Acne scars develop due to different processes occurring within the skin. Depressed scars, for example, occur due to collagen loss from deep inflammation. Below are the different types of acne scars that we commonly treat at The Karma Clinic.
Types of Acne Scarring
- Ice Pick Scars
- Deep, narrow pits (usually less than 2mm across).
- Extend into the skin, giving the appearance of small puncture marks.
- Boxcar Scars
- Angular scars with sharp vertical edges.
- May be shallow or deep.
- Most commonly found on the cheeks and temples.
- Rolling Scars
- Caused by damage beneath the skin's surface.
- Give the skin a wave-like appearance.
- Tend to be wide and shallow.
Treatment Options for Acne & Acne Scarring
At The Karma Clinic, we offer a combination approach to treating acne and scarring, ensuring maximum skin rejuvenation and long-lasting improvements.
SkinPen Microneedling
How does SkinPen Microneedling help with acne scarring?
Microneedling creates a controlled injury in the skin using ultra-fine needles, triggering the body's natural healing response. This process stimulates collagen and elastin production, effectively reducing acne scars by filling in depressions and improving overall skin texture.
Benefits of SkinPen Microneedling:
- Breaks down scar tissue and encourages new collagen production.
- Stimulates skin regeneration, improving texture and tone.
- Reduces red, purple, and brown discolouration caused by acne scars.
- Enhances blood circulation, speeding up skin recovery.
- Minimally invasive with little downtime.
Topical Skincare for Acne & Scarring
How can medical-grade skincare improve acne scars?
Using medical-grade retinols and active ingredients can help to resurface the skin, fade pigmentation, and improve overall texture. These treatments stimulate cell turnover, making scars appear less prominent over time.
AlumierMD & ZO Skin Health products for acne-prone skin:
- Retinol-based serums: Boost cell renewal and reduce pigmentation.
- Exfoliating acids (such as glycolic and salicylic acid): Remove dead skin cells and clear blocked pores.
- Hydroquinone-free brightening products: Target hyperpigmentation and scarring.
- Antibacterial cleansers: Reduce acne-causing bacteria and prevent further breakouts.
Scar Subcision & Dermal Fillers
How does subcision and filler help with acne scarring?
Subcision is a procedure designed to release scar tissue that has tethered to deeper layers of skin, which is what causes certain scars to appear indented or pitted. This is done using a fine cannula or needle to sever the tethering fibres, allowing the skin to lift and smooth out naturally.
Following subcision, soft dermal fillers can be used to further plump out depressions left by acne scars, providing immediate improvement to skin texture.
Benefits of subcision & dermal fillers:
- Releases tethered scar tissue, allowing skin to heal naturally.
- Lifts deep scars, reducing the appearance of indentations.
- Enhances skin smoothness, giving a more even complexion.
- Long-lasting improvements with minimal downtime.
Additional Acne Treatments at The Karma Clinic
Depending on your skin type and severity of acne scarring, we may also recommend:
- IPL (Intense Pulsed Light) Therapy – Targets redness and pigmentation left by acne.
- AlumierMD Skin Peels – Helps exfoliate dead skin, reduce oil production, and fade scars.
- WOW Facial – Deeply hydrates and revitalises acne-prone skin.
- DermaLux LED Light Therapy – Kills acne-causing bacteria and accelerates healing.
Case Study: Acne Scarring Transformation
A client attended The Karma Clinic seeking improvement in deep acne scarring. His customised treatment plan included:
- A course of 6 SkinPen Microneedling sessions with Calecim Advanced.
- Two sessions of scar subcision to release tethered scars.
- One treatment of dermal filler to lift deep depressions.
Results: A significant reduction in scarring, smoother skin texture, and an overall improvement in skin confidence.
Frequently Asked Questions
We treat rolling, boxcar, and post-inflammatory pigmentation scars with targeted procedures like SkinPen microneedling and chemical peels.
This depends on the severity of the scarring. A course of 3–6 treatments is usually recommended.
While scars may not vanish entirely, their appearance can be significantly reduced, improving overall skin tone and texture.
Book Your Acne Consultation Today
If acne or acne scarring is affecting your confidence, we’re here to help. The Karma Clinic offers expert-led, results-driven treatments to help you achieve clearer, healthier skin.
Book your consultation today to receive a personalised treatment plan tailored to your specific skin concerns.

