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15 Green Lane East, Remuera,  Auckland, New Zealand
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Monday - Friday: 7:45 am - 5:00 pm

Acne scarring can present as depressions, tethered scars, or raised scars. Effective treatment requires accurate scar classification and staged intervention.

We treat:

  • Ice-pick acne scars - Deep, narrow vertical tracts.
  • Rolling acne scars - Broad depressions caused by dermal tethering.
  • Boxcar acne scars - Defined depressions with sharp edges.
  • Hypertrophic acne scars - Raised scars due to excess collagen.
  • Post-inflammatory pigmentation
Acne Scar Subtypes - Scars & Lasers 2026

The Science Behind It

Deep acne inflammation disrupts the dermal collagen matrix. During healing, the skin may:

  • Produce insufficient collagen → atrophic (depressed) scars
  • Produce excess collagen → hypertrophic scars
  • Leave persistent pigment change

Correctly identifying scar subtype and depth is essential for optimal outcomes.

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Expert Assessment Matters

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

Acne scar revision is a medical reconstruction process.

Assessment includes:

  • Scar subtype and depth
  • Dermal thickness
  • Skin phototype
  • Active acne control
  • Previous procedures
  • Downtime tolerance

Many patients require combination therapy for meaningful improvement.

Treatment at a glance

Treatment Type
Number of Sessions
Procedure Time
Typical Recovery
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
FAQs

Frequently Asked Questions

What causes acne scars?

Acne scars form when deeper inflammation damages collagen in the skin. This is more common with cystic or nodular acne, picking or squeezing spots, or when acne is untreated for long periods.
Scars may be depressed (ice-pick, boxcar, rolling) or raised (hypertrophic or keloid), and each type requires different treatment. Genetics and skin type also influence how someone scars.

What treatment options are available for acne scarring?

We offer a full range of dermatologist-led treatments, including:

  • Fractional resurfacing lasers (UltraClear, Alma Hybrid, Fraxel)
  • Picosecond laser (PicoWay)
  • Subcision for tethered scars
  • Radiofrequency microneedling
  • TCA CROSS for deep ice-pick scars
  • Surgical punch removal
  • Dermal fillers and biostimulators (Profhilo, Rejuran, Jalupro)
  • Steroid or 5-FU injections for raised scars
    Most patients need a combination approach for optimal results.

How many treatments will I need and when will I see results?

Most patients require 3–6 sessions, spaced 4–8 weeks apart.
Collagen remodelling continues for 3–6 months after treatments, so improvements accumulate gradually.
While scars cannot be completely removed, most patients see 30–70% improvement depending on scar type and severity.

Are acne scar treatments safe for all skin types?

Yes. With our broad suite of devices, we safely treat all Fitzpatrick skin types, including darker skin tones.
Picosecond lasers and RF microneedling are excellent options for deeper skin types, while fractional lasers can be used with specialist settings.
A dermatologist-led assessment ensures the safest and most effective treatment while minimising risks such as pigmentation.

What is the downtime and discomfort like?

Discomfort is usually mild and managed with topical or local anaesthetic.
Downtime depends on the treatment:

  • PicoWay laser: minimal redness
  • RF microneedling: 1–3 days
  • Fractional lasers: 3–7 days of redness and peeling
  • Subcision: possible bruising or swelling for 5–7 days
    Your dermatologist will tailor a plan to suit your skin, scar type, and lifestyle.

Why Choose Scars & Lasers Auckland?

  • Dermatologist-led acne scar expertise
  • Advanced fractional laser platforms
  • Combination-based structural protocols
  • Specialist laser and scar clinic environment

We focus on long-term dermal reconstruction, not temporary surface improvement.

Why do acne scar treatments matter?

Different scars require different mechanisms of action.

For example:

  • Subcision releases tethered rolling scars
  • Fractional laser (UltraClear®, Alma Hybrid®, Fraxel®) stimulates collagen remodelling
  • RF microneedling improves dermal density
  • Dermal fillers restore focal volume loss
  • Laser-assisted drug delivery enhances intradermal therapeutic penetration

Single-modality treatment often produces limited improvement. Combination therapy delivers superior long-term structural correction.

Important ACC & Treatment Disclaimer

ACC funding eligibility is determined by the Accident Compensation Corporation on a case-by-case basis. Approval is dependent on injury acceptance, clinical indication, and ACC policy at the time of application. Not all treatments offered at Scars & Lasers are ACC-funded. Private fees may apply for unfunded components of care.

Learn more about ACC Incidents