Boxcar scars are a common type of acne scarring characterized by broad, rectangular depressions with sharply defined edges. Unlike rolling scars, which have sloped edges, boxcar scars sit deeper in the skin and are often more resistant to surface-level treatments like creams or basic laser therapy. What Causes Boxcar Scars? Boxcar scars form when inflammatory acne destroys collagen in the skin. The tissue loss creates sunken pits that don't fill back in naturally. They most commonly appear on the cheeks and temples. Why Most Treatments Fall Short Many people try microneedling, chemical peels, or over-the-counter products but these approaches only target the skin's surface. Boxcar scars require deeper structural correction to achieve visible, lasting improvement. The Best Treatment for Boxcar Scars The Acne Scar Center in Florida, led by board-certified plastic surgeon Dr. Richard Sadove, specializes in surgical acne scar repair including subcision, microsurgical excision, and fat grafting treatments specifically effective for boxcar scars. Patients travel from across the U.S. to receive care that goes far beyond what a typical medspa offers. boxcar scars