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Acne Scarring

Acne Scarring

Acne scarring is something I regularly see in clinic, and it’s rarely just a skin concern. Most of my patients tell me it affects their confidence far more than the acne itself ever did.

There are four main types of acne scar: ice pick, box scar, rolling scar and pockmark. Each behaves differently and responds better to some treatments than others, which is why a proper assessment matters more than picking a treatment off a menu.

If you’re still experiencing active breakouts, it’s worth addressing the acne itself first — treating scars before the underlying acne is controlled rarely yields lasting results.

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Acne Scarring
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What Causes Acne Scarring?

Scarring typically follows larger, more inflamed spots, particularly those that have been popped or picked at. When the skin heals a deep wound, it lays down new collagen. The trouble is, that collagen rarely matches the surrounding skin in texture or density, so you’re left with an uneven surface. Some patients get pitted, indented scars; others develop raised or discoloured areas. In my experience, the earlier acne is properly controlled, the less scarring a patient ends up dealing with years later.

Post-inflammatory pigmentation often develops alongside acne scarring too, and is treated differently. See our Pigmentation page if uneven skin tone is your main concern.

Can Acne Scars Be Fully Removed?

I’ll be honest with patients about this from the outset: no treatment removes acne scarring completely. Anyone promising a full and total correction is overselling what’s realistically achievable. What good treatment can do is significantly soften the scars, improve skin texture and even out tone, to the point where scarring is far less noticeable in daily life and photographs. Setting that expectation early avoids disappointment later.

Our Consultations

Our consultations are in-depth and tailored to you, creating a bespoke treatment plan catering to all of your concerns.

Consultation

Treatments

How We Treat Acne Scars

Treatment depends entirely on the depth, pattern and age of the scarring, as well as your skin type and how much downtime you can realistically manage. A one size fits all approach doesn’t work here.

We usually start by improving overall skin quality with a medical grade skincare routine, such as ZO Skin Health. This helps control any ongoing acne and prepares the skin to respond better to in-clinic treatment.

For deeper, pitted scarring, Alma Hybrid laser is one of the most effective options we offer. It combines ablative CO2 and non-ablative 1570nm wavelengths in the same session, and every pixel can be adjusted individually, so we can treat scarred areas more aggressively while going gently over surrounding skin.

For patients with darker skin tones, or anyone unsuited to laser due to medication or sensitivity, Skinpen microneedling is a safer route to genuine improvement, with a much lower risk of pigmentation.

For more textured or fibrous scarring, Secret RF microneedling combines radiofrequency energy with microneedling, delivering heat beneath the skin’s surface to stimulate new collagen exactly where the scarring sits.

We often bring in Hydrafacial beforehand to clear dead skin and allow treatments to penetrate properly, and LED light therapy afterwards to support healing and calm inflammation.

If your scarring is from surgery, injury or another cause rather than acne, our Scar Removal & Stretch Marks and pages cover those in more detail.

How Many Sessions Will I Need?

Most patients need a course of treatment rather than a single visit. Depending on scar depth, this is often three to six sessions, spaced four to six weeks apart, though this is confirmed properly at consultation once we’ve assessed your skin.

Book a Consultation

Every patient’s scarring is different, so I always recommend an in-depth consultation before agreeing a treatment plan. We’ll assess your scar type, skin tone and previous treatment history to build a plan suited to you.

Not sure which type of scarring you have? Book a consultation, and we’ll properly assess your skin and build a realistic treatment plan around it.

FAQs

Can acne scars be fully removed?

No treatment removes acne scarring completely — good treatment significantly softens scars, improves texture and evens out tone so scarring is far less noticeable.

 

How many sessions of Alma Hybrid or Secret RF will I need for acne scarring?

Most patients need a course of three to six sessions, spaced four to six weeks apart, confirmed properly at consultation.

 

Which treatment is best for ice pick vs rolling acne scars?

Deeper, pitted scars (ice pick, box) typically respond best to Alma Hybrid laser, while more textured, fibrous scarring (rolling) often responds well to Secret RF microneedling.

 

 

Helping you achieve outstanding, natural looking results.