What are the treatments available for combination of rosacea, acne scars (rolling and boxcar) and visible pores? How many treatments are usually required?

Doctor's Answers (2)

An excellent treatment option for a combination of rosacea, acne scars and visible pores will be combination of subcision and rejuran.

Subcision lifts the depressed rolling and boxed scars by releasing the scar bands which tether and depress the skin. In addition, by injecting Rejuran into the skin, this delivers polynucleotides, DNA and RNA into the skin cells, stimulating and accelerating cell repair, and regeneration of new cells from deep within the skin. Thus strengthening and thickening the skin structure, improving the appearance and reducing the depth of acne scars. The DNA introduced repairs the skin from deep within.

Additionally, it also reverses the process of aging and restores youthfulness to your facial appearance and complexion.


1) Lift and improve acne scars especially rolling and box scars

2) Repairs the skin and reduces the abnormal blood vessels resulting in reduced flushing, less sensitive skin and enhanced skin hydration to improve rosacea.

3) Reduces pore size

4) Healthy, supple, smooth skin

5) Enhances elasticity, reduced fine lines and wrinkles

6) Recovery of skin balance

7) Hydrated and moisturised skin texture

8) Visibly fairer skin

9) Improved oil balance

Minimal downtime, hypoallergic, safe and effective treatment.

Generally, 4 sessions are performed, one month apart.

Another option is Sylfirm, a Silicon Valley technology which is an ultrapulsed microneedling fractional radiofrequency device suitable for rosacea, pore size reduction and improvement in acne scars. Treats these concerns by remodelling the basement membrane and dermal collagen regeneration and the reduction of abnormal blood vessels.

Minimal downtime, safe, effective.

4-6 sessions are required.

Rosacea is a recurring long-term skin condition where episodes of redness and flushing develop, together with dilated blood vessels and occasional pimples. Individuals with rosacea tend to have sensitive skin, and often experience a stinging sensation when exposed to triggers such as heat, sunlight, unsuitable skincare or certain food groups.

Thankfully, rosacea can be controlled by avoiding known triggering factors, combined with the use of medical creams and vascular lasers, which shrink blood vessels and reduce redness.

Unfortunately, patients with rosacea often are unable to tolerate conventional treatments such as chemical peels, strong lasers or energy-based devices used for acne scarring and visible pores. This is because the chemicals or heat from these treatments trigger and aggravate a rosacea flare up in a good number of individuals.



With improved research and technology, there are treatments available that address a combination of rosacea, rolling and boxcar acne scars, as well as visible pores. Subcision is a great example of a treatment for acne scars when there is concurrent rosacea, as minimal or no heat is involved in the process.

Visible pores and facial redness are improved when this treatment is combined with polynucleotides, due to its anti-inflammatory and collagen regenerating properties. The number of subcision sessions needed depends on the severity of scarring and expertise of the doctor.

In general, improved results can be seen in 2 to 3 months after 1 session of subcision, with further treatments giving better results. 

Visible pores and atrophic scars can also be improved with fractional treatments over multiple sessions. Traditional fractional ablative CO2 lasers, although useful in improving pores and atrophic scars, deliver high levels of thermal energy to the skin that easily diffuses to surrounding tissue, resulting in a buildup of heat that tends to create unwanted side effects in sensitive skin types.

In recent years, other fractional modalities have been developed to allow for optimal treatment of various skin types and conditions, and I incorporate 5 to 6 of them in my practice.

For instance, the fractional picosecond laser achieves detachment of fibrous scar tissue through laser induced optical breakdown (LIOB), a process that generates much less heat, delivers superior results with fewer side effects, making it more suitable for patients with rosacea as compared to conventional ones.

Do consult your trusted doctor and have a full assessment carried out, for a proper diagnosis to be made, so that a treatment plan can be individualised for your skin condition.


Hope this helps!