For very deep acne scars, what are recommended treatment methods? (photo)

Doctor's Answers (2)

Dr Chin Yee Choong

"Dedicated to the ethical practice of Aesthetic Medicine"


You have deep ice-pick scars. These deep scars are best dealt with in 2 stages.

The first stage involves converting the deep scars to shallower scars. Scar excision and TCA cross are methods to achieve this.

The second stage involves blurring the scar outline and lifting the scar up further. Fractional CO2 lasering, fractional microneedle RF, fractional picosecond lasering are methods to achieve this.

Stage 2 procedures may be started 3-4 weeks after complete healing from stage 1 procedures.

Hope this helps!

Hi there,

You do have a combination of deep Box scars, Ice pick scars and some that are tethered down.

Personally, I would recommend a combination of treatments involving Subscision, TCA CROSS and Skin Resurfacing modalities (Co2, Erbium, Microneedle RF)  as these treatments are able to treat each scar type optimally.

Multiple sessions will be required and treatment is to be done at least 4 weeks apart.  Downtime / redness will be expected for a few days to a week on average.

Do speak with your treating physician on the pros / cons of each treatment.

Hope that helps.

All the best!