♦ Subcision

Subcision is a technique that uses specialized instruments to release fibrous bands beneath the skin that pull the scarred area downward.

This technique may be considered for scars associated with fibrous tethering, particularly certain types of rolling scars.

Suitable for all types of pitted scars, particularly rolling scars and shallow-to-moderate boxcar scars. Often combined with Fractional CO2 laser, RF, or mesotherapy to optimize results.

♦ Fractional CO₂ Laser

Fractional CO₂ Laser uses laser energy to create controlled microthermal treatment zones in the skin, supporting tissue remodeling and gradual improvement in skin texture.

This treatment may be considered for certain types of atrophic acne scars, depending on the characteristics of the scars, the skin condition, and the individual’s healing capacity.

Learn more about Fractional CO₂ Laser >

♦ RF Microneedling

RF Microneedling combines microneedling with radiofrequency energy to target skin tissue, helping improve skin texture and the uneven appearance of scars in suitable cases.

Treatment settings and indications should be individualized according to the patient’s skin condition.

♦ TCA Peel / TCA CROSS

TCA treatment uses trichloroacetic acid at appropriate concentrations and with specific application techniques according to the treatment objective.

TCA CROSS is a focal application technique that may be considered for certain types of ice pick scars. It differs from a broader-area TCA chemical peel. The appropriate technique should therefore be determined as part of each patient’s treatment plan.

♦ Mesotherapy

Mesotherapy for atrophic acne scars involves microinjections to deliver selected active ingredients into the dermis, with the aim of supporting skin regeneration, collagen production, and tissue repair. Depending on the substances used and the treatment protocol, the intended goals may include improving skin texture and supporting the skin’s natural renewal process.

Key Active Ingredients Used in Mesotherapy for Acne Scars

• Exosomes: These extracellular vesicles carry biological signaling molecules, which may include proteins, RNA, and other cellular components. Their potential role in skin regeneration and collagen production remains an area of ongoing research.
• Hyaluronic Acid (HA): Helps hydrate the skin and may provide temporary volume support, depending on the formulation and injection technique.
• Platelet-Rich Plasma (PRP): Prepared from the patient’s own blood through centrifugation, PRP contains a concentrated amount of platelets and may support the wound-healing process and tissue repair.
• Rejuran: Rejuran is a bioregenerative product containing 20 mg/mL of polynucleotides derived from salmon DNA. It stimulates tissue regeneration at the base of scars, restores the dermal foundation, and improves skin thickness and elasticity.