No one wants acne scars. They can wreak havoc on your confidence and self-esteem, and make your skin look dull and uneven. Fortunately, there are many treatments available at Affiliated Dermatology that can help reduce the appearance of scars, and it is important to understand your options. Choosing the right treatment depends on your scar type and skin condition, and knowing the difference can help you get better results more quickly. Let’s discuss the best acne scar treatments that really work.
What are the Different Types of Acne Scars?
Acne scars come in various forms, including:
Atrophic (Depressed) Scars
Indented skin lesions form when the skin is unable to regenerate tissue properly, resulting in a sunken appearance below the normal skin layer.
Ice Pick Scars
These tiny, V-shaped holes look like tiny pins stuck into the skin.
Boxcar Scars
This type of scar is a wide, rectangular impression. Their sharp edges make the skin appear rough.
Rolling Scars
These are wave-like with a bumpy surface, and happen when scar tissue tethers the skin down.
Hypertrophic and Keloid Scars
These are raised, thick scars that stick out. In some, they can grow beyond the original scar area and look like bumps.
Post-Inflammatory Hyperpigmentation (Dark Spots)
A temporary darkening of the skin that occurs after inflammation or injury, resulting from an overproduction of melanin in the affected area
Understanding the type of acne scars you have is crucial for selecting the appropriate treatment.

Choosing the Best Acne Scar Treatment for Your Skin
Ultimately, acne scar removal should be a personalized process that’s based on your skin and scar type. There are many different options to choose from; it’s simply a matter of working with an experienced professional to pinpoint the best acne scars treatment for you.
Not all acne scars are the same, and each person must choose the best treatment for their skin.
At-A-Glance: Which Treatment is Right for Your Scar Type?
| Scar Type | Appearance | Best Treatment Options |
|---|---|---|
| Icepick Scars | Deep, narrow, V-shaped holes | Microneedling, Laser Resurfacing, Strong Chemical Peels |
| Boxcar Scars | Wide, rectangular depressions with sharp edges | Microneedling, Laser Resurfacing |
| Rolling Scars | Wave-like, bumpy surface | Microneedling, Laser Resurfacing |
| Hypertrophic & Keloid | Raised, thick, elevated tissue | Steroid Injections, Specific Lasers |
| Post-Inflammatory Hyperpigmentation | Flat dark, red, or brown spots | Chemical Peels, Dermaplaning, Medical-Grade Facials |
Chemical Peels for Acne
Chemical peels can effectively treat mild to moderate acne scarring, particularly atrophic scars. They involve applying a chemical solution to the skin’s surface to exfoliate and remove the outer layers, promoting new skin cell growth and improving overall skin texture.
Chemical peels are an excellent way to improve the texture of the skin. A chemical solution is applied to the skin, causing the outer layers to peel off. The fresher skin underneath is revealed, and new growth is stimulated as well. The peels boost collagen, helping to firm the skin and improve other imperfections such as fine lines, wrinkles, pore size, and sun damage.
Treatment Profile:
- How it Works: Uses a specialized chemical solution to safely exfoliate and remove the damaged outer layers of skin, revealing smoother, regenerated skin beneath.
- Best For: Post-inflammatory hyperpigmentation (dark spots), mild atrophic scars, and active acne prevention.
- Next Step: Learn more about our customizable Chemical Peels.
Microneedling for Acne and Acne Scarring
Microneedling is a popular treatment for acne scars that uses tiny, sterile needles to create micro-injuries in the skin, stimulating the body’s natural healing process and promoting collagen production. This treatment can help improve the appearance of both atrophic and hypertrophic scars.
These are effective treatments, but keep in mind that they work differently. Microneedling uses tiny needles to create controlled injuries that stimulate the production of collagen and promote skin rejuvenation.
Treatment Profile:
- How it Works: Utilizes sterile micro-needles to create controlled micro-injuries in the dermis. This triggers the body’s natural healing cascade, flooding the area with new collagen and elastin to plump indented scars from the inside out.
- Best For: Atrophic scars including rolling, boxcar, and shallow icepick scars.
- Next Step: Discover how Microneedling can resurface your skin texture.
Laser Resurfacing
Laser resurfacing is a powerful treatment option for various acne scar types. This procedure uses targeted laser energy to remove damaged skin layers and stimulate collagen production, resulting in smoother, more even-toned skin.
Laser resurfacing uses laser light to remove or modify the outer layers of the skin while promoting collagen production and skin renewal.
Treatment Profile:
- How it Works: Emits precise columns of laser energy into the skin to break down dense scar tissue and stimulate rapid collagen remodeling, while leaving surrounding tissue intact for faster healing.
- Best For: Deep boxcar scars, severe rolling scars, and stubborn hyperpigmentation.
- Next Step: Explore our advanced laser options, including the Sciton Halo and Sciton BBL.
Steroid Injections
Steroid injections can be an effective treatment for hypertrophic scars and keloids. The injections help reduce inflammation, flatten raised scars, and soften the scar’s texture, making them less noticeable.
These injections are best for raised or hypertrophic scars and keloids to reduce inflammation and break down collagen.
Treatment Profile:
- How it Works: A targeted corticosteroid is injected directly into the scar tissue to reduce severe inflammation and break down the excess collagen bonds that cause the scar to raise above the skin.
- Best For: Hypertrophic scars and Keloids.
- Next Step: Book a Medical Dermatology Consult to have a provider evaluate your raised scars.
Dermaplaning
This process exfoliates the skin and removes the top layer of dead skin cells. It helps smooth rough, textured skin caused by scarring and fades post-inflammatory hyperpigmentation.
Treatment Profile:
- How it Works: Uses a specialized surgical blade to gently scrape away the uppermost layer of dead skin cells and vellus hair (peach fuzz), promoting deeper product penetration and cellular turnover.
- Best For: Fading post-inflammatory hyperpigmentation and smoothing rough surface texture.
- Next Step: See the benefits of our Dermaplaning Treatments.
Medical Grade Facials
There are many types of medical-grade facials to extract congested pores, blackheads, and whiteheads, treating acne scars.
Treatment Profile:
- How it Works: A clinical-depth facial tailored to your specific acne triggers, focusing on professional extractions, deep pore cleansing, and pharmaceutical-grade ingredients to prevent future scarring.
- Best For: Active acne, congested pores, and mild discoloration.
- Next Step: Browse our full menu of Medical-Grade Facials.
Acne Scar Treatment FAQs:
Why Does Acne Leave Scars?
Scars form due to the damage to the deep layers of skin caused by inflammation and the healing processes. The damage can be a result of deep acne lesions, picking or squeezing pimples, or even the body’s natural healing response
Are Some Types of Acne Scars Harder to Treat?
Yes. Keloid and hypertrophic scars are known to be more difficult to treat than atrophic scars, and ice-pick scars are extremely difficult to treat.
How Long Can it Take to Treat Acne Scarring?
Depending on the severity of the scarring and the chosen treatment, it can take anywhere from several months to a year or longer.
Are There Lifestyle Changes That Can Help?
Yes. Eat a healthy diet rich in antioxidants and essential nutrients, stay hydrated, manage stress, and protect your skin from sun damage.
Can Acne Scars Be 100% Removed?
Unfortunately, they can not. While treatments can improve acne scars significantly, removing them completely is not possible.
Get Rid of Acne Scars with Help from Our Experts
Everyone’s skin is unique, and the best acne scar treatment for you will depend on your specific needs and desired outcomes. Schedule a consultation with Affiliated Dermatology to begin a customized treatment plan to help you achieve clearer, more confident skin.
With so many ways to treat acne scars, there is no reason not to have beautiful skin! At Affiliated Dermatology, our experts provide treatments for various types of scarring so you can be sure that you are getting the one that is right for you. We offer aesthetic dermatology services at multiple locations throughout the Phoenix area, so for more information or to schedule an appointment, contact us today.
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