Acne Scars

Smooth pitted depressions, uneven skin texture, and old acne marks by rebuilding natural collagen.

Clinical Perspective

Concerns are simply starting points for conversation. This page is designed to inform, not to diagnose. Every individual presentation is unique.

Doctor-Led Assessment Always
Understanding

Understanding Acne Scars & How Skin Heals.

Acne scars form when deep, inflamed pimples or cysts damage the deeper layers of your skin. When the body tries to heal that injured area, it may produce too little collagen, leaving behind small dips, pits, or uneven hollows on the skin’s surface.

Unlike surface dark spots (which naturally fade over time), true pitted acne scars sit deep in the skin and cannot be erased by creams or serums alone. At 22 Luna, we use advanced collagen-boosting treatments like RF microneedling, laser resurfacing, and natural growth factor therapy to gently lift indented areas and restore smooth, uniform skin texture.

Prevalence & Context

About 1 in 3 people who have had moderate or severe inflammatory acne develop some level of textural scarring.

Observation

Signs you may notice.

What people often experience when navigating this concern.

01Small, sharp pits (ice-pick scars) on your cheeks and temples
02Broad, shallow dips (rolling scars) that make skin look wavy under side lighting
03Square-edged, boxy indentations (boxcar scars) left by old blemishes
04Makeup or foundation settling into tiny hollows rather than gliding on smoothly
05Dark or reddish discoloration lingering over textured scars
Contributing Factors

Possible causes.

Concerns typically stem from a combination of internal and external factors.

01

Deep Inflammation from Cysts

Severe blemishes damage collagen and elastic fibers deep beneath the surface of the skin.

02

Loss of Collagen During Healing

If the body does not create enough new collagen to fill the wound, an indented scar is left behind.

03

Squeezing or Picking Pimples

Popping blemishes tears delicate skin tissue and forces infection deeper, increasing scar risk.

04

Delayed Treatment of Breakouts

Leaving painful acne untreated for months allows inflammation to break down deeper skin support.

Professional Guidance

When should you seek advice?

Consultation is not about emergency; it is about replacing guesswork with an unhurried medical perspective.

When uneven pits and indentations stay visible long after active pimples have cleared
When over-the-counter retinol, oils, and creams fail to smooth out your skin texture
When you want a doctor to map your scar types and design a treatment plan that actually works
Before trying harsh home rolling tools that can cause skin infections and further damage
Solution Pathways

Possible treatment options.

These procedures represent clinical pathways often recommended for this concern. During your consultation, we evaluate which single option or combined protocol is most appropriate for your skin biology.

Micro-Needling / Advanced RF

Tiny gold-tipped micro-pins deliver gentle radiofrequency heat into the skin to break up stiff scar bands and stimulate fresh collagen.

Skin Resurfacing

Precision laser peeling that smooths rough scar edges and evens out surface texture.

PRP (Platelet-Rich Plasma)

Using your body’s own natural growth factors to accelerate skin repair and promote healthy, plump tissue.

Chemical Peels

Targeted medical peels to smooth superficial roughness and fade stubborn post-acne dark marks.

Daily Habits

Prevention & daily care.

Simple, effective habits that support barrier resilience and maintain clinical progress.

01

Treat active acne early with doctor guidance so deep, scar-causing cysts do not form

02

Resist the urge to pick, squeeze, or scratch pimples and scabs

03

Wear daily sunscreen (SPF 50) so healing scars do not darken under the sun

04

Keep your skin well moisturized with soothing, barrier-repairing ingredients like ceramides and hyaluronic acid

Common Questions

Frequently Asked Questions

Direct, transparent answers regarding acne scars.

Can pitted acne scars be completely removed?

While completely erasing severe scars is difficult, modern combination treatments (like RF microneedling and laser resurfacing) can achieve a 60% to 85%+ improvement, making scars significantly shallower and skin much smoother.

How many sessions are usually needed for acne scar revision?

Is there a long recovery time after scar treatments?

Begin With Understanding

Smooth out acne scars and rebuild confidence.

Schedule your comprehensive scar assessment with Dr. Niharika at 22 Luna.

Book Consultation

No pressure. No rigid packages. Just an unhurried, honest assessment.