Acne scars and marks doesn’t only refer to the pigmentation or red spots left behind by acne, sometimes severe acne also results in pits and indentions on your skin. The two main kinds of indented scars are Boxcar scars and rolling scars. Boxcar scars are similar to chicken pox scars and have angular, well-defined edges that make them appear like a box. They create an indentation in the skin and are most often found on the temples or cheeks. Rolling scars create an indentation in the skin that looks like a wave, due to its wide size and shallow depth.

Dermal fillers are a great way to treat and potentially get rid of certain types acne scars, being particularly effective for rolling scars and some less defined boxcar scars. They are safe and well tolerated, with great results to fill the depression associated with scars. They are excellent for volume loss caused by acne scarring.


At the Ageless clinic, we use a combination treatment modalities to treat the scars.

  • A topical numbing cream is usually applied to the skin to alleviate any discomfort. Ice is always used to decrease pain and to reduce the risk of bruising. So if you are concerned of feeling any pain from this procedure, you do have relief options.

  • First the doctor and patient will discuss which scars will be filled. Often patients have certain scars that disturb them more than others we want to make sure we focus on these. After the discussion of which scars will be treated, the skin will be cleaned with alcohol, ice will be applied to the area briefly before treatment, the doctor will inject using a very fine needle and then pressure with gauze will be applied.

  • After the doctor has filled all of the scars which seem suitable for treatment, the patient will be shown the mirror, and then the patient is offered the opportunity to point out further scars that bother them. These will then be filled.