Acne Scarring

Acne is active for a few years, but scarring can affect your self-esteem for a lifetime. Many patients tell us they layer on heavy makeup every day to hide the texture, which only clogs pores further.

Why Facials Don’t Work

Scarring is deep damage to the dermis. High-street facials, scrubs, and creams only treat the surface (epidermis). To smooth acne scars, we have to physically remodel the collagen deep in the skin.

Understanding Your Scar Type

Not all scars are the same. We tailor the treatment to the specific type:

• Ice Pick Scars: Deep, narrow pits. Hardest to treat.
• Boxcar Scars: Broad depressions with sharp edges.
• Rolling Scars: Wavelike undulations. Often caused by “tethering.”

The “Tethering” Problem

Rolling scars are often caused by fibrous bands of tissue pulling the skin down from the inside. Imagine a button on a sofa cushion. Unless you cut the thread (the band), the button (the scar) will stay depressed.

The Medical Grade Protocol

We use a combination approach for maximum smoothing:

1. Polynucleotides (The Healer)

These are injected into the scar tissue to reduce inflammation and promote organized collagen repair. They are excellent for prepping the skin before aggressive treatments.

2. Microneedling (The Resurfacer)

We use a medical-grade device (like SkinPen) to create thousands of controlled micro-injuries. This forces the skin to shed the old, scarred tissue and grow fresh, smooth skin.

3. Subcision (The Release)

For deep, tethered scars, Dr. Andy can perform subcision—using a needle to physically break the fibrous bands holding the scar down, allowing it to pop back up.

Scar treatment takes time and patience, but significant improvement is absolutely possible.