Icon
15 Green Lane East, Remuera,  Auckland, New Zealand
Icon
Monday - Friday: 7:30 am - 5:30 pm

Atrophic scars occur when the skin heals below its normal level, creating sunken or indented areas. This type of scarring is often the result of severe acne, chickenpox, or injury, and the severity can vary based on the depth and size of the scar. Common forms of atrophic scars include icepick, boxcar, and rolling scars, all of which can make the skin's surface uneven and affect self-esteem. Treatment for atrophic scars typically involves a combination of laser therapy, microneedling, and other skin resurfacing techniques to restore a smoother and more uniform skin texture.

The Science Behind It

Atrophic scars develop when the skin is unable to produce enough collagen during the wound healing process, resulting in sunken or depressed scars. They are most commonly seen after severe acne, chickenpox, or trauma. The three main types of atrophic scars are:

- Icepick scars, which are narrow and deep

- Boxcar scars, which are wider with sharp edges, and

- Rolling scars, which are more shallow and smooth.

Treatment focuses on restoring collagen production and resurfacing the skin to minimize the appearance of these scars.

About Left Image

What are the best lasers for this condtion

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.

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.

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.

While each treatment offers its own benefits, the most effective plan depends on your skin type and specific concerns. A consultation with our dermatology team at Scars & Lasers ensures a tailored approach that considers your overall skin health, treatment goals, and any potential risks.

Potential Treatment Protocols

Treatment Type
Number of Sessions
Procedure Time
Recovery
2 - 5 Sessions
10-30 Minutes
3 - 5 Days
3-6 sessions
10 - 20 Minutes
2 - 5 Days
2 - 5 Sessions
10 - 30 Minutes
3 - 5 Days
2-5 Sessions
10-30 Minutes
3 - 5 Days
FAQ

Frequently Asked Questions

How effective are laser treatments for atrophic acne scars?

Laser treatments are highly effective, with many patients seeing significant improvements in the texture and appearance of their scars. The results depend on the scar type, laser used, and number of sessions.

Which laser is best for treating atrophic scars?

The selection of laser treatment is based on factors such as skin type, severity of the lesion, and the patient’s available downtime for recovery.

How many sessions will I need to see results?

Most patients need 3–6 sessions spaced several weeks apart for optimal results. Your dermatologist will create a customised treatment plan based on your specific needs.

What is the recovery time after laser treatment?

Recovery time varies by laser type. Non-ablative lasers usually have minimal downtime (1–3 days of redness or swelling), while ablative lasers may require up to a week or more for healing.

Are there any risks or side effects?

Side effects are typically mild and include redness, swelling, and temporary discoloration. Rarely, pigmentation changes or scarring can occur, but these risks are minimized with proper care.