Acne scars can be a persistent reminder of past breakouts, affecting not just the skin but also confidence. While many over-the-counter creams promise results, medical-grade treatments performed by qualified dermatologists and aesthetic doctors offer the most effective, lasting improvement. At Skinhorizon Clinic in London, we combine advanced technology with evidence-based protocols to help patients achieve smoother, more even-toned skin.

Understanding Acne Scars

Acne scars develop when the skin’s healing process is disrupted after inflammation from spots or cysts. There are different types, including:

  • Atrophic scars – indented scars such as ice pick, boxcar, or rolling scars.
  • Hypertrophic scars – raised, thickened areas.
  • Post-inflammatory hyperpigmentation – dark spots that fade over time but can be stubborn.

Accurate diagnosis is crucial because the most effective treatment depends on the scar type, depth, and skin type.

The Most Effective Professional Treatments

Below are the gold-standard options we offer and recommend at Skinhorizon Clinic, tailored to each patient after a thorough skin analysis.

1. Fractional CO2 Laser Resurfacing

Best for: Deep atrophic scars, texture irregularities

Fractional CO2 laser creates microscopic columns in the skin, triggering collagen production and remodelling. This helps smooth out indentations and improve overall skin tone. Multiple sessions, spaced 4–6 weeks apart, yield the best results.

“CO2 laser remains one of the most transformative options for severe acne scarring, with significant improvement seen in 3–5 sessions.” – Dr Ghazavi

2. Endolift® Laser-Assisted Skin Tightening

Best for: Scarring with skin laxity

Endolift uses a fine fibre-optic laser under the skin to stimulate collagen and tighten tissue. While often used for lifting, it can also improve the appearance of scars by enhancing skin firmness and structure.

3. Microneedling with Exosomes or PRF

Best for: Fine rolling scars, overall rejuvenation

Microneedling creates controlled micro-injuries that encourage collagen production. When combined with regenerative serums like exosomes or platelet-rich fibrin (PRF), healing is accelerated and scar remodelling is enhanced.

4. Chemical Peels

Best for: Superficial scars, post-inflammatory pigmentation

Peels using acids such as trichloroacetic acid (TCA) or glycolic acid can help resurface the skin, fade dark marks, and improve overall texture. For ice pick scars, a targeted TCA CROSS technique may be used.

5. Genesis Laser Skin Therapy

Best for: Redness and mild texture changes

Using non-ablative laser energy, Genesis promotes new collagen growth and reduces redness associated with scarring. It’s gentle, requires no downtime, and can be combined with other treatments for enhanced results.

6. Dermal Fillers for Acne Scars

Best for: Deep rolling or boxcar scars

Hyaluronic acid fillers can lift depressed scars for immediate improvement. Results are temporary (6–12 months) but can be an excellent option for special events or combined with other scar-reducing treatments.

Combination Therapy – Why It Works Best

No single treatment suits every scar type. Our dermatologists often combine techniques for optimal results, such as fractional CO2 laser with microneedling, or chemical peels with Genesis laser. This multi-modal approach addresses texture, pigment, and skin quality simultaneously.

Before & After: Real Patient Results

Before and after acne scar treatment
Skinhorizon patient after 3 sessions of fractional CO2 laser and microneedling with exosomes.

Choosing the Right Treatment for You

The right plan depends on:

  • Type and severity of scars
  • Your skin tone and sensitivity
  • Desired downtime and recovery speed
  • Budget and number of sessions possible

We always begin with a 3D skin analysis to map scar depth and pigmentation changes. This ensures precise treatment selection and measurable progress tracking.

Aftercare and Maintenance

Following professional treatment, aftercare is key:

  1. Keep skin clean and moisturised.
  2. Apply high-SPF sunscreen daily.
  3. Avoid picking or scratching treated areas.
  4. Follow the personalised skincare plan provided by your clinician.

Results continue to improve for months after treatment as collagen remodelling progresses.

Frequently Asked Questions

How many sessions will I need?

Most patients require 3–5 sessions for noticeable improvement, though mild scarring may improve in fewer treatments.

Is treatment painful?

We use numbing cream and cooling devices to minimise discomfort. Most patients describe the sensation as mild to moderate.

Can acne scars be completely removed?

While complete removal is rare, significant reduction (up to 80% improvement) is achievable with the right combination therapy.