The first useful distinction in scar treatment is between pigment and texture. Flat brown or red marks are pigment changes that fade with time and sun protection. True scars are textural, and they need procedures.
The main scar types
Depressed scars are usually described as icepick, boxcar or rolling, based on their shape and depth. Some patients also develop raised scars. Because these behave differently, most treatment plans combine techniques rather than relying on one.
How the procedures work
Microneedling and radiofrequency devices stimulate collagen remodelling. Subcision releases fibrous bands that tether rolling scars downwards. Peels refine superficial texture and marks. Laser resurfacing addresses the skin surface where suitable for your skin tone.
- Microneedling: gradual collagen induction for general texture
- Subcision: releases tethered rolling scars
- Chemical peels: superficial texture and post-acne marks
- Laser resurfacing: selected patients after assessment
What to expect
Scar treatment is staged over several sessions, usually spaced four to six weeks apart, and improvement builds gradually. Active acne is generally controlled first, and outcomes vary between individuals — complete removal is not a realistic goal.
Key takeaway
Scar treatment is planned by scar type, staged over sessions, and aims at meaningful improvement rather than erasure.
Information on this website is for education only and does not replace an in-person consultation with a qualified dermatologist. Treatment suitability is determined after consultation.