Best Acne Scar Removal Methods

Acne scars are evidence of permanent skin tissue damage caused by inflammation from acne lesions and breakouts. The inflammation induces the natural wound-healing process, which involves new collagen production. An acne scar forms when too much or too little collagen is made. It can be even harder to treat acne scars than active breakouts. Luckily, an experienced board-certified dermatologist can significantly reduce the appearance of acne scars with a wide range of acne scar treatments, including chemical peels, subcision with dermal fillers, microneedling, dermabrasion, and laser resurfacing. Acne scar treatment with an experienced board-certified dermatologist like Dr. Green in NYC is essential to guarantee safety, efficacy, and optimal skin rejuvenation results.

Many of the best treatment options for reducing the appearance of acne scars work by stimulating new collagen production to produce a smoother skin texture or targeting discoloration to create a more radiant, even skin tone. Usually, relying on a customized combination of acne scar treatment options yields the best results. This is because no two patients experience acne scarring identically, and there are many types of acne scars, including atrophic scars, keloids, hypertrophic scars, and post-inflammatory hyperpigmentation. The best combination of acne scar treatments for a given patient will depend on their skin condition, the types of acne scars present, their skin tone, and skin type. An expert like Dr. Green personalizes each acne scar treatment plan to the patient’s needs and goals.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over 25 years of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including reducing the appearance of acne scars. Regarding facial rejuvenation, Dr. Green takes a holistic approach and embraces a less-is-more philosophy, customizing each patient’s acne scar treatment plan to incorporate a combination of the in-office treatment options, topical treatments, and specially formulated skin care products best suited to them. She is consistently identified as one of New York’s best dermatologists by New York Magazine, Super Doctors, and Castle Connolly for her dedication to her patients and expertise. When you consult with Dr. Green about acne scar treatment at her private, boutique dermatology office in Manhattan’s Upper East Side neighborhood, she will physically assess your skin condition, collect a thorough medical and family history, and review any previous treatment options you’ve tried. She will then work with you to create an acne scar treatment plan that helps you achieve a clear, smooth, healthy, beautiful complexion that lasts so that you look and feel like the best version of yourself.

eMatrix for acne scars

Where do acne scars come from?

Acne scars form when the inflammation associated with acne lesions causes irreparable damage to underlying skin tissue. The skin’s natural wound-healing process is activated in response to the inflammation, which involves new collagen production. Collagen is the most abundant skin protein. Collagen provides the skin with structural support and contributes to a firm, smooth skin texture. When too little collagen is produced during the natural wound-healing process, depressed or atrophic scars form. When too much collagen is produced, raised scars, either keloid or hypertrophic scars, form. Unlike normal hypertrophic scars, keloidal scar tissue continues to grow beyond the limits of the initial trauma after the skin has healed. Picking at or popping active pimples worsens inflammation, increasing the likelihood of acne scarring. It is easier to prevent acne scars than to treat them; however, they are treatable should they develop. It is always recommended to consult a board-certified dermatologist, like Dr. Green, who can work with you to eliminate your breakouts and prevent and treat acne scars best.

When does acne start to scar?

Although severe cystic acne is the most likely to cause acne scars, any acne lesion has the potential to result in acne scarring. Inflammation causes permanent damage to the skin tissue, resulting in acne scars, which may be associated with the acne lesions themselves or brought on by picking at or popping pimples. Prompt evaluation and treatment for active pimples by an experienced board-certified dermatologist like Dr. Green is the best way to manage breakouts and prevent acne scars. The more inflamed breakouts become, the more likely they result in acne scarring. During your consultation with Dr. Green, she will physically assess your skin condition, collect a thorough medical and family history, review previous treatment options you may have tried, and potentially collect a blood sample for laboratory evaluation. Depending on your skin condition and the cause of the breakouts, Dr. Green may recommend a unique combination of topical treatments, oral medications, specially formulated skincare products, and various in-office treatment options, such as a medical-grade facial, chemical peel, extractions, or laser therapy. When you consult with board-certified dermatologist Dr. Michele Green at her private, boutique dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to develop an acne treatment plan that best suits your skin condition, prevents acne scars and results in a clear, smooth, healthy complexion that lasts.

Do acne scars go away? Can acne scars ever be removed?

Most acne scars will not go away on their own, as the appearance of acne scars indicates permanent skin tissue damage. However, there are various non-invasive treatment options and specially formulated topical skincare products that can significantly reduce the appearance of acne scars, restoring an even, smooth skin texture and boosting self-confidence. The right combination of acne scar treatments will ultimately depend on the types of acne scars present, the patient’s skin tone, and their skin type. Seeking acne scar treatment from an experienced board-certified dermatologist is critical to ensure safety and efficacy and avoid unwanted side effects. Dr. Michele Green in New York is a board-certified dermatologist with over 25 years of experience providing men and women from around the globe with the best non-invasive acne scar treatment options, whether targeting post-inflammatory hyperpigmentation, atrophic scars, or hypertrophic scars.

What is the best way to get rid of acne scars?

The best way to get rid of acne scars is to consult an experienced board-certified dermatologist, such as Dr. Michele Green in NYC. A dermatologist like Dr. Green has the expertise required to select the combination of topical treatments, specially formulated skincare products, and in-office treatment options most appropriate for the severity and types of acne scars you have and your skin type and tone. Working with a board-certified dermatologist to reduce the appearance of acne scars helps ensure that your treatments are safe and effective and produce optimal results in terms of skin rejuvenation.

Treating different types of acne scars

Acne is the most common skin condition in the United States, with the American Academy of Dermatology reporting up to 50 million individuals are affected annually. One in five individuals with breakouts is estimated to develop acne scars, and no two patients will develop acne scars the same way. Different types of acne scars require different treatment approaches, so consulting an experienced board-certified dermatologist to treat acne scars is essential. Dr. Green is an internationally renowned board-certified dermatologist with over 25 years of experience treating acne scars.

Post-inflammatory hyperpigmentation (PIH) refers to dark spots on the skin left behind after an acne lesion heals. Post-inflammatory hyperpigmentation occurs due to the overproduction of pigment during the skin’s wound-healing process. Depending on the patient’s skin tone, the discoloration may present as brown, black, red, pink, or purple. Unlike true acne scars, post-inflammatory hyperpigmentation is a temporary form of skin discoloration that has the potential to fade independently over time. Without intervention, it can take months or even years for post-inflammatory hyperpigmentation to heal. The healing process can be accelerated using topical ingredients, such as vitamin C, retinoids, and hydroquinone, or non-invasive treatment options, such as chemical peels, microdermabrasion, light or laser therapy, and microneedling.

Atrophic scars are the most common acne scars, characterized by depressions or indentations in the skin’s surface. Atrophic scars form when too little collagen is produced during the skin’s natural wound-healing process. Rolling, boxcar scars, and icepick scars fall within the broader category of atrophic scars. Icepick scars are deep and narrow, often resembling large pores. Rolling scars do not have sharply defined borders but appear to be ‘rolling’ across the surface of the skin in a wave-like manner. Boxcar scars are round or oval-shaped in appearance and have deep vertical sides. In addition to breakouts, boxcar scars are commonly associated with chicken pox. Atrophic acne scar treatments may include laser treatments for skin resurfacing, chemical peels, microneedling, subcision, dermal fillers, or some unique combination of these options.

Hypertrophic scars and keloids are thick, raised scars that may resemble growths and can be particularly challenging to treat. To reduce the appearance of hypertrophic scars, Dr. Green often recommends a combination approach, including the V-Beam laser treatment to eliminate pigment and steroid injections to reduce scar tissue.

Consulting a board-certified dermatologist is critical to ensuring the acne scar treatment options selected for you are safe and effective. Since many patients with acne scarring present with several types of acne scars, and various types of acne scars require a unique treatment approach, most patients benefit from a combination of treatment options. Dr. Michele Green is an internationally renowned board-certified dermatologist with over 25 years of experience treating acne and acne scars and will work with you to determine which acne scar treatment options best suit your needs, goals, and skin condition.

Acne scar treatment options

Acne scar treatments improve skin tone and texture irregularities caused by breakouts and provide a smoother, clearer complexion. To ensure safety, efficacy, and optimal results, acne scar treatments must be performed by an experienced board-certified dermatologist with the expertise required to select the treatment options best suited to the patient’s skin type, tone, and the types of acne scars present. Consulting an expert like Dr. Green in NYC guarantees your acne scar treatment plan is best suited to your skin condition while yielding ideal results.

Laser treatments for acne scars

With modern technology, laser resurfacing has become a popular method to reduce the appearance of atrophic scarring and target skin concerns related to sun damage and aging, like discoloration, enlarged pores, and fine lines. Laser resurfacing is considered one of the most effective treatment options for improving the overall appearance of acne scars. Through targeted treatments, laser resurfacing can help boost cell turnover on the skin’s surface while restoring collagen production to improve overall skin health. This process can reduce the appearance of acne scars in as little as a single treatment for some patients. When relying on laser resurfacing for acne scars, you must work with an expert dermatologist, like Dr. Michele Green in NYC, who can determine the best treatment for your scar and skin types. Dr. Green has vast experience with laser skin resurfacing for various patient needs and can work with you to help determine the safest and most effective laser treatment for you.

VBeam laser treatment

The VBeam is the gold standard for eliminating shades of red pigment from the skin, including that which is associated with acne scars, post-inflammatory hyperpigmentation, vascular lesions, broken capillaries, stretch marks, rosacea, and active breakouts. The V-Beam laser treatment is a pulsed dye laser that operates on a wavelength that exclusively targets red pigment while surrounding skin tissue is unharmed. It is equipped with a dynamic cooling device, which emits a burst of cool air before each pulse to enhance patient comfort during the laser treatment. Patients love that zero downtime is involved, meaning they can resume their normal daily activities immediately after their laser treatment is complete and easily schedule all of their sessions. The side effects are also limited to mild swelling and redness, which resolve independently shortly after treatment. Most patients require 4-6 V-Beam laser treatments, each spaced about four weeks apart, to reduce the appearance of acne scars or breakouts.

Fraxel laser

The Fraxel Dual is a fractional laser treatment often called the “magic eraser” by Dr. Green for its unique ability to target a wide range of skin concerns. The Fraxel Dual laser operates on two distinct wavelengths, 1550 and 1927 nm, to target skin texture and tone issues, respectively. One skin concern that Fraxel treats exceptionally well is atrophic scarring. As a non-ablative laser, the Fraxel leaves the top layer of skin intact while stimulating new collagen production in the dermis. This aspect of the Fraxel laser treatment significantly reduces the downtime involved while providing ideal cosmetic results. The number of Fraxel laser treatment sessions required for a given patient will depend on the initial severity of the acne scars, with most patients requiring an average of 3-6 sessions. The most common side effects are typically mild inflammation or redness for the first 48 hours post-treatment. Limiting sun exposure following Fraxel is essential since the laser treatment increases the skin’s photosensitivity, making it more susceptible to UV damage. Dr. Green will provide all the pertinent aftercare information when you have Fraxel laser treatment with her at her private dermatology office in NYC.

eMatrix Sublative laser

The eMatrix laser treatment relies on radiofrequency energy to stimulate new collagen production in the dermal layers of the skin to create a smoother skin texture and more even skin tone. This laser treatment is safe and effective for patients of all skin tones and skin types. Most patients require 4-6 eMatrix laser treatment sessions, each spaced four weeks apart, to reduce the appearance of their acne scars. Patients with more severe acne scarring may require additional laser treatment sessions. Minimal downtime is involved with eMatrix, with the most common side effects including mild redness, swelling, and tenderness in the treatment area for 48 hours. Limiting sun exposure in the treatment area following eMatrix is essential since the laser treatment increases the skin’s photosensitivity, making it more susceptible to UV damage. Dr. Green will provide all the pertinent aftercare information when you have eMatrix laser treatment with her at her private dermatology office in NYC’s Upper East Side neighborhood.

Clear + Brilliant Laser

The Clear + Brilliant, or “mini Fraxel,” is a gentle fractional laser treatment that is safe and effective for all skin tones and types. Clear + Brilliant stimulates new collagen production in the treatment area, resulting in smoother, brighter, healthier skin without downtime. C + B also increases the skin’s permeability so that beneficial skincare ingredients, like vitamin C, are more effective. This laser treatment addresses superficial to moderate acne scarring and post-inflammatory hyperpigmentation. Most patients need five to six 6 C+B laser treatments, each spaced 2-4 weeks apart.

Laser resurfacing acne scar treatments for patients with darker skin tones

Some laser resurfacing treatments are unsuitable for patients with darker skin tones, and their use can result in poor cosmetic results and dangerous side effects, such as skin discoloration, burning, and scarring. To avoid unwanted side effects and guarantee optimal skin rejuvenation results, seek an experienced, knowledgeable, board-certified dermatologist to treat acne scars. Dr. Green is a board-certified dermatologist in New York City with over 25 years of experience treating men and women from around the globe with the most innovative techniques and cutting-edge treatment options. To safely treat acne scars in patients with darker skin, Dr. Green highly recommends the eMatrix laser treatment, chemical peels, microneedling, and subcision with dermal fillers. During your consultation at her private dermatology office in Manhattan’s Upper East Side, she will develop a personalized acne scar treatment plan for you, depending on your skin condition and particular needs and goals.

Microneedling treatment for acne scars

Microneedling, or collagen induction therapy, is an excellent non-invasive treatment option for reducing the appearance of acne scars. As a minimally invasive procedure, microneedling has minimal downtime and few potential side effects. It is also a safe and effective treatment option for patients of all skin types and skin tones. During a microneedling procedure, Dr. Green moves a handheld microneedling device across the skin’s surface in the treatment area. The microneedling device contains tiny needles that create thousands of micro-channels in the skin, inducing the healing process and thus stimulating gradual new collagen production. The result is a naturally smoother, brighter, healthier complexion and a visible reduction in acne scars.

The micro-channels created in the skin during microneedling increase the skin’s permeability, maximizing the effects of topicals like platelet-rich plasma and depigmentation serum. Platelet-rich plasma (PRP) is a serum potent with epidermal growth factors that enhance the skin rejuvenation results of microneedling treatment. PRP is a serum derived from a sample of the patient’s blood, spun in a special centrifuge to separate the plasma from the red blood cells. After the PRP is drawn up, it is used as a topical serum during microneedling. The epidermal growth factors in the plasma accelerate and enhance the wound healing process and promote even more regeneration at the cellular level. Most patients require 4-6 PRP microneedling sessions to achieve optimal results.

Patients interested in treating unwanted pigmentation and correcting an uneven skin tone can benefit from pairing their microneedling treatment with a topical depigmenting serum. The depigmenting serum used in the private dermatology office of Dr. Michele Green is a unique blend of powerful yet gentle skin-brightening agents that work against melanocyte activity in the skin. The result is an even-toned complexion with an observable reduction in hyperpigmentation. Most patients require 4-6 depigmentation microneedling sessions to achieve optimal results. The daily application of a broad-spectrum sunscreen with an SPF of at least 30 is critical, especially following microneedling with depigmentation serum.

Radiofrequency microneedling is an innovative treatment option that combines radiofrequency energy with microneedling to maximize new collagen production and skin rejuvenation results. The microneedling aspect induces new collagen production in the epidermis, while the radiofrequency energy simultaneously delivers heat to the dermis to stimulate new collagen production. Dr. Green offers the Vivace radiofrequency microneedling treatment at her boutique dermatology office in NYC. Vivace has a robotic motor to deliver extremely precise, controlled pulses and gold-tipped, insulated micro-needles, which work to create a pain-free treatment. Most patients require several Vivace RF microneedling sessions, each spaced 4-6 weeks apart, to achieve optimal results.

Chemical peels

A chemical peel is a non-invasive skin resurfacing treatment that can improve the appearance of acne scars, post-inflammatory hyperpigmentation, and active acne. The topical application of a peeling agent to the skin’s surface is exfoliative and designed to accelerate the rate of skin cell renewal. A chemical peel removes dead skin cells, unclogs the pores, and stimulates new collagen production. Several chemical peels exist, including glycolic acid, salicylic acid, lactic acid, and trichloroacetic acid, and the peel selected for your rejuvenation treatment depends on your skin type, skin tone, and the specific skin concerns being targeted. Most patients require chemical peel treatments four to six weeks apart to treat acne scars. While undergoing chemical peel treatment, patients must use a daily SPF 50 or higher sunscreen to prevent damage to healthy new skin.

For those with mild to moderate acne and acne scars, trichloroacetic acid peels quickly and gently exfoliates dead cells on the surface layer of the skin and prevents further acne outbreaks. Acne-prone skin usually has a slower rate of natural exfoliation, which allows clogged and enlarged pores to cause nodular acne, whiteheads, and blackheads. Trichloroacetic acid (TCA) peels promote new skin cell growth and remove these dead and damaged cells, giving your skin a healthier glow.

Subcision

Subcision is a minor dermatologic surgery procedure that can be used to treat atrophic scars. Subcision is performed using a cannula or hypodermic needle to puncture the skin and break up the fibrotic strands of scar tissue that are tethering the top layers of skin to the underlying tissue. Once the rope is broken and the fibrotic bands of scar tissue are released, new collagen production is stimulated in the treated area, gradually resulting in a smoother, more even skin texture. Dr. Green often performs subcision with dermal filler injections. If subcision is performed with dermal fillers, the filler is then injected directly into the acne scar to replace lost volume and provide a smoother skin texture. Subcision is an effective treatment option for rolling scars and shallow boxcar scars. Subcision is not typically recommended for icepick or deep boxcar scars. Usually, multiple treatment sessions are required to achieve the desired results.

Sculptra with Restylane and eMatrix 

Dermal fillers

Dermal fillers are a cosmetic injectable treatment for facial rejuvenation and body contouring. They are popularly used to eliminate fine lines and deep wrinkles, restore volume loss, and enhance certain features. They are also a successful treatment option for reducing the appearance of atrophic acne scars. Dermal fillers work to boost volume at and around the injection site and ignite new collagen production. This, in turn, can reduce the appearance of atrophic acne scarring and create a smooth, youthful appearance.

Dr. Green offers a variety of dermal fillers with unique properties to ensure you’re getting the right solution for your skin condition and goals. These dermal fillers include hyaluronic acid fillers, which rely on a naturally occurring substance in the body, as well as poly-L-lactic acid and calcium hydroxylapatite dermal fillers, to boost new collagen growth and reduce the appearance of acne scars. These dermal fillers include:

• Belotero Balance — A hyaluronic acid filler, Belotero Balance replaces lost hyaluronic acid (HA) caused by natural aging, filling fine lines and wrinkles. Its unique properties offer soft, even correction throughout the face.
• Juvederm — Dr. Green was one of the first doctors in New York to begin incorporating Juvederm treatments into her practice. This advanced hyaluronic acid (HA) formulation can be used for deep lines and wrinkles, and results can last up to 12 months.
• Juvederm Voluma — Juvederm Voluma is designed to help restore youthful contours by plumping up the cheeks and chin where the aging process has caused volume loss. This advanced hyaluronic acid (HA) formulation can last up to 18 months.
• Radiesse—Radiesse is an injectable filler made of calcium hydroxyapatite. It replenishes the lost collagen under your skin and promotes increased natural collagen production for lasting results.
• Restylane—Restylane is a hyaluronic acid filler that replenishes volume loss, which is partially responsible for the appearance of aging and the development of wrinkles.
• Restylane Contour is a hyaluronic acid filler designed for the midface and cheeks. It is one of Restylane’s newest hyaluronic acid dermal filler formulations. It contains advanced cross-linking technology to create a smooth skin texture, helping correct imperfections such as acne scars. It’s a popular option for patients looking to restore volume in the cheeks and midface, with results that last up to a full year.
• Restylane Lyft—Restylane Lyft, formerly called Perlane, is an HA filler that adds fullness and volume to correct deep lines and wrinkles. Since Perlane uses larger particles, this treatment is ideal for deeper injections, especially around the nasolabial folds.
• Sculptra—Sculptra is a unique dermal filler made of poly-L-lactic acid, a liquid injectable that stimulates new collagen production in the treatment area. It gradually replenishes volume loss and creates a smoother skin texture. It is also a popular dermal filler for non-surgical body contouring. After a short series of Sculptra treatments, the cosmetic effects can last up to two years or more.

Other ways to treat acne scars

Microdermabrasion

Microdermabrasion is a milder form of dermabrasion and an effective treatment option for reducing mild acne scars and stimulating collagen production without downtime. Microdermabrasion is an exfoliation treatment that entails using a specialized handpiece to remove the top layer of skin gently and, by doing so, remove any impurities and dead skin cells to make way for healthy, new skin cells. This treatment enhances the absorbency of the skincare products that are applied subsequently, allowing them to penetrate deeper into the skin to deliver maximum benefits. Two popular types of microdermabrasion include crystal and diamond microdermabrasion. Crystal microdermabrasion is performed with a handpiece that emits tiny crystals, usually aluminum oxide or sodium bicarbonate, to sand away the outer layer of the skin gently. Diamond microdermabrasion is performed with a diamond-tipped handpiece, applied directly to the skin to exfoliate the superficial layers. After microdermabrasion, the epidermis produces new cells rapidly, and this deeper layer of skin thickens due to the resulting increase in collagen production. For optimal results, Dr. Green recommends four to six microdermabrasion treatments every two to four weeks.

Intense pulsed light

Intense pulsed light (IPL) delivers short bursts of high-intensity light energy below the skin’s surface. This light energy helps to target active acne, broken capillaries, skin discoloration, acne scars, post-inflammatory hyperpigmentation, sun damage, freckles, and age spots. IPL is safe for various skin types and can help improve the skin’s overall look in as little as one session. One of the benefits of intense pulsed light therapy is that no downtime is required. IPL treatments also help boost the natural collagen production in the skin, which can improve the appearance of depressed acne scars and other irregularities in skin texture.

TCA cross for acne scars

The TCA Cross chemical peel process is a good treatment option for reducing ice-pick scars. TCA is an abbreviation for trichloroacetic acid, the name of the chemical acid used by Dr. Green for chemical peels and TCA Cross treatment. “Cross” is an acronym for the chemical reconstruction of skin scars method. During this procedure, a fine tool, such as a toothpick, is used to directly apply a high TCA concentration of 70-100% to each acne scar. This procedure improves skin texture by stimulating new collagen production. A series of 3 to 5 treatments, each spaced 6-8 weeks apart, is typically needed for the best cosmetic results. Though this process effectively removes ice-pick scars, it’s only recommended for patients with paler skin types. Patients with darker skin tones are more susceptible to unwanted side effects, such as discoloration (hyperpigmentation or a loss of pigment) when using this high trichloroacetic acid. For patients with darker skin tones, Dr. Green typically recommends using gentler chemical peel formulations, V-Beam or eMatrix laser treatment, dermal fillers, or microneedling to treat acne scars.

Punch excision

Punch excision is used for deep, narrow ice pick scar removal. In punch excision, a punch tool removes scar tissue surgically. After removing the scar tissue, the wound left behind is closed with fine sutures. Punch excision for acne scar revision generally leaves slight scarring, though the scars are smaller, softer, and less noticeable than the original atrophic scars. The scar left behind after punch excision will most often resemble a small line instead of a depression. When you consult with Dr. Michele Green in NYC for your acne scar removal, she will work with you to determine whether you are a good candidate for punch excision and create a customized acne scar treatment plan that is catered to your unique skin needs and cosmetic goals, leaving you with a smooth, clear, healthy complexion that lasts.

What is the best laser for acne scar removal?

Ultimately, the best laser treatment for acne scar removal depends on the type and pigment of the scars and the patient’s skin tone. During your initial consultation with Dr. Green at her private dermatology office in NYC, she will physically assess your skin condition and recommend the laser treatment option most appropriate for your skin type and scars. Dr. Green offers some of the most cutting-edge laser treatments for reducing the appearance of acne scars and post-inflammatory hyperpigmentation, including the Fraxel, eMatrix, and VBeam lasers.

Before & After Acne Treatment

What is the best treatment method for acne scars?

When successfully reducing the appearance of acne scars, there is no one best treatment option. The ‘best’ treatment option for a given patient will ultimately depend on their skin condition, the types of acne scars present, their skin tone, and skin type. Dr. Green offers highly effective, FDA-approved methods at her boutique UES practice and customizes each patient’s acne scar treatment plan to suit their needs. Patients with post-inflammatory hyperpigmentation may benefit from chemical peels and topical treatments. Patients with atrophic acne scars regularly benefit from microneedling, microdermabrasion, chemical peels, and laser treatments. If patients are concerned with hypertrophic scars, steroid injections combined with laser skin resurfacing can be highly effective. When you work with Dr. Green, she can carefully examine your skin condition to determine which treatment options suit you.

Why are some acne scars red?

Acne lesions and breakouts have the potential to leave behind dark spots on the skin that may appear red, pink, purple, or brown. These spots are known as post-inflammatory hyperpigmentation and are not true acne scars. Depending on the patient’s skin tone, the color of the discoloration associated with PIH can vary and may appear brown, black, red, pink, or purple. During the natural healing process of the skin, there is potential that skin cells involved with healing the area are also contributing to the overproduction of melanin, leading to the development of hyperpigmented spots. Post-inflammatory hyperpigmentation may go away independently but can be alleviated more quickly through curated skincare products and in-office cosmetic treatment options, such as the V-Beam laser treatment. The VBeam laser is considered the gold standard for eliminating the appearance of red discoloration from the skin. Dr. Green utilizes the VBeam Perfecta, the latest model of laser therapy, at her private dermatology office in NYC.

Treating post-inflammatory hyperpigmentation with topical skincare

Post-inflammatory hyperpigmentation is a skin condition characterized by dark spots that may be left behind after an acne lesion or breakout heals. During the natural healing process of the skin, there is potential that skin cells involved with healing the area also contribute to the overproduction of melanin, leading to discoloration. Depending on the individual’s skin tone, the color of the dark spots associated with post-inflammatory hyperpigmentation may be brown, black, red, pink, or purple. Although this discoloration may gradually fade over time, it’s more effective and efficient to have treatment with a dermatologist or address it with targeted skincare ingredients.

Vitamin C is a highly effective topical skincare ingredient that can correct skin tone and texture issues. It boosts collagen production within the skin, accelerates the rate of skin cell renewal, produces an overall brightening effect, and provides antioxidant protection against harmful free radicals in the environment. Vitamin C is an ideal component to add to your skincare routine if you are struggling with post-inflammatory hyperpigmentation or acne scars that are either textural or pigmented. Consistent use of vitamin C can help create a smoother, brighter, healthier complexion. Dr. Green developed a high-concentration vitamin C serum to provide maximum benefits, the Vita-C serum from her MGSKINLABS, Inc.

Retinol and other topical retinoids are available over the counter or in higher-strength formulas. They can help increase collagen production within the skin to provide a smoother, more even-toned complexion overall. Topical retinoids are available in varying strengths, and Dr. Green can help you choose the appropriate strength for your skin condition and goals. Be cautious about the overuse of retinol and retinoids, as they may cause skin irritation in individuals with more sensitive skin types.

Hydroquinone is a skin-lightening agent not available over the counter but can be prescribed by a board-certified dermatologist like Dr. Green. A board-certified healthcare professional must monitor patients using hydroquinone, as it is not recommended for extended periods and involves certain restrictions. One limitation is limiting sun exposure in the affected area since hydroquinone increases the skin’s photosensitivity and makes it more susceptible to UV damage. Hydroquinone is often used with chemical peels to effectively lighten dark marks on the skin, especially post-inflammatory hyperpigmentation that can result after an acne breakout has healed.

Sunscreen is, of course, one of the most crucial components of any basic skincare regimen. Sunscreen is necessary to protect against the development of skin cancer, various signs of aging, and exacerbating the appearance of acne scars and post-inflammatory hyperpigmentation. Look for a broad-spectrum formula that offers protection against UVA and UVB rays and an SPF of at least 30. Sunscreen should be used daily, regardless of weather conditions, skin type, or skin tone. The sun’s rays can exacerbate active acne, post-inflammatory hyperpigmentation, and acne scars, so sunscreen is vital for patients with these skin conditions. Dr. Green recommends layering a physical sunscreen over chemical sunscreen to guarantee the best sun protection. It is also advisable to wear sun-protective clothing, including a wide-brimmed hat and sunglasses. When you consult with internationally renowned board-certified dermatologist Dr. Michele Green in Manhattan’s Upper East Side neighborhood, she will work with you to develop a skincare regimen that perfectly suits your skin condition, needs, and goals.

What are natural acne scar removal methods?

One of the best ways to naturally reduce the appearance of acne scars is through topical skin care products that can help revitalize the skin’s health and appearance by stimulating new collagen production and boosting cell turnover. In general, it’s best to look for active ingredients such as retinoids (Vitamin-A derivatives) and alpha hydroxy acids that increase the speed of cell turnover and help to form new collagen. Dr. Green’s MGSKINLABS offers an essential antioxidant infusion that combines retinol and other vital vitamins that are critical to reducing the appearance of issues with skin texture, including fine lines, enlarged pores, and acne scars. Additionally, Dr. Green recommends pairing retinol or retinoid at night with topical Vitamin-C serum during the day, such as MGSKINLABS Vita-C Serum. Vitamin C is a powerful antioxidant that helps protect the skin against UV damage, stimulates new collagen production, inhibits the activity of pigment-producing skin cells, and accelerates the rate of skin cell renewal. These invaluable skincare products can be combined with a gentle cleanser, non-comedogenic moisturizer, and daily sunscreen to create a healthy skincare routine that can help to heal and prevent future acne scars and breakouts.

Which is the best acne scar removal cream?

Effectively targeting discoloration associated with acne scars requires using the appropriate active ingredients. Brightening active ingredients, such as Vitamin-C-based or prescription hydroquinone creams, tend to be the most recommended for reducing hyperpigmentation. Vitamin C is a powerhouse of skincare ingredients that creates an even skin tone and texture. Packed with antioxidants, Vitamin C stimulates collagen production within the skin and accelerates the rate of skin cell renewal. Consistent Vitamin C serum use results in a clear, even, radiant complexion that lasts. Dr. Green’s MGSKINLABS, Inc. manufactures the highly concentrated Vita-C serum that she often recommends to her patients struggling with the appearance of dark marks from acne and areas of skin discoloration or hyperpigmentation. Depending on the kinds of acne scars you present with, Dr. Green may suggest applying hydroquinone cream. Hydroquinone is an effective skin-lightening agent for patients with post-inflammatory hyperpigmentation from acne. When you consult her, Dr. Green recommends acne scar removal creams and serums. If hydroquinone is prescribed to treat discoloration, it is essential to do your best to limit sun exposure in the affected area where you are applying the cream. Hydroquinone can increase the photosensitivity of the skin, making it more susceptible to UV damage and potentially worsening the appearance of the discoloration. When you review your skincare regimen with Dr. Green at her private dermatology office in NYC’s Upper East Side neighborhood, she will advise you on the best protocol.

One of the best ways to prevent acne scars from forming is to treat breakouts as they develop carefully. MGSKINLABS offers a three-step at-home acne-fighting treatment to cleanse, exfoliate, and spot-treat acne lesions. If you are struggling with active acne and want to prevent the development of acne scars, schedule a consultation with Dr. Green, who can help you achieve clear, radiant, healthy skin.

Is acne scarring permanent?

Yes, acne scars are evidence of permanent skin tissue damage caused by inflammation from acne lesions. Once the tissue has sustained such damage, the skin cannot repair the wound completely. The natural wound-healing response is activated by inflammation, which involves the induction of new collagen production—an acne scar forms when too much or too little collagen is made. The permanence of acne scars is one of the reasons why it is essential to treat acne lesions and breakouts as soon as possible. Reducing the appearance of acne scars can often be more complicated than resolving a breakout of acne. Depending on the cause of your acne, a dermatologist might recommend a combination of topical treatments, oral medications, or in-office treatment options like medical-grade facials, extractions, or laser therapy. If acne scars form, the skin tissue can not be completely restored to its original state. However, the appearance of acne scars can be significantly reduced with a variety of in-office treatment options available at Dr. Green’s private dermatology office. If you are struggling with the appearance of acne scars or are still trying to get your active breakouts under control once and for all, Dr. Green is here to help.

Is there a way to remove acne scars altogether? Can you 100% remove acne scars?

Unfortunately, there is no method for removing acne scars 100%. Acne scars result from permanent skin tissue damage caused by inflammation associated with acne lesions. Luckily, many non-invasive treatment options can reduce the appearance of acne scars and create a smoother, healthier, clearer complexion. The best way to develop a safe and effective acne scar treatment plan is by consulting an experienced board-certified dermatologist, such as Dr. Green in NYC. Dr. Green has over 25 years of experience providing acne and acne scar treatments to men and women from around the globe and will design a treatment protocol that leaves you looking and feeling your best.

Why are acne scars hard to remove?

Acne scars are challenging to reduce because they reflect permanent changes in the skin’s collagen levels. The skin’s natural wound-healing process is activated in response to an acne lesion or breakout. During the natural wound-healing process, new collagen production is stimulated. Collagen is a structural protein in the skin that contributes to a firm, smooth skin texture. When too little collagen is formed in response to skin inflammation, the result is depressed acne scars. When too much collagen is formed, hypertrophic scars and keloids result. Although the appearance of acne scars can be significantly reduced with non-invasive cosmetic treatments, the skin’s composition is permanently different and can not be reversed. Acne scar prevention is the best method, so prompt evaluation and treatment of active acne breakouts is critical. When you consult board-certified dermatologist Dr. Michele Green at her NYC office, she’ll collect a thorough medical history, physically assess your skin condition, and evaluate recent blood work to create a customized acne treatment plan that leaves you with a clear, lasting complexion and best prevents acne scars.

Who removes acne scars? How a dermatologist can treat acne scars

A healthcare professional such as a board-certified dermatologist is the best person to consult to treat acne scars. Dr. Green, a board-certified dermatologist in New York City, is internationally renowned for her holistic approach to treating acne scars and helping her patients achieve a clear, smooth, healthy complexion that lasts. Although acne scars are evidence of permanent damage and cannot be eliminated, their appearance can be significantly reduced through in-office treatment options with Dr. Green, so they are no longer visible. Ideal treatment options for removing acne scars, such as laser treatments, light therapy, dermal filler injections, chemical peels, and microneedling, provide the best results when performed by an experienced and knowledgeable board-certified dermatologist with the expertise to execute them safely and effectively.

Many different types of acne scars may develop. Since no two patients with breakouts will develop acne scars identically, acne scar treatments should be customized by an expert to produce the best cosmetic results. When you consult with Dr. Green in her boutique dermatology office in the Upper East Side of Manhattan, you will have the opportunity to develop a personalized treatment plan for your acne scars that incorporates treatment options that will best benefit you and your specific concerns, whether it be post-inflammatory hyperpigmentation, atrophic scars, raised keloids or hypertrophic scars, or a combination of skin texture and tone issues.

Does insurance cover acne scar removal?

While active acne is considered a medical skin condition, and its treatment may be covered by medical insurance, acne scar treatment is generally considered cosmetic. Most insurance providers do not cover acne scar treatments for this reason. Before you decide to have any treatment for your acne scars, you can contact your insurance provider to determine your benefits and which acne scar removal procedures are covered. It is also important to contact the board-certified healthcare professional who you anticipate will provide your acne scar treatments to determine whether or not they accept insurance.

What method is used for hypertrophic scars?

Hypertrophic scars are thick, firm, raised scars that form when the skin’s natural wound-healing response produces too much new collagen. Keloids are a distinct type of raised scar because, unlike other hypertrophic scars, keloidal scar tissue may continue to grow beyond the limits of the initial trauma after the skin has healed. Hypertrophic scars and keloids can be particularly challenging to treat. A popular in-office treatment option for diminishing the appearance of keloids and hypertrophic scars is corticosteroid injections, more commonly known as steroid injections. Corticosteroids are synthetic drugs similar to hormones that appear naturally in the body. Steroid injections are injected directly into the affected area to decrease the scar size without systemic side effects. Small amounts of corticosteroid injection help reduce the length and thickness of hypertrophic and keloid scars and improve their appearance, making them smaller and flatter. Hypertrophic scars are often accompanied by pigmentation, which can be targeted with VBeam laser therapy. Many patients with raised scars have corticosteroid injections and VBeam laser treatment during the same appointment to target different aspects of the scar’s appearance.

What method is used for atrophic scars?

Atrophic scars are the most common type of acne scar. Depressions develop when the skin’s natural wound-healing response produces insufficient new collagen. Inflammatory acne lesions, such as nodules and cysts, are the most likely to cause atrophic acne scars. The three types of atrophic scars include icepick, rolling, and boxcar scars. Depending on the atrophic scars present, Dr. Green may recommend treatment options such as laser skin resurfacing, chemical peels, microneedling, dermal fillers with subcision, punch excision, or TCA cross. When you consult with Dr. Green at her private dermatology office in NYC, she will physically evaluate your skin condition, collect a thorough medical and family history, and review any previous scar treatments you’ve undergone to establish a personalized plan that leaves you with a smooth, clear, healthy complexion that lasts.

How much does each acne scar removal method cost?

The cost of your acne scar treatment will vary depending on the severity of acne scarring, the treatment options utilized, your provider’s experience level, and the geographic location of the office where you are treated. Consulting a board-certified dermatologist like Dr. Green is typically more expensive than an aesthetician in a medical spa setting. However, to guarantee safety, efficacy, and ideal cosmetic results, it is crucial to be selective when seeking a provider to treat acne scars. Acne scar treatment by an inexperienced or unqualified provider can increase the risk of poor cosmetic results or unwanted side effects like skin discoloration, burning, or scarring. Dr. Green has over 25 years of experience in cosmetic dermatology and the expertise to treat acne scars safely and effectively. Generally, skin resurfacing laser treatments and dermal filler injections are more costly than treatment options like chemical peels and microneedling. The type and number of treatments you need will be discussed with Dr. Green during your acne scar removal consultation, and at that time, the approximate cost of your treatment will be determined.

10 months before and after acne treatment

Do acne scar treatments work?

Yes! Acne scar treatments work when an expert, board-certified dermatologist customizes your treatment plan. To treat acne scars effectively, the treatment options in your acne scar treatment plan must appropriately suit your skin condition, skin tone, the types of acne scars you have, and your skin tone. Guaranteeing safe and effective treatment for acne scars requires extensive knowledge of the different kinds of scars and various treatments’ qualities, benefits, and limitations. Dr. Green is a board-certified dermatologist recognized and appreciated worldwide for her holistic approach to acne scar treatment and her ability to provide patients with smooth, clear, healthy, and radiant skin that lasts. When you consult with Dr. Green at her private dermatology office in NYC’s Upper East Side neighborhood, she will physically assess your skin condition, collect a thorough medical and family history, and review any previous treatment options you may have tried to develop a personalized acne scar treatment plan that works best for you.

What are the top acne scar removal methods? Which procedure is best for acne scars?

The best way to determine which acne scar treatment options will be most effective for treating the types of acne scars you have, your skin type and skin tone, and achieving your personal aesthetic goals is by consulting an experienced board-certified dermatologist, such as Dr. Michele Green in NYC. Dr. Green is an internationally renowned expert in cosmetic dermatology with over 25 years of experience providing some of the world’s most discerning individuals with the most cutting-edge scar treatments. Consulting an experienced healthcare professional regarding acne scar treatment is critical, as some treatment options aren’t suitable for patients of every skin tone or skin type. For example, using the wrong laser treatment for a patient’s skin tone can result in side effects such as hypopigmentation, hyperpigmentation, burning, or scarring. To ensure safety, efficacy, and optimal results, an expert like Dr. Green will assess your skin condition, thoroughly review your medical history, and review any previous cosmetic scar treatments you may have had. Depending on her evaluation, the location and type of scar, and your skin tone and type, Dr. Green will personalize a scar treatment plan that best suits your unique needs and aesthetic goals.

Some popular non-invasive acne scar treatment options include laser resurfacing, chemical peels, microneedling, steroid injections, and subcision with dermal fillers. The treatment options at Dr. Green’s dermatology office for acne scar reduction are the safest, most effective treatments. Some dermatologists may offer alternatives such as cryotherapy, a process by which scar tissue is frozen off with liquid nitrogen. Treatment options such as cryotherapy are outdated because they are less effective and have a higher risk of potential side effects. A plastic surgeon may also be able to perform surgical options, such as punch excision or a skin graft. When you consult with internationally renowned board-certified dermatologist Dr. Michele Green at her office in Manhattan’s Upper East Side neighborhood, she will work with you to ensure you achieve a healthy, smooth, clear, beautiful complexion that lasts.

How do I get started with acne scar treatment today?

Acne scars can be a devastating reminder of a bothersome breakout, often inducing feelings of self-consciousness and low self-esteem. Acne scars are a common skin condition that occurs when too much or too little collagen forms during the skin’s natural healing process, permanently affecting the structure of the dermis. Luckily, an experienced board-certified dermatologist like Dr. Green can reduce the appearance of acne scars with a wide range of non-invasive treatment options to create a smoother skin texture and more even skin tone and restore self-confidence. Whether you are struggling with atrophic scars, hypertrophic scars, or post-inflammatory hyperpigmentation due to previous breakouts, Dr. Green can work with you to develop a customized acne scar treatment plan to help you look and feel like the best version of yourself.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options and specially formulated skin care. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding skin rejuvenation. She is particularly interested in reducing the appearance of acne scars, which affect one in five individuals with breakouts. Dr. Green takes the time to personalize each patient’s acne scar treatment plans to cater best to their skin condition, the types of acne scars present, and skin tone. She is consistently identified as one of New York City’s best dermatologists by New York Magazine, Super Doctors, The New York Times, and Castle Connolly for her dedication to her patients and expertise. To learn more about how to treat acne scars and start your skin rejuvenation journey, schedule a consultation with Dr. Green at her private dermatology office by calling 212-535-3088 or contacting us online.