What Is the First Treatment for Acne Scars?

Acne scars are not all formed in the same way. Indented scars may be narrow, sharply edged, or gently rolling; raised scars contain extra scar tissue; and dark or red marks may be colour changes after inflammation rather than true scars. A clinician also checks whether active acne is still present, because new breakouts can create new marks while scar treatment is underway.

Microneedling is one possible starting procedure for selected shallow indented scars. Chemical peels, acne-scar laser treatment, RF microneedling, or CO2 laser resurfacing may suit other patterns or skin characteristics. The aim is to improve texture gradually while limiting avoidable irritation.

Have the scars examined in natural light and describe any history of darkening after skin injury, cold sores, or unusual scarring. Use gentle skincare and daily sun protection, and do not pick active spots. Depending on scar shape, a clinician may discuss dermal fillers, subcision, or punch excision rather than a surface treatment. More than one type of treatment may be combined over separate visits.

Arrange a dermatology assessment when scars are changing, painful, itchy, or becoming raised, or when active acne continues alongside them. Seek advice before a procedure if you have an active skin infection, a tendency to form thick scars, or a recent change in pigmentation. These details can alter timing and treatment choice.

Ask what scar types you have, whether active acne should be controlled first, and why a particular procedure fits your skin. Ask about expected healing, pigment changes, the number of visits likely to be needed, and which symptoms should be reported after treatment.