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Acne Scars: Ice Pick, Boxcar, Rolling – Home and Clinic Treatment

Acne scars are collagen damage – no serum fills deep pits in weeks as adverts claim. But the right mix of home care and 2–4 clinic sessions can improve them 50–80%.

Differin Acne Treatment Gel 0.1% Adapalene 45g
Top pick for acne scars Differin Acne Treatment Gel 0.1% Adapalene 45g
$26.97$34.99 ★ 4.5
Buy now · Amazon

🔎 How to recognise it

  • Ice pick: narrow deep holes
  • Boxcar: box-shaped pits; Rolling: wavy depressions
  • Keloid/hypertrophic scars on jaw, chest, back

⚠️ Causes

  • Inflamed and cystic acne destroying dermal collagen
  • Picking and leaving inflammation untreated
  • Keloid-prone skin

✅ The 4-step routine for acne scars

  1. 1

    🧼 Clear active acne first

    Stop new breakouts completely (see Acne treatment) – scars aren't treated while acne is active.

  2. 2

    💧 Home: retinoid + AHA

    Tretinoin/adapalene at night, 8–10% glycolic acid two nights a week to build collagen; shallow scars improve in 3–6 months.

  3. 3

    🎯 Clinic: microneedling, laser, TCA cross

    Rolling → RF microneedling; boxcar → fractional CO2 laser; ice pick → TCA cross; keloids → steroid injections.

  4. 4

🎁 Scar-support products

The full 4-step kit, used in the order above. Total $70.95

Start with this kit →

Buy in Vietnam or abroad?

Same product – pick whichever store ships to you fastest.

CeraVeCeraVe Foaming Facial Cleanser
Shopee
333.000đ
Amazon
$15.99
La Roche-PosayKem dưỡng La Roche-Posay Cicaplast Baume
Shopee
299.000đ
Amazon
$15.99
DifferinKem Differin Adapalene Gel 0.1% 15g (Mỹ)
Shopee
320.000đ
Amazon
$26.97
Good MoleculesSerum Good Molecules Discoloration Corre
Shopee
260.000đ
Amazon
$12.00

🛒 All products for acne scars

❓ FAQ

Can acne scars be fully removed?

Not 100%, but 50–80% improvement is realistic with 3–5 laser/microneedling sessions plus home care.

Do scar creams work?

On shallow, recent scars (<1 year) via retinoids and AHA; deep scars need procedures.

Is at-home dermarolling safe?

Needles under 0.5 mm are relatively safe if sterile; longer needles belong in a clinic.

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✈️ Visiting Vietnam for skincare or a clinic trip?

Dermatology clinics and spas in Vietnam cost a fraction of Western prices. Trusted partners for the trip:

📍 Acne clinics near you

Pick your province for medical-grade extraction clinics and offers.

Other acne types

Community reviews

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Differin Acne Treatment Gel 0.1% Adapa$26.97 · Amazon
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