Definition - What does Rolling Scars mean?
Rolling scars are a common type of acne scarring and are caused by subcutaneous damage due to inflammation. They appear as waves on the skin and they are usually wide and shallow. Rolling scars are characterized by dermal anchoring of the dermis to the deeper layers of the skin. They are typically more than 0.16 inches wide, without a regular shape, with a rolling or wavy appearance.
TheConsultation explains Rolling Scars
As rolling scars are wider than other acne scars with fibrous tethering to the sub-cutis, they require deeper therapies at a sub-dermal level. These include soft tissue augmentation methods, like dermal fillers with hyaluronic acid, collagen, gelatin matrix and fat implants, dermabrasion, microneedling or laser therapies, in particular with the use of Er: YAG and ablative fractional lasers.
Unfortunately, rolling scars are very difficult to treat, demonstrating the highest rates of failure. However, polymethyl methacrylate, a dermal filler, seems to improve significantly the appearance of these scars, especially after subcision treatment. Polymethyl methacrylate is, to date, the only filler that is FDA approved for the treatment of acne scarring.