne breakouts. Taken together with a more conventional treatment or on their own, these treatments can make a world of difference.

Tea Tree oil is one of the most popular essential oils on the market. Its effects have been compared to those of benzoyl peroxide – one of the major pharmaceutical acne treatments. When dissolved in a cream at a rate of about 5 parts per 100, it can be applied to the skin and works a double shift both as an anti-bacterial agent and as an anti-inflammatory. It takes a little longer to work than benzoyl peroxide, but has less harsh effects on the skin, and is even used in some moisturisers.

A detox program can also have an effect that is best described as “clean inside and out”. Much of what causes acne is due to impurities within the body. Flushing these toxins out of the body allows you to take acne on from a position of strength, by denying it the conditions in which it likes to thrive. If followed by a course of vitamin and mineral supplements it can have a very strong effect on the acne vulgaris bacteria.