Treating Acne Scars: Which Methods Really Work

Acne can heal—but the scars often remain. Acne scars form when inflammation in the skin damages deeper tissue. Many people affected by acne want a more even complexion and wonder: Which treatment really works? Modern dermatological procedures now offer several effective options—the key is choosing the right one based on the type of scar.

Inflammatory acne can lead to impaired wound healing. The body produces either too little or too much collagen, resulting in depressed (atrophic) scars or, less commonly, raised (hypertrophic/keloid) scars. Common types include:

• Ice-pick scars (deep and narrow)
• Boxcar scars (wide, with distinct edges)
• Rolled grain (wavy, flatter)

Accurate diagnosis is crucial for treatment.

There is no single “one-size-fits-all” solution. Effective treatments often combine several methods to improve the texture, depth, and color of scars.

Laser therapy

Fractional lasers can promote skin renewal and stimulate collagen production. The goal is to achieve a smoother skin texture and a visible reduction in scar depth. They are particularly effective for atrophic scars.

Microneedling (Dermapen)

The fine needles used in microneedling create controlled micro-injuries that stimulate collagen production. The procedure is minimally invasive and can gradually improve skin texture. Multiple sessions are often required.

Chemical peels

Medical peels (e.g., those containing fruit acids or TCA) remove the outer layers of skin and promote regeneration. They are particularly effective for superficial scars and pigmentation changes.

PRP (plasma therapy)

In PRP therapy, the body’s own plasma is injected into the skin to support regenerative processes. PRP is often combined with microneedling.

Filler (hyaluronic acid)

In certain cases, hyaluronic acid fillers can be used to lift sunken areas and instantly smooth the skin’s appearance.

The choice depends on several factors:

• Scar type and depth
• Skin type and sensitivity
• existing pigmentation disorders
• individual expectations

In practice, combination therapy is often recommended to achieve the best possible results.

Acne scars can usually be improved gradually. Depending on the method, several treatments spaced a few weeks apart may be necessary. Initial improvements are often visible early on, but the full effect develops over several months.

It is important to have realistic expectations: In most cases, acne scars can be significantly improved, but rarely completely removed. The goal is visibly smoother, more even skin.

At JUVENIS in Vienna, a thorough skin analysis is performed before every treatment. Based on the individual scar pattern, a customized treatment plan is developed—often combining laser therapy, microneedling, chemical peels, or other procedures.

Acne scars are not something you simply have to accept. With modern dermatological methods, the appearance of the skin can be specifically improved. Early diagnosis and choosing the right treatment are key.

A personal consultation with experienced dermatologists is the first step toward visibly smoother skin.

You can find more information on our website here: Treating acne scars

Contact us, we will be happy to inform you!