Boxcar Scars vs Enlarged Pores

Round or oval depressed scars with relatively distinct edges. Visible follicular openings that appear larger because of oil, anatomy or reduced surrounding support.

Research updated 2026-10-23
Educational illustration of healed broad indented scars with defined edges on the left cheek, with the face turned to the person’s right on medium skin.AI-generated representative illustration of Enlarged Pores. Not a clinical photograph.

Key differences

The same eight facts on every condition comparison.

Usual age
After inflamed acne
After puberty
Where
Cheeks and temples
Nose, forehead, cheeks
Main sign
Round dents with sharp edges
Visible pore openings
Itch or pain
No
No
Contagious
No
No
Long term
Permanent without treatment
Can look smaller, can't be closed
Scars
Is a scar
No
Who gets it
People who had inflamed acne
Oily skin, ageing

What is it?

Boxcar Scars
Enlarged Pores
What is it?
  • What it is
    Round or oval depressed scars with relatively distinct edges.
  • What it is
    Visible follicular openings that appear larger because of oil, anatomy or reduced surrounding support.

What it looks like

Boxcar Scars

A close-up of a cheek with multiple shallow round and angular pits with distinct edges.

Boxcar Scars Small depressions create a sharply textured surface across the cheek.

Enlarged Pores

A close-up of the nose and cheek with prominent round pore openings.

Enlarged Pores Closely spaced pores give the cheek a textured appearance.

Skin tones
Educational illustration of healed broad indented scars with defined edges on the left cheek, with the face turned to the person’s right on light skin.
Educational illustration of healed broad indented scars with defined edges on the left cheek, with the face turned to the person’s right on medium skin.
Educational illustration of healed broad indented scars with defined edges on the left cheek, with the face turned to the person’s right on brown skin.
Educational illustration of healed broad indented scars with defined edges on the left cheek, with the face turned to the person’s right on deep skin.
Enlarged Pores on light skin.
Enlarged Pores on medium skin.
Enlarged Pores on brown skin.
Enlarged Pores on deep skin.
In the skin

Inflammation destroys localized supporting tissue beneath the surface. Healing leaves a depression with more defined edges than a broad rolling scar.

Follicle size, sebum and the elasticity of surrounding skin affect how large pores look. Aging and sun-related changes can make the openings more noticeable.

When it usually starts

010203040506070+

Boxcar Scars. Develops after relevant injury, inflammation or tissue change; age depends on the cause.

Enlarged Pores. Often becomes more apparent after puberty.

Causes and triggers

Causes

Local tissue loss after inflammation leaves an edged depression.

Sebum, follicle size, ageing and sun-related loss of elasticity can contribute.

Risk factors
Prior skin inflammation or injury, Individual healing tendency
Oil production, Family tendency, Hormone-related changes
Trigger
● Boxcar Scars
● Enlarged Pores
No established short-term flare trigger
Not a typical trigger
Not listed
Pore-clogging products
Not listed
Can contribute

Daily Care

Boxcar Scars
Enlarged Pores
Daily care

Habits that help

  • Use broad-spectrum SPF 30 or higher on healed exposed skin
    Sun protection helps limit persistent color changes around scars.
  • Keep healed skin comfortable with gentle cleansing and moisturizer
    These measures support the skin barrier but cannot reliably lift established depressions.
  • Control active acne or inflammation before elective scar procedures
    Ongoing lesions can create new scars even while older ones are being treated.
  • Use photographs in consistent light to track change
    Scars change slowly; compare over months rather than repeatedly inspecting each day.

Avoid

  • Avoid: Picking new spots, crusts or healing wounds
    Repeated injury increases the chance of further marks and scarring.
  • Avoid: Home needling, deep peels or cutting scar tissue
    These can worsen scarring or cause infection, especially before a wound has fully healed.

Habits that help

  • Cleanse gently up to twice daily and after sweating
    Use a mild cleanser rather than washing until skin feels tight.
  • Use a light non-comedogenic moisturizer
    Oily skin can still become dry or irritated from treatment.
  • Choose non-comedogenic broad-spectrum SPF 30 or higher
    Protect exposed skin without adding a product that clogs pores.
  • Blot excess oil gently if needed
    Press with blotting paper rather than rubbing or repeatedly washing.

Avoid

  • Avoid: Repeated squeezing, pore vacuuming or harsh pore strips
    Normal filaments refill; aggressive extraction can cause inflammation and marks.
  • Avoid: Alcohol-heavy toners and scrubs that sting
    Drying the skin aggressively does not permanently close pores.

Treatment differences

Evidence labels come from each condition’s own treatment list.

Treatment
● Boxcar Scars
● Enlarged Pores
Prescription topicals
None listed

Retinoid assessment

Listed

May help acne-related pore appearance in suitable patients; avoid retinoids during pregnancy.

Procedures

Depth-specific scar treatment

Listed

Selected scars may benefit from resurfacing or punch techniques; depth and skin tone guide the choice.

None listed

Outlook

Long term

Boxcar scars generally persist, although their appearance can improve with appropriately selected procedures. Scar depth and edge shape influence treatment, and complete removal is unlikely.

Pores are normal openings and cannot be permanently closed. Their appearance can improve with management of oil, plugging or sun damage, but natural pore size remains part of skin anatomy.

Complications

Possible complications

Scars can affect confidence; symptoms and treatment options depend on scar type.

Oiliness and visible pores can coexist with acne, but are not themselves proof of disease.

When to get help

When to get help

Have a new growing, bleeding or ulcerated scar-like lesion examined before cosmetic treatment.

Seek advice for painful acne or a new isolated lesion rather than treating it as a normal pore.

Common questions

Boxcar Scars:What is Boxcar Scars?

Round or oval depressed scars with relatively distinct edges.

Boxcar Scars:What can I do day to day?

Protect from sun, avoid picking and control active inflammation before elective scar procedures.

Boxcar Scars:When should I get medical advice?

Have a new growing, bleeding or ulcerated scar-like lesion examined before cosmetic treatment.

Enlarged Pores:What is Enlarged Pores?

Visible follicular openings that appear larger because of oil, anatomy or reduced surrounding support.

Enlarged Pores:What can I do day to day?

Clean gently, avoid squeezing and use non-comedogenic moisturizer and sunscreen.

Enlarged Pores:When should I get medical advice?

Seek advice for painful acne or a new isolated lesion rather than treating it as a normal pore.

Sources

Sources and further reading

  1. Acne scarring
  2. Enlarged pores
Dermapedia on YouTube