Patient Presentation: An 18-year-old engineering student from the Kota coaching district visited our Talwandi clinic seeking medical intervention for severe atrophic ice-pick and boxcar acne scars on both cheeks following active cystic acne.
Clinical Diagnosis & Assessment
Polarized dermoscopic evaluation by Dr. Ashima Madan revealed deep focal collagen loss with epithelial tethering down to the reticular dermis. Fitzpatrick skin phototype IV was noted, requiring strictly conservative energy parameters to prevent post-inflammatory hyperpigmentation (PIH).
Doctor-Supervised Treatment Protocol
- Focal TCA CROSS (70%): Precise micro-droplet application directly into deep ice-pick scar bases to stimulate localized dermal neocollagenesis.
- Subcision & Microneedling Radiofrequency (MNRF): Insulated microneedling delivering bipolar electrothermal energy directly to the deep dermis to remodel boxcar margins without epidermal burns.
- Post-Procedure Recovery: Soothing lipid barrier repair serums and non-comedogenic physical zinc oxide sunscreens adapted for Kota's intense UV and heat.
Clinical Timeline & Documented Outcome
Evaluated over a 16-week period with 4 staged sessions. The patient demonstrated an objective 65% to 70% reduction in scar depth, restoration of smooth cheek contours, and zero pigmentary complications.
Note on Consent & Documentation: Published with explicit, voluntary patient consent for clinical educational purposes. Individual biological response and timelines vary. Explore our Case Studies hub or view all clinical services.
