ACNE SCARRING

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HOW IS ACNE SCARRING TREATED?

Acne scars form when a breakout reaches the deeper, structural layers of the skin and damages the supporting tissue. This is more likely to happen with certain types of acne, particularly when inflammation is more severe or longer lasting.

As the skin works to repair the damage, new tissue forms. Sometimes, the skin doesn’t rebuild enough supporting tissue, which can leave behind indented scars (atrophic). Other times, excess scar tissue forms, resulting in raised hypertrophic or keloid scars.

Because acne scars develop in different ways and at different depths, treatment is guided by the type of scarring present and how the skin has healed.

Related skin conditions

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A dermal clinician at Victorian Dermal Group performing a professional skin treatment.

TYPES OF ACNE SCARS

Not all acne scars are the same. Some sit below the surface and change the skin’s texture, while others form firmer areas above the skin. Understanding the type of scarring present is an important first step when exploring acne scarring treatment options, as different scar patterns respond to different treatment approaches.

An image of the back with raised firm keloid scars from an acne breakout.
Keloid scars

Raised, firm scars that extend beyond the original breakout area.

CLINICAL ACNE SCARRING TREATMENTS

Treatment begins with a consultation to closely assess your skin and the scarring patterns present. This also allows us to understand how your acne has been managed so far, and any factors that may influence how your skin responds to treatment.

From there, professional skin treatments can help to address the structural changes associated with scarring. Some treatments work closer to the surface to refine texture and tone, while others reach deeper layers to encourage new tissue formation and support longer-term skin renewal.

Fraxel® laser

Fraxel laser resurfacing delivers controlled heat energy into targeted layers of the skin. This thermal response stimulates collagen remodelling within scar tissue, helping soften scars and improve overall skin texture over time.

Chemical peels

Chemical peels work on the outer layers of the skin to gently exfoliate built-up cells and encourage surface renewal. By refreshing the skin’s surface, they can help smooth texture, even tone, and soften the appearance of shallow acne scars over time.

Mechanical microneedling

Mechanical microneedling creates thousands of tiny micro-channels in the skin using ultra-fine needles. This activates the skin’s natural healing response, encouraging new collagen formation and gradual texture refinement.

Radio frequency microneedling

RF microneedling combines ultra-fine needles with radiofrequency energy to deliver heat into deeper skin layers. This triggers collagen and elastin production within scarred tissue, supporting structural repair and gradual improvement in acne-related texture changes.

Volume replacement therapy

For certain indented acne scars, volume support treatments may be used to help lift and soften depressed areas of the skin. By restoring support beneath the scar, these treatments can improve contour and create a smoother overall appearance.

Subcision

Subcision is used for certain indented acne scars that are tethered by fibrous scar tissue beneath the skin. By releasing these bands, the skin is able to lift and remodel more freely, helping improve scar depth and surface contour over time.

Supportive therapies

LED light therapy

LED therapy applies specific wavelengths of light to the skin to help calm inflammatory activity and encourage healthy circulation. When used alongside other acne scarring treatments, LED therapy can help manage visible redness and improve skin comfort as the skin remodels.

Supportive therapies

Bioremodeling treatments

Some treatment plans may include regenerative skin therapies, sometimes referred to as bioremodelling treatments, designed to support collagen activity and improve overall tissue quality as the skin remodels.

ACNE SCARRING BEFORE & AFTER

Treating acne scars usually involves more than one approach. Treatment plans are tailored to the type and depth of scarring, with therapies selected to support texture, tone, and skin quality over time. The results shown represent real treatment journeys and individual responses.

Vbeam [BEFORE] Vbeam [AFTER]

CLEAR + BRILLIANT

Acne scarring BEFORE Acne scarring AFTER

CLEAR + BRILLIANT

SKINCARE PRODUCTS FOR ACNE SCARRING

While skincare products alone can’t remove established acne scars, they do play an important role in supporting the skin during acne scarring treatment.

Well-chosen products can help maintain skin barrier health, support healthy skin turnover, and protect the skin while it remodels. If you need guidance, our dermal clinicians can help recommend products suited to your skin condition and current treatment plan.

YOUR FREQUENTLY ASKED QUESTIONS

Here, our dermal clinicians have answered some of your most frequently asked questions about our acne scar treatment.

Acne scarring is usually treated by matching different types of treatments to how the scars sit within the skin.

When scarring is more surface-level or mild, treatments like chemical peels and microneedling are often used to refresh the skin’s surface and gradually refine overall texture.

For deeper or more established scars, laser resurfacing or radiofrequency microneedling treatments can be introduced to work beneath the surface, where scarring has affected the skin’s support structure.

If scars are being held down by fibrous tissue beneath the skin, subcision may be used to release these attachments, allowing the skin to lift and remodel.

Alongside these treatments, LED light therapy is often included to help calm visible redness and support the skin as it heals. Some treatment plans may also include additional skin-support therapies to optimise skin quality and recovery.

Salicylic acid is commonly used to support exfoliation and skin clarity, particularly in acne-prone skin. While it can help support surface skin turnover and improve overall skin appearance, it does not change established acne scars that sit deeper within the skin.

Salicylic acid may be included as part of a skincare routine to support skin health alongside professional acne scarring treatments.

Acne scars are usually identified based on how they sit within the skin, such as whether they appear indented, uneven, or raised.

Because different scar types can look similar and may exist together, professional assessment is the most reliable way to determine the type of scarring present. During a consultation, a clinician can examine the skin and explain which scar patterns are present and how they may influence treatment planning.

Skincare for acne-scarred skin focuses on supporting the skin barrier, encouraging healthy skin turnover, and protecting the skin while it remodels.

The most suitable products depend on your skin type, sensitivity, and any professional treatments you’re undergoing. A clinician can help guide product selection to ensure your skincare routine complements your acne scarring treatment plan.