TCA Cross vs fractional laser, which is a better treatment for boxcar and ice pick scars?

Doctor's Answer

Hmm, this is an interesting question. But my take on it is:

  • **ICE PICK
    **I would definitely first start with TCA Cross as it would reduce the depth of the scars significantly, before finishing up the last bit with fractional lasers. I had some pretty happy patients with this methodology. I explained it to them that its essentially, "scarring the scar together"

  • BOXCAR
    I would actually focus more on fractional laser OR microneedling as the modalities of choice. This would generally improve the texture of the skin as well. Adding on subcision for appropriate scars would be optimal as well.

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