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Understanding Acne Scarring

Acne scarring can occur when the skin’s collagen fibres are produced and arranged in an irregular way during the healing process. This may result in pitting or changes to the contour of the skin.

There are several types of acne scarring, and the approach to treatment will depend on the type and extent of the scarring.

  • Atrophic scars – shallow depressions in the skin, sometimes associated with severe acne but also possible with other forms.

    • Ice-pick scars: narrow, deep indentations

    • Rolling scars: broader depressions with a sloping edge

    • Boxcar scars: broader depressions with more defined edges – these may sometimes be suitable for treatments designed to restore volume beneath the skin.

  • Hypertrophic or keloid scars – thicker, raised scars caused by excess scar tissue formation. These are not typically addressed with volume restoration treatments, as they do not involve a loss of skin depth.

One treatment option for pitted acne scarring involves placing a smooth gel-like substance under the skin in specific areas to help even the skin’s surface. Your clinician will assess whether this is appropriate for you and discuss alternative options.

How Volume Restoration Treatments May Work

This type of procedure involves adding volume beneath the area of concern to help reduce the appearance of uneven texture caused by pitted scars. Suitability, product type, and placement technique will depend on your skin, the type of scarring, and your treatment goals.

There are different product consistencies, and your clinician will determine the most suitable option for the area being treated. For some types of facial acne scarring, a softer or medium consistency product may be used.

Visible changes vary between individuals, and your clinician will discuss what can reasonably be expected in your case.

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The Treatment Process

During Your Appointment
A qualified Cosmetic Doctor or Senior Cosmetic Nurse will perform your treatment. The area will be cleaned, and a topical anaesthetic may be applied. In some cases, a local anaesthetic may be recommended.

After Your Appointment
For the first 24 hours, you may be advised to avoid alcohol, makeup, pressure on the area, or heat exposure such as saunas and hot yoga. Your clinician will provide specific aftercare instructions.

It is generally recommended to avoid alcohol and certain anti-inflammatory medications in the lead-up to treatment, as these may increase the likelihood of bruising. If you are taking medication prescribed by your GP, do not stop without medical advice.

In the Following Days
You may notice some tenderness or mild swelling, which usually subsides within a few days. Your clinic may offer a review appointment after 1–2 weeks to assess the outcome and discuss whether any further treatment is appropriate.

Frequently Asked Questions

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