Generally, best results are achieved in depressed and atrophic or rolling and boxcar scars. Icepick scars always need to be preceded by punch excision. Our experience shows that in older patients, when skin is less elastic, it is possible to achieve more significant improve-
ment of the scars. In male patients the improvement is usually less cosmetically significant.
In general it is important to manage patients' expectations, since usually no complete elimination of acne scars of any type is possible .
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