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Treating ice pick and boxcar scars requires precision and the right combination of tools for each specific scar type. Some scars are simply too stuck and clustered to respond to lifting alone. In those cases, we need to physically break them up or remove them entirely to create real change. For this particular scar, I marked it as a candidate for excision. It is a wide, deep boxcar scar that would not lift enough with subcision alone. By excising it on the lateral cheek where tension is minimal,
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