Acne scars: how to improve them without wasted time

Acne scars can feel permanent, but you can make real progress. Some scars fade with simple at-home care; others need in-office procedures. This page gives clear, practical steps so you know what helps, what to avoid, and when to call a pro.

How to treat different scar types

First, identify the kind of scar. Rolling scars are shallow valleys, boxcar scars have sharp edges, and ice-pick scars are deep, narrow holes. Hypertrophic and keloid scars are raised and feel firm.

For shallow scars and uneven texture: start with daily retinoids (tretinoin or adapalene) and regular chemical exfoliation. OTC salicylic acid (0.5–2%) reduces oil and helps texture; glycolic acid pads or peels improve surface smoothness over weeks.

For deeper boxcar and rolling scars: microneedling stimulates collagen and can improve depth after 3–6 sessions spaced a month apart. Fractional laser treatments (like fractional CO2 or erbium) and medium-depth chemical peels produce stronger results but need downtime and sun-avoidance.

For ice-pick scars: punch excision or focal subcision with resurfacing works best. These are surgical fixes—ask a dermatologist about scars suitable for excision.

For raised scars: silicone gel sheets or topical silicone can flatten hypertrophic or keloid scars. Steroid injections or laser can also help reduce height and redness.

Filler injections (hyaluronic acid) give immediate lift for depressed rolling scars and can last months. They’re a good short-term fix while collagen treatments take effect.

Prevention and daily care

Preventing new scars starts with treating active acne fast and never picking or squeezing lesions. Patchy scabbing increases the chance of scarring and dark spots.

Sunscreen matters. UV exposure darkens scars and slows healing—use SPF 30+ every day and reapply if you’re outdoors. For darker skin tones, start with gentler treatments because procedures can trigger post-inflammatory hyperpigmentation. Talk to a dermatologist who has experience with pigmented skin.

If you’re on isotretinoin (Accutane) or recently finished it, tell your provider—some procedures require waiting a few months. Always discuss timing, risks, and expected downtime before starting aggressive treatments.

Real improvement takes time. Topicals show gradual gains over months; procedures often need multiple sessions. Ask for before-and-after photos from your provider and a clear plan with costs and recovery time.

Want a quick next step? Photograph your scars in natural light, note which types you see, and book a dermatologist consult. A short exam will point you to the simplest, safest path to smoother skin.