Acne Scars

Acne scars come in several forms, and most people have a mix. Rolling scars are broad, shallow dips that give skin an uneven, wavy look. Boxcar scars are wider depressions with sharper edges, while ice-pick scars are narrow and deep, like large open pores. Some people develop raised scars instead, and many are left with red or brown marks, known as post-inflammatory erythema or hyperpigmentation, which are discolouration rather than true scarring and often behave differently.

Scarring happens when a spot inflames the deeper layer of the skin, the dermis. As the body repairs that damage, it either lays down too little collagen, leaving an indentation, or occasionally too much, creating a raised scar. Deep, cystic or long-lasting acne, picking or squeezing spots, delayed treatment and genetics all increase the risk. Over time, natural collagen loss with age can make existing scars look deeper, which is why scars that were barely noticeable at twenty may stand out more at forty.

With the right plan, most clients see a clear, visible improvement in texture and depth, but it is honest to say that acne scars are rarely removed completely. Scar treatment is a gradual process: collagen takes months to rebuild, and a course of three to five CO2 laser sessions spaced several weeks apart is typical for scarring. At your free consultation in Southwell we look closely at your scar types, skin tone and lifestyle, explain realistic outcomes and agree a plan before any treatment begins.