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Acne & texture · 3 min read

Acne scars: what can and cannot be improved

A flat dark mark and a small dip in the skin can both remain after acne. Understanding the difference helps you ask the right questions before choosing care.

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The useful starting point

Start with the kind of mark you have. A plan for colour changes may be different from a plan for uneven texture.

Marks and scars are different

After a spot settles, a flat brown, red or darker patch can remain. This is often a colour change after inflammation, rather than a scar. Some marks fade with time. A scar changes the surface of the skin: it may look sunken, uneven or raised.

Lighting can make texture look different, so a photograph alone cannot settle the question. A doctor examines your skin and checks whether you have marks, scars or a mixture.

Why the shape matters

Sunken scars come in several shapes. Ice-pick scars are narrow and deep. Boxcar scars are wider depressions with clearer edges. Rolling scars create a shallow, uneven surface. Raised scars sit above the surrounding skin.

These differences matter because one method may not address every type. Tell the doctor if scars itch, hurt, or have become raised after previous injuries.

What treatment may change

Selected treatments may make scars less noticeable. The choice depends on their type and depth, your skin tone and your healing history. A plan may involve more than one approach, with time between visits to assess healing.

There is no promise that every mark or dip will disappear. Ask what change is realistic for your own skin, which risks apply, and how the doctor will decide whether to continue. Choosing to leave settled scars alone is also an option.

If you still have breakouts

Ongoing acne often needs attention before scar procedures. Getting breakouts under control helps reduce the chance of new scars. Picking or squeezing spots can add to scarring.

Bring a list of current and recent acne medicines, including isotretinoin. Some medicines affect when a procedure may be suitable. Keep taking prescribed medicine as directed until your prescribing doctor advises otherwise.

Four questions to bring

  • Are these colour marks, texture scars, or both?
  • Should we manage active acne before discussing a procedure?
  • What sessions, recovery time, side effects and total costs should I plan for?
  • What are the alternatives, including waiting or having no procedure?

You can read the acne-scar treatment information for general session, recovery and cost ranges. Your consultation is where suitability and a personal plan are discussed.

Sources & further reading

Background reading from the American Academy of Dermatology. These general guides support understanding; your own care needs a doctor’s assessment.

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