Acne scars can impact not only the surface of your skin but also your confidence and self-image. Many people try over-the-counter creams or home remedies with the hope of seeing a change, but for long-lasting, visible improvement, professional acne scar treatment is often the most effective path. At Castle Dermatology, we understand the frustration of seeing scars remain long after active acne is gone. The good news is that modern dermatologist acne treatment options are more advanced than ever before, offering safe and proven ways to restore smoother, healthier-looking skin.
Before exploring the best treatments for acne scars recommended by dermatologists, it helps to understand why scars form and what sets them apart from active acne.
Why Acne Scars Form and the Difference Between Active Acne vs. Scarring
Acne scars are the result of damage to the skin’s tissue during the healing process after inflammation. Active acne describes the visible breakouts, including pimples, blackheads, whiteheads, and cysts, that form due to clogged pores, excess oil, and bacteria. When these lesions heal, the skin may not regenerate perfectly. If your body produces too little collagen during healing, indentations can form. If it produces too much collagen, raised scars can develop.
Scarring can also be worsened by certain behaviors, like picking or squeezing pimples, which can further damage the surrounding tissue. Genetics plays a role as well, making some people more prone to scarring than others. Understanding these factors helps guide the right acne scarring solutions for each patient.
Types of Acne Scars
Knowing your scar type is essential before starting skin treatments for scars.
- Atrophic scars: These indented scars result from a loss of skin tissue. They include ice pick scars (small but deep), boxcar scars (sharper edges and wider indentations), and rolling scars (with a wavelike texture).
- Hypertrophic scars: Raised scars that stay within the boundaries of the original acne spot, caused by excess collagen during healing.
- Keloid scars: Similar to hypertrophic scars but grow beyond the original area, sometimes causing discomfort or itching.
- Post-inflammatory hyperpigmentation: Dark or reddish marks left behind after acne heals. While not a true scar, they can still impact skin tone and appearance.
Importance of Dermatologist-Led Treatment Plans
Every patient’s skin is unique, so dermatologist-approved acne scar treatments in Tarzana are always customized. At Castle Dermatology, we assess the type of scars you have, your skin tone, your lifestyle, and your medical history to determine the safest and most effective treatment plan. A professional evaluation helps avoid wasted time and money on solutions that are not suitable for your skin.
Fractional Laser Resurfacing
Fractional laser resurfacing is one of the most advanced non-surgical solutions for acne scarring. It works by delivering precise beams of light that create controlled micro-injuries in the skin, prompting new collagen production and resurfacing the outer layer.
Different lasers have different strengths. Fractional CO2 lasers are ideal for deep scars and significant texture issues. Er:YAG lasers offer more precision with less downtime. Fractional non-ablative lasers are gentler, requiring multiple sessions but offering faster recovery.
Patients often notice a smoother texture and reduced depth of scars after a few sessions. Recovery can involve redness, swelling, or mild peeling, usually resolving in a few days to a week. The skin continues to improve for months after treatment as collagen rebuilds.
Also Read: Which Acne Treatment is Best for Acne Scars?
Microneedling with or without Radiofrequency
Microneedling uses fine needles to create micro-channels in the skin, stimulating collagen and elastin production. It is particularly effective for rolling scars and mild boxcar scars.
When paired with radiofrequency energy, the treatment penetrates deeper layers of skin, leading to more noticeable tightening and texture improvement. RF microneedling often delivers better results in fewer treatments compared to traditional microneedling. Most patients undergo three to six sessions spaced several weeks apart, with mild redness or sensitivity for a short period afterward.
Chemical Peels
Chemical peels work by removing damaged outer layers of skin, encouraging new skin growth, and improving overall texture. Medium to deep peels use ingredients such as trichloroacetic acid (TCA), glycolic acid, or salicylic acid.
They are especially effective for post-inflammatory hyperpigmentation and shallow atrophic scars. While results can be significant, proper aftercare, including strict sun protection, is critical. Patients may experience peeling, redness, or flaking for several days after treatment, but the outcome is usually brighter, smoother skin.
Dermal Fillers for Acne Scars
Dermal fillers can provide immediate improvement for certain indented scars by lifting the skin to match the surrounding area. Hyaluronic acid fillers are the most common, lasting six to twelve months, while semi-permanent fillers like Bellafill can last up to five years.
Fillers are ideal for rolling or boxcar scars that have softer edges. They can also be combined with subcision or laser treatments to maximize results. The procedure is quick, requires minimal downtime, and results are visible right away.
Subcision
Subcision is a minor surgical procedure that involves inserting a small needle under the skin to release fibrous bands pulling the scar down. By breaking these bands, the skin can lift and appear smoother.
It is most effective for deep rolling scars and is often paired with fillers or laser resurfacing. Some bruising or swelling may occur for a few days, but the results can be long-lasting and dramatic.
Combining Treatments for Best Results
The best treatments for acne scars recommended by dermatologists often involve combining multiple approaches. For example, microneedling with platelet-rich plasma (PRP) can significantly boost collagen production. Subcision combined with fillers can deliver both immediate improvement and ongoing collagen stimulation. Laser resurfacing followed by a chemical peel can improve both texture and pigmentation in a single treatment plan.
At Castle Dermatology, we often design treatment strategies that address multiple scar types at once, increasing the likelihood of seeing major improvements in both the short and long term.
Choosing the Right Treatment
When determining how to get rid of acne scars professionally, dermatologists consider your specific scar type, skin tone, overall health, and history of previous acne treatments. Acne scar treatment plans should always be personalized to your individual needs.
Having realistic expectations is essential. Even with the most advanced care, complete scar removal is uncommon, but a significant and confidence-boosting improvement is very achievable. Most individuals will need multiple sessions and a consistent treatment plan to achieve optimal outcomes.
Scar Improvement Is Possible
Acne scars do not have to define how you feel about your skin. With today’s advanced techniques and personalized care, smoother skin is within reach. Whether you are interested in fractional laser resurfacing, microneedling, chemical peels, dermal fillers, or subcision, the right approach can make a noticeable difference.
If you are ready to explore dermatologist acne treatment and discover which acne scarring solutions are right for you, visit Castle Dermatology to schedule your consultation. Our expert team can guide you toward the most effective dermatologist-approved acne scar treatments in Tarzana, helping you achieve the smoother, more confident skin you deserve.