Acne scars can stick around long after the breakouts have gone, affecting your skin’s texture, appearance and even your confidence. We all want to find a one-size-fits-all solution, but understanding the type of scar you have is key to finding the right treatment.
Whether you’re looking at in-office or at-home options, the key is finding an acne scar treatment that’s right for your skin type and scar pattern. Below, we break down the common types of acne scars, their causes, and treatments, backed by dermatological insights and clinical research.
Types of Acne Scars and How to Recognise Them
1. Atrophic Scars (Depressed Scars)
These are the most common types of acne scars, appearing as depressions in the skin.
- Ice Pick Scars: Small and deep, like tiny holes or enlarged pores.
- Boxcar Scars: Broad depressions with sharp edges.
- Rolling Scars: Wavy texture caused by skin tethering.
2. Hypertrophic and Keloid Scars
These scars are raised and firm, resulting from excessive collagen production during the wound-healing process. It is more common in individuals with deeper skin tones and typically appears on the chest, back, or jawline.
Choosing the Right Acne Scar Treatment
Man has options now more than ever with advancement in dermatology. These are the recommendations regarding each kind of scar and skin:
In-Office Procedures
1. Subcision
Subcision is a method used on rolling scars and it entails the insertion of a needle beneath the skin of the scar to cut fibrous tissue bands that capsulize the scar. Together with dermal fillers or other therapies, this is often used.
2. Laser Resurfacing
Fractional CO2 and picosecond lasers target texture and pigmentation. It is good for boxcars and mixed-type atrophic scars.
3. Microneedling (with or without RF)
Fine needles or radiofrequency to stimulate collagen. Suitable for multiple scar types and safer for medium to darker skin tones.
4. TCA CROSS
Trichloroacetic acid is applied to ice-pick scars to lift them over time, with repeated sessions required for optimal results.
5. Platelet-Rich Plasma (PRP)
Often paired with microneedling, PRP utilises your own blood’s growth factors to promote healing. Moderate improvement for certain scar types.
At-Home Treatments
Those are not as efficient as clinical procedures, yet they can ensure the preservation of the progress or even control milder cases of scarring.
Retinoids
Vitamin A derivatives that promote cell turnover and collagen formation. It is best for pigmentation and shallow scars when used consistently.
Chemical Exfoliants (AHAs/BHAs)
Alpha-hydroxy and beta-hydroxy acids reduce discolouration and smooth the skin surface with regular use.
Silicone Gels or Sheets
For raised scars, they can soften and flatten with daily use over time, reducing the appearance of scar tissue.
Pros and Cons to Consider
| Treatment Type | Pros | Cons |
| Subcision | Minimally invasive, good for tethered scars | Bruising, multiple sessions are often needed |
| Laser Resurfacing | Effective on texture and pigmentation | Downtime, potential pigmentation risk |
| Microneedling | Suitable for all skin tones | Multiple treatments are required for visible results. |
| TCA CROSS | Targeted and affordable | Best for ice pick scars only |
| PRP | Uses your body’s healing mechanisms | Results can vary; cost may be a barrier |
| Retinoids | Accessible and beneficial for skin renewal | Can cause irritation or peeling initially |
| Silicone Sheets | Non-invasive, over-the-counter | Requires daily use over long periods |
What to Expect in Terms of Results
Improvement, not perfection, is the goal. Most people notice an improvement in texture and tone with combination treatments over time, especially with professional guidance. Your skin will respond to the type of scar, your skin tone, and the consistency of care.
You will likely need several sessions spaced weeks apart, with full results taking months. Maintenance treatments or topical care may also be recommended to maintain the progress made.
When to See a Professional
If over-the-counter treatments haven’t worked or you’re not sure what type of scars you have, it’s best to see a professional. They can tailor a treatment plan to your specific scar type, skin sensitivity and goals so you avoid unnecessary side effects or delays.
Final Thoughts
Acne scars may be tough, but they’re not permanent. With today’s treatments, you have more options than ever to get smoother, more even-toned skin. The first step is to understand your scar type and the options available to you.
For those looking for personalised care, learn more about your options with this acne scar treatment guide to help you make an informed, safe and effective decision.
