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07 / Concern
Acne Scars & Uneven Skin Texture
Different scars need different treatments.
Acne scars are not one condition. Some are narrow and deep, some are broad and tethered, some create rolling shadows, and others are accompanied by enlarged pores, pigmentation or redness. This is why a single ‘acne scar facial’ rarely addresses every scar pattern.
Types of Acne Scarring
Atrophic scars
Depressed scars may include ice-pick, boxcar and rolling patterns. Each has different structural characteristics and may respond differently to treatment.
Tethering and volume loss
Some scars are pulled downward by fibrous attachments or sit within an area of broader tissue loss. Improving the surface alone may not fully correct the shadow.
Post-acne colour changes
Red or brown marks after acne are different from true textural scars. They may coexist, but they require a different treatment strategy.
Active Acne Comes First
If significant active acne is still forming new lesions, controlling the disease is important before aggressively treating scars. Otherwise, new scarring can continue while old scars are being treated.
Why Combination Treatment Is Common
One device or injectable rarely treats every scar type equally well. A treatment plan may combine methods that address tethering, collagen remodelling, focal deep scars, skin quality or volume - selected according to the scar pattern.
Possible Treatment Options
RF microneedling / EXION
RF microneedling can be considered for selected textural scars and collagen remodelling, with treatment depth and approach adapted to the skin and scar pattern.
PB Serum and other targeted approaches
Selected enzymatic or regenerative approaches may be considered for appropriate scar characteristics as part of an individual plan.
Injectable or structural correction
In some depressed scars or areas of tissue loss, targeted structural treatment may be considered. This is not required for every acne-scar patient.
Realistic Expectations
The objective is usually improvement rather than complete erasure. Long-standing scars may require a series of treatments and more than one technique. Skin type and the risk of post-inflammatory pigmentation also influence planning.
Frequently Asked Questions
Can acne scars be completely removed?
Complete removal is uncommon. Meaningful improvement may be possible, but the degree depends on scar type, depth, skin characteristics and treatment response.
How many sessions will I need?
There is no fixed number for every patient. Treatment frequency depends on the scar pattern, method used, healing and the degree of improvement sought.
Can I treat scars while I still have acne?
Mild residual acne may sometimes be managed alongside scar care, but uncontrolled inflammatory acne usually needs to be addressed to reduce ongoing scar formation.
Treat the Scar Pattern, Not the Label
Book a consultation with Dr. Joann for assessment of scar type, skin condition and the combination of approaches most relevant to your skin.
Inquiry - Acne Scars & Uneven Skin Texture
