What Can I Do About Acne Scars? - No.23 Skin

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What Can I Do About Acne Scars?

What can I do about acne scars? You’ve got rid of acne, but you’re left with the scars. It can feel unfair, particularly when you’ve treated the medical condition. Acne and scarring are one of the reasons this clinic was founded. That’s why we have a solution. The key is understanding what type of scarring you have and choosing the right treatment for your skin.

At No. 23 Skin, we take a long-term, skin-health approach. No quick fixes. No overpromising. Just honest guidance and treatments that work.

Why do acne scars happen?

Acne scars form when inflammation damages the deeper layers of the skin. The more severe or long-lasting the acne, the higher the risk — particularly with nodules or cysts.

Scarring can be made worse by:

  • Picking or squeezing spots

  • Delayed or ineffective acne treatment

  • Ongoing inflammation

  • Genetic tendency

That’s why early, effective acne treatment matters — not just for clear skin now, but for skin health later.

What type of acne scarring do I have?

Not all acne scars are the same — and they shouldn’t all be treated the same.

Indented (atrophic) scars

These are the most common.

These occur when the skin doesn’t produce enough collagen as it heals.

Raised scars

  • More common on the chest, shoulders, and back

  • Caused by excess collagen during healing

Red or dark marks (not true scars)

  • Flat red or brown marks (hyperpigmentation) left after acne heals

  • Often fade with time — but can be treated

Understanding which category your skin falls into is the foundation of effective treatment.

What treatments actually help acne scars?

Skinpen microneedling

There is no single “best” treatment — and anyone offering one probably isn’t being honest.

The most effective results usually come from a tailored combination of treatments, chosen by a dermatology specialist.

Depending on your skin and scar type, this may include:

  • Laser treatments to stimulate collagen and smooth texture

  • Microneedling for mild to moderate scarring

  • Subcision to release tethered scars

  • Targeted procedures for deeper scars

  • Medical-grade skincare to support skin repair and tone

Most acne scarring treatments work by encouraging your skin to rebuild collagen over time — which means results are gradual, not instant.

microneedling acne

Can acne scars be completely removed?

This is where honesty matters.

Acne scars can almost always be improved significantly, but they are rarely erased completely. The goal is a significantly smoother texture, more even skin, and skin that feels like yours again.

We’ll always be clear about:

  • What’s realistic

  • How many treatments may be needed

  • What improvement you can expect

What can I do at home?

At-home care is unlikely to remove established scars — but it plays an important supporting role.

Helpful steps include:

  • Treat active acne early and properly – book in for a dermatology consultation to get support with prescriptions, advice, and targeted lasers. 

  • Don’t pick or squeeze spots (we know it is hard).

  • Use sunscreen daily (essential for scar healing). You might find oil-free or mineral options best for you.

  • Use evidence-based skincare recommended for your skin.

Be wary of products claiming to “remove acne scars” — most don’t.

Heliocare pigment solution

When should I see a dermatologist?

You should consider a specialist consultation if:

  • Acne scars are affecting your confidence

  • Your acne has cleared but marks remain

  • You have active acne
  • Over-the-counter products haven’t helped

  • You’re unsure what type of scarring you have

  • You want a proper plan — not guesswork

At No. 23 Skin, acne scarring is approached as part of whole skin health. We look at past breakouts, current skin behaviour, lifestyle, and long-term goals — then build a plan that makes sense for you.

Skin that should be lived in

Acne scars are not a failure — they’re a sign your skin has been through something.

Our role isn’t to “fix” you. It’s to support your skin so you can move forward with confidence, clarity, and treatments that are worth your time.

Thinking about treatment for acne scars?

A personalised consultation is always the first step. No pressure. Just expert guidance.

Our two preferred options for acne scarring include:
  • Using an FDA-approved micro needling device, SkinPen is clinically proven to reduce acne scars and works on mild scars as well as deeper ones.
  • We can use this in combination with the BBL laser to rejuvenate the skin faster. The BBL laser remodels the skin from the inside without any damage to the outer layers, whilst SkinPen smooths the texture at the surface.

If you would like to chat with one of our skin experts about your acne scars, then please book for a complimentary laser consultation (we can chat with you about microneedling or peels then too). If you have moderate to severe active acne that is not responding to other treatment, then it is best to book for a dermatology consultation to get medical advice and treatment from our dermatologists.

 

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