How do I know which treatment suits my scar type?

Our practitioners assess your scar types, depth, distribution, and skin tone during a complimentary consultation. TCA Crossing is the most effective approach for ice pick scars. Subcision is used first for rolling scars tethered by fibrous bands. Picosure is best for shallow scars and PIH. Ablative and non-ablative laser suits moderate to severe atrophic scarring. Endymed FSR is ideal for deeper scars and darker skin tones. Most patients benefit from combining techniques. A personalised plan is designed at your consultation.

How many sessions are needed?

Most patients require 3-6 sessions spaced 4-6 weeks apart. Improvement is progressive — each session builds on the collagen remodelling triggered by the previous one. Mild scarring may show significant improvement in 3 sessions; severe scarring typically requires 5-6.

Can scars be completely removed?

Complete removal is rarely achievable with any treatment. Our goal is significant improvement — typically 40-70% reduction in scar depth and visibility over a full treatment course. Shallow scars respond best; deep ice pick scars are the most challenging. We set realistic expectations at your consultation.

Is treatment safe for dark skin tones?

Endymed FSR is particularly safe for darker skin types (Fitzpatrick IV-VI) because radiofrequency energy is colour-blind and does not target melanin. Picosure is also safe for darker tones at conservative settings. Our practitioners adjust all parameters based on your skin type.

Should I treat active acne before addressing scars?

Yes — we recommend getting active acne under control before beginning scar treatment. Treating scars while acne is still active risks triggering new breakouts and new scarring. If you have both, we discuss a staged approach at your consultation.

Concern

Post Acne Scars
& Other Scars

Different scar types require different treatment mechanisms — accuracy matters

Acne scars form when inflammatory breakouts damage the dermis and the skin's repair process produces too much or too little collagen. The type and depth of scarring determines which treatment can reach and remodel it. Picosure, ablative and non-ablative laser, and Endymed address every scar type through different mechanisms.

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Understanding the Concern

Scar Types & How They Form

Not all scars are the same structure — and the same treatment that dramatically improves rolling scars can be completely ineffective on ice pick scars. Understanding which type of scar you have is the most important step before choosing a treatment approach.

Ice Pick Scars

Narrow, deep, V-shaped holes that extend into the dermis. Caused by deep cystic acne destroying the follicular wall. The hardest scar type to treat because of their depth — require treatments that reach the full depth of the scar.

Treatments

TCA CrossingAblative & Non-Ablative Laser Endymed FSR