Acne scars, though small, can be a persistent concern that significantly affects one’s confidence. While some individuals may find that superficial acne scars fade naturally with proper skincare, deeper scars that penetrate the dermis (Dermis) can be more challenging to treat. These often require professional medical intervention. In this article, Dr. Vanda will discuss the causes of acne scars and the various treatment methods available, focusing on their effectiveness and safety.
What Causes Acne Scars?
Acne scars result from inflammatory acne that damages collagen and elastin in the skin. The body’s natural healing process typically replaces damaged skin with new cells. However, in cases of severe inflammation, collagen and elastin loss can lead to incomplete wound healing, resulting in permanent scars.
Several factors contribute to acne scar formation, including genetic predisposition, improper skin care routines (such as using oil-based cleansers or excessive scrubbing), and prolonged exposure to UV radiation, which depletes collagen and elastin levels.
Types Of Acne Scar Treatments And Their Suitability
( Rolling Scar )
( Boxcar Scar )
( Ice Pick Scar )
1. Topical Creams And Serums
One of the most accessible and convenient acne scar treatments involves using topical skincare products, which are readily available on the market. These products contain active ingredients that promote skin regeneration, boost collagen production, and reduce inflammation. Some formulations also include exfoliating agents to enhance skin brightness.
Dr. Vanda strongly recommends consistent use of these products for at least 4-6 weeks to observe noticeable improvements. Key ingredients include…
Note : Individuals with sensitive, dry, or excessively oily skin should select products suitable for their skin type to avoid irritation. Topical treatments are most effective for mild, superficial acne scars.
2. Dermal Fillers
Injectable dermal fillers are a popular and relatively safe option for improving the appearance of deep acne scars. These substances naturally dissolve within 6-12 months and include…
3. Dermabrasion
Note : This method may not be suitable for individuals with sensitive skin, as it can cause irritation and temporary skin thinning.
4. Chemical Peels
Chemical peeling involves applying acids such as TCA (Trichloroacetic Acid), AHA (Alpha Hydroxy Acids), or Salicylic Acid to accelerate skin turnover and improve skin texture. While effective for moderate-to-severe acne scars (Boxcar and Ice Pick scars), this procedure requires careful post-treatment care, including…
- Regular sunscreen application
- Avoiding harsh scrubbing or exfoliation
- Preventing skin irritation from excessive touching or scratching
Warning : Individuals with sensitive skin should avoid this treatment, as it may lead to hyperpigmentation, irritation, or, in extreme cases, long-term skin damage such as hypopigmentation or an increased risk of skin cancer.
5. Subcision
Subcision is a minimally invasive technique that involves using a medical needle to break the fibrous bands pulling down acne scars, creating space for collagen regeneration. Often, dermal fillers are injected post-subcision to further improve skin texture.
Consideration : Patients may experience temporary bruising and swelling for approximately two weeks, requiring time off from work for recovery.
6. Mesotherapy
Mesotherapy involves injecting a blend of nourishing substances, such as Hyaluronic Acid, vitamins, and peptides, directly into acne scars to promote skin repair and hydration.
While mesotherapy helps smooth and rejuvenate scarred skin, multiple treatment sessions are necessary for visible results.
Acne scar treatments vary based on severity and individual skin type. While topical treatments work best for mild scars, professional interventions such as fillers, dermabrasion, and subcision offer more substantial improvements for deeper scars. Consulting a qualified dermatologist ensures the safest and most effective treatment plan tailored to your needs.
7. Acne Scars Laser Treatment
Laser treatment for acne scars involves delivering laser energy into the affected skin layers to stimulate collagen and elastin production, thereby improving skin texture and smoothness. Commonly used laser devices include Pico Laser, Fractional CO₂ Laser, Erbium YAG Laser, and Non-ablative Lasers such as Fraxel. One of the key benefits of laser treatment is its ability to promote long-term collagen and elastin regeneration, which helps refine the skin’s appearance and gradually fill in acne scars when the full course of treatment is completed. This approach can deliver long-lasting and aesthetically pleasing results.
However, achieving the desired outcome typically requires at least 3–5 treatment sessions before noticeable improvements become visible. Throughout the treatment period, meticulous skin care is essential to prevent potential side effects such as burns, post-inflammatory hyperpigmentation (PIH), and temporary dark spots. In particular, Fractional CO₂ Laser may require a downtime of approximately 5–7 days for proper healing.
Laser treatment is most suitable for Rolling Scars and Boxcar Scars. However, for Ice Pick Scars, a combination approach with additional treatment modalities is recommended to achieve optimal results.
Which Acne Scar Treatment Works Best?
If you are struggling with Rolling Scar Acne, Dr. Vanda highly recommends EndoliftX Light Scan—an advanced external laser technology designed to enhance skin quality. This cutting-edge laser operates at a wavelength of 1470 nm. to precisely deliver laser energy to the skin. This process stimulates collagen and elastin production, regulates sebaceous gland activity, and effectively addresses both acne scars and fine lines. Notably, this laser device has a specialized handpiece designed specifically for targeting the skin and fat layers, ensuring precise and effective treatment. (Results may vary depending on individual skin conditions.)
However, if you are dealing with Boxcar Acne Scars or Ice Pick Acne Scars, Dr. Vanda recommends a two-step approach using EndoliftX Laser Fiber. This method first severs the fibrotic strands beneath the skin using a fiber optic laser, releasing the skin from scar tissue. Once this is done, EndoliftX Light Scan is used to stimulate collagen and elastin production, promoting new tissue formation and gradually filling in the scars, restoring a smoother, more even skin texture.
For those concerned about post-treatment scarring, Dr. Vanda assures you that there is absolutely no visible scarring. Since EndoliftX is a non-surgical procedure, it only requires a tiny, virtually invisible entry point beneath the skin. This minimally invasive approach not only delivers precise and effective results but also reduces the risk of damage to surrounding tissue. Patients can resume their daily activities immediately after treatment. Most importantly, results are visible immediately, with continued improvement over time as new collagen production continues to enhance skin texture.
Read more: EndoliftX Light Scan
( Review EndoliftX From Dr.Vanda Aesthetic Clinic )
