Acne Scar

What is Acne Scar?

acne scar


Acne scar is a permanent structural damage happened on the skin after healing of Pimples/ Acne.

Grade 1 or grade 2 acne in the form of small comedones, whiteheads or blackheads doesn’t leave significant scars on face as they are quite superficial and doesn’t invade into the deeper layers of skin.

However, Cystic and nodulocystic Acne has infection involving the deeper layers of our skin including Dermis which is the second most important layer of our skin. Dermis contain important skin cells called collagen and elastin fibres which are responsible for firmness and tightness of skin.

Deeper level skin infections causes destruction and breakage of elastin and collagen tissues, which leads to the formation of fibrous scar after healing of Cystic acne.

What are the different types of Acne scars?



What type of acne scar you have?

Ice pick scars look very tiny, like round hole from the upper layer of skin, but it is usually very, deep, conical, triangular invading till the deeper dermis. Treating Ice pick scars is very challenging and doesn’t give great results after treatment.


Box scars are depressed, round or oval scar with well-defined margins which form crater into the skin. These scars are wider than Ice-pick scars and can be shallower or deeper depending upon the severity of Cyst. These scars can be treated very well with combination treatments like Micro needle RF, PRP, Derma roller, Fractional co2 lasers which the most advanced treatment options for treating stubborn and deep scars.


Rolling scars are very common type of scar left after healing of infective acne. Rolling scars are shallow, tethered, uneven scars which can give best results after Laser treatment. Micro needle Rf laser when combined with PRP [Platelet Rich Plasma Therapy] gives best results for Acne scars. Minimum 2 to 3 sessions required to get best results after treatment which can vary depending upon individual skin collagen remodullation capacity and life style.


Hypertrophic scars which are often raised and elevated scars which are most commonly formed on bony prominences of skin like on Nose, Chin areas. These scars are formed due to excess formation of granulation and fibrous tissue at the site of infection. These patients may have tendency to form hypertrophic scars after any injury. These type of scars are quiet challenging to treat and often needs invasive lasers such as Fractional CO2 laser which causes removal of excess skin tissue by abrading it. Strict photo protection is advised after the treatment to get best results of treatment and to avoid post inflammatory hyperpigmentation.

What is the best treatment for my Acne Scars?

Best choice of Acne scar treatment depends upon the individual type of scar and patient skin’s collagen remodullation capacity. Patient having better skin healing, healthy lifestyle can get best results after has to first know their Acne scar type and accordingly can plan treatment after meeting with best skin doctor near you. Multiple treatments can be planned in same session based upon the requirement.

Faqs :- Related to Acne and Acne scars

  1. Will my Acne scar go completely after laser treatment?

Acne scar is a permanent structural damage happened on the skin after healing of Pimples. Scar tissue is not same as original skin. It is tough and tethered due to reformed collagen under the skin. During laser skin resurfacing treatments Laser energy is given to create some form of injury underneath the skin, which stimulate skin healing and thus helps in formation of new collagen and elastin tissue underneath the scar, which helps to reduce its depth after multiple sessions.

Results of Acne scar treatment vary from person to person based on individual skin healing and type of treatment combined. One can expect significant reduction in depth of acne scars so that it becomes le visible from social distance.


  1. Are their any side effects of doing laser on Skin?

Laser treatment is a modern age tool to treat your acne scars as normal traditional ways of skin treatment like Oral and topical scar reducing creams has limitations to treat scars as it cannot penetrate through the skin.

A gold standard, US FDA approved laser is ideal to go under guidance and supervision of well experienced Dermatologist and skin care professionals.

Acne scar lasers are invasive and involves some downtime after treatment like redness, inflammation and bruising as laser causes induced trauma to the skin.

But, these changes are part of treatment and resolves in 3 to 4 days with proper skin care and use of broad spectrum sunscreen.


  1. What are the check points before and after Laser treatment?
  • One should not have keloid forming tendency of skin if planning for invasive laser treatment for reducing Acne scars.
  • One should not be on any blood thinners or anti-coagulants before doing invasive laser treatment as it may hamper skin healing.
  • A skin priming with right sunscreen should be done at least 20 days before treatment.
  • In case of recent tanning episode, laser should be avoided.
  • Laser done for reducing Acne scars, does involve some downtime like redness, inflammation for 3 to 4 days. Hence, one should not go for these treatment if having any important event lined up in the same time duration.
  • One should not go for Laser treatment, if having any active infections on the area being treated, like Herpes, Cystic acne, Eczema, Psoriasis etc. Invasive lasers can cause secondary infection when done in such cases and can call for complications.
  • Before laser treatment, skin should be completely hydrated with no irritation, dryness, and sensitiveness. If any, laser should be avoided.