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Close-up of atrophic acne scarring on the cheek

Acne Scar Laser Treatment Guide

How scar type, depth and skin behaviour determine the treatment sequence

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Reviewed by Dr Selena Langdon, Medical DirectorGMC 6159259

Acne scarring treatment is usually multimodal. Different scar morphologies (rolling, boxcar, ice-pick, mixed atrophic patterns) respond differently, so outcomes are better when we stage treatment by scar type rather than using one device for every patient.

We also separate true scarring from post-acne redness and pigmentation where needed, as these concerns may require different technologies and sequencing.

Core Modalities in Clinical Use

  • Fractional laser resurfacing for texture and scar-depth remodelling
  • RF microneedling for collagen remodelling and skin quality improvement
  • Subcision pathways for selected tethered rolling scars
  • Pigment/redness correction where post-acne marks are dominant

Where Cutera and M22 Can Help

For structural scar remodelling, we usually rely on resurfacing and collagen-focused modalities. However, M22 ResurFX pathways can be part of selected protocols, and Cutera Excel V+ may be useful when persistent post-acne vascular redness is a major visual component.

In practical terms: device choice depends on whether your main issue is scar depth, texture, redness, pigment, or a combination of these.

What Results to Expect

Meaningful acne scar improvement is usually incremental and requires a course of treatment. We set outcomes around texture improvement and scar-softening rather than complete scar removal. Session spacing and downtime vary by modality and intensity.

Combination plans often deliver stronger outcomes than isolated one-device treatment, especially for mixed scar types.

View acne scarring condition page

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

All bookings are subject to our Booking Conditions.

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This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

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