Acne Scarring

Acne scarring can form on the face, chest, shoulders and back. Acne scarring can occur in 30% of patients with moderate to severe acne vulgaris.

Acne scarring can cause redness on the skin, hyperpigmentation, raised and depressed scars.

The types of scars that are seen with severe acne are:

  • Ice-pick scars – these are deep, narrow, pitted scars
  • Rolling scars – broad depressions with a sloping edge
  • Boxcar scars – broad depressions with sharply defined edges
  • Atrophic scars – flat, thin scars or depressed scars
  • Hypertrophic or keloid scars – thick lumpy scars.


Treatment of acne scars is complex and requires more than one treatment method and they require multiple treatments.

Treatment options can include:

  • Topical treatments
  • Laser resurfacing
  • Vascular laser
  • TCA Cross
  • Peels
  • Nonablative laser
  • Pigment laser
  • Surgery (punch excision, subcision, surgical excision)
  • Dermal fillers
  • Radiofrequency microneedling


As acne scarring is complex a realistic long-term approach is required to achieve the best results.