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Acne scars are dents or raised marks left in the skin after deep or long-lasting acne heals. An inflamed spot damages the collagen underneath it. If the skin makes too little new collagen as it heals, a dent forms. If it makes too much, a raised scar forms. Picking or squeezing spots, and leaving cystic acne untreated, make scarring more likely.
There are three main types of acne scars. Ice pick scars are narrow and deep. Boxcar scars are wider, with sharp edges. Rolling scars give the skin a wavy look. Most people have a mix, which is why one treatment rarely fixes everything. Flat red or brown acne marks are not true scars, and they often fade with time.
Smoother skin texture
Shallower dents and pits
More even skin tone
Smaller-looking pores around scars
New collagen under the scars
A plan matched to your scar type
Options with short downtime
Gradual, natural-looking change
Is it painful? | Mild to moderate, depending on the treatment. Numbing cream is used for laser and needling, so most people feel heat, pressure or prickling. |
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Is there any downtime? | Depends on the treatment. Peels and microneedling usually mean 1–3 days of redness. Laser and Morpheus8 Pro can mean 3–7 days of redness, swelling or tiny scabs. |
How many sessions needed? | Most people need 3–6 sessions, about 4–6 weeks apart. Deep scars may need more, or a mix of treatments. |
When can I see the result? | Skin often looks smoother after 4–6 weeks. The bigger change shows 3–6 months after the last session. |
How long does the procedure take? | Depends on the treatment. Most sessions take 30–60 minutes, plus numbing time. |
Frax Pro Laser Resurfacing
A fractional laser makes tiny columns of heat in the skin to trigger new collagen. It suits boxcar scars, rough texture and acne scars with large pores.
Morpheus8 Pro RF Microneedling
Fine needles send radiofrequency heat deep into the skin to remodel collagen. It is often chosen for deep acne scars, such as rolling and boxcar scars.
Microneedling
Tiny needles make controlled micro-channels that prompt the skin to repair itself. Microneedling for acne scars suits shallow scars and texture, with a short recovery.
Chemical Peels
A peel lifts away damaged surface layers to smooth light scarring and fade leftover acne marks. It does not reach deep scars on its own.
PRP Therapy
Plasma from your own blood is added during microneedling or laser to support healing and collagen. For deep scars, PRP is used with other treatments, not alone.
Have dents, pits or rough texture from past acne
Have rolling, boxcar or ice pick scars
Have acne that is now calm or well controlled
Want a gradual change without surgery
Can protect your skin from the sun during treatment
Have active, inflamed acne or a skin infection
Have taken isotretinoin (Roaccutane) in the last 6 months
Are pregnant or breastfeeding
Tend to form keloid scars, or have a condition that slows healing
Doctor Consultation and Skin Assessment
A doctor looks at your scars in good light and checks their type and depth. You will be asked about your acne history and any medicines. If acne is still active, it is calmed first.
Your Treatment Plan
The doctor explains which treatments suit your scars and in what order. You will know the likely number of sessions and the downtime for each one.
Skin Preparation and Numbing
Your skin is cleansed. Numbing cream is applied before laser or needling treatments to keep you comfortable.
The Treatment Session
The chosen treatment is done, such as Frax Pro, Morpheus8 Pro, microneedling or a peel. Afterwards your skin is soothed, and you get simple aftercare advice, including daily sunscreen.
Follow-Up and Maintenance
Sessions are spaced a few weeks apart so the skin can heal and build collagen. The doctor checks your progress at each visit and adjusts the plan if needed.
A doctor checks your scars and skin type.
Get a mix of treatments and sessions matched to your scars.
Smoother, more even skin that improves over the following months.
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There is no single best treatment, because it depends on your scar type. Boxcar and rolling scars often respond to laser or Morpheus8 Pro. Shallow scars may improve with microneedling or peels. Many people see the most change from a combination planned by the doctor.
Acne scars do not go away with creams alone, but in-clinic treatment can make them much less visible. The first step is to get active acne under control. Then collagen-building treatments are done over several sessions.
True acne scars do not fade fully on their own, but treatment can soften them a lot. Most people see scars become shallower and less noticeable. Complete removal is not realistic for every scar. Once treated, the improvement usually lasts, but new acne can leave new scars.
Acne marks are flat color changes, while acne scars change the surface of the skin. Red or brown marks often fade over months and respond to peels or pigmentation treatment. Scars are dents or raised areas and need collagen-building treatment.
Yes, for many scar types. A fractional laser like Frax Pro makes tiny columns of heat that trigger new collagen and smooth texture. It takes several sessions, and deep ice pick scars may need other methods too.
Both are fractional lasers, but they work at different depths and strengths. A CO2 laser removes the top layer of skin, so downtime is often a week or more. Frax Pro heats the skin under the surface, so recovery is usually shorter, but more sessions may be needed. Roxana Aesthetics offers Frax Pro.
Microneedling suits mild scars, while Morpheus8 Pro is often better for deep acne scars. Microneedling uses needles alone to start skin repair. Morpheus8 Pro adds radiofrequency heat deeper in the skin, which can help rolling scars more.
Yes, for shallow scars and leftover marks. A chemical peel for acne scars removes damaged surface layers and helps the skin renew. It works less well on deep scars, so it is often paired with needling or laser.
Subcision is a small procedure that releases the bands pulling rolling scars down. A fine needle is passed under the scar to release it, so the skin can lift. It is usually combined with other treatments. Ask the doctor whether it suits your scars.
It is gradual, usually over 3–6 months. Skin often feels smoother 4–6 weeks after a session. The main change shows a few months after the last session, as new collagen keeps forming.
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