Complete Guide to Acne Scar Revision: Chemical Peels, Subcision & Lasers

Acne scarring is one of the most common reasons patients visit Dr. Vivek Clinic. When severe inflammatory acne causes tissue destruction, the healing response may result in either a loss of collagen (atrophic scars) or excess collagen formation (hypertrophic scars). ### Types of Acne Scars 1. **Ice-pick scars**: Deep, narrow pits that extend into the dermis. 2. **Boxcar scars**: Broad, sharply defined depressions with steep vertical edges. 3. **Rolling scars**: Wave-like undulations caused by fibrous bands anchoring the skin to deeper subcutaneous tissue. ### Evidence-Based Treatment Modalities - **Fractional CO2 Laser**: Micro-thermal treatment zones stimulate new collagen remodeling. - **Subcision**: Releases underlying fibrous tethers beneath rolling scars. - **Medical Chemical Peels**: TCA CROSS or glycolic acid peels target localized depth. - **Platelet-Rich Plasma (PRP)**: Accelerates wound healing and promotes dermal regeneration. Schedule a consultation with our board-certified dermatologists for a personalized scar revision roadmap.