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Skin Concerns · Acne Scarring

Acne scar treatment
for every skin tone.

Icepick, boxcar and rolling scars form when acne destroys collagen as the skin heals. Resurfacing and collagen-stimulating treatments rebuild skin texture over time — with protocols calibrated for melanin-rich skin.

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I–VI
Fitzpatrick types treated
3–4
Sessions in an RF series
2–3
Days of social downtime (RF)
Know Your Scars

Every scar type
needs a different approach.

Acne scarring is not one condition. The type, depth and spread of your scars decide which treatment — or combination — will work.

Rolling Scars
Wide, wave-like depressions caused by fibrous bands that tether the skin down. Collagen remodeling loosens the bands and lifts the base of the scar over several sessions.
Boxcar Scars
Broad depressions with sharp edges and a flat base. Resurfacing improves texture and lifts the scar floor; deep, steep-walled boxcars may need a combination approach.
Icepick Scars
Narrow, deep channels. They respond less predictably to resurfacing alone and usually need targeted techniques alongside it — your provider maps out the right combination.
Dark Marks (PIH)
Flat brown or dark marks after breakouts are not true scars — they are post-inflammatory hyperpigmentation, very common on deeper skin tones. They are treated with pigment protocols, not resurfacing.
Hyperpigmentation treatment →

Raised (hypertrophic or keloid) scars are a different problem — too much collagen rather than too little — and are more common in Fitzpatrick IV–VI. They need their own protocol.

Melanin-Safe Protocols

Why deeper skin tones
need a different approach.

Acne and its scars are especially common in melanin-rich skin — and so is post-inflammatory darkening. Ablative lasers, aggressive peels and unmodified protocols built for lighter skin can leave new dark or light patches. Deeper skin tones can absolutely be treated; the standard of care just has to be higher.

  • ✦Sublative RF works beneath the surface and is not absorbed by melanin — safe across all Fitzpatrick types
  • ✦Microneedling is mechanical, not light-based, so its risk of darkening is far lower than laser or IPL
  • ✦Conservative energy settings and longer intervals between sessions
  • ✦Your skin's pigment response is checked at every visit
How We Treat It

Your treatment options.
Your personalized plan.

Every plan is customized at your consultation — often a combination of in-clinic treatments and home care, matched to your skin type and goals.

Sublative RF
Fractional radiofrequency (eMatrix) delivers energy beneath the surface to remodel scar tissue in the deep dermis, where acne scars live. Best for rolling and boxcar scars; a typical series is 3–4 sessions, 4–6 weeks apart.
Microneedling
Collagen induction therapy: controlled micro-channels trigger the skin's own healing response and new collagen. Needle depth is set to the depth of your scars.
Microneedling + PRP
Platelet-rich plasma from your own blood is applied after microneedling, concentrating growth factors for a stronger collagen response. Well-studied for acne scars.
Microneedling + Exosomes
Stem-cell-derived exosomes applied through microneedled skin to boost collagen and repair — an option if you would rather skip a blood draw.
Laser Resurfacing
Fractional laser stimulates collagen and resurfaces texture, with conservative settings calibrated to your skin tone.
Hydro Body & Skin Treatment
PSRx signature deep exfoliation with zero downtime. Softens the look of scars and refines texture over 4–6 sessions.
What To Expect

From consultation
to lasting results.

01
Scar Assessment
We map your scar types, depth and distribution, confirm your Fitzpatrick type, and review your past treatments and results.
02
Clear Active Acne First
Breakouts are brought under control before scar treatment — microneedling is not done over active acne, and ongoing inflammation keeps creating new marks.
03
Treatment Series
Sessions are spaced weeks apart so collagen can rebuild between them. Many patients notice smoother texture 4–6 weeks after the first session.
04
Results Keep Building
The biggest change shows around 90 days after your final session, and collagen keeps maturing for up to 6 months.
Common Questions

Acne Scarring FAQ.

Can acne scars be completely removed?

For most people, complete removal is not a realistic outcome. Treatment produces significant, measurable improvement in scar depth, texture and pigmentation — the goal is meaningful, lasting improvement, and your provider sets clear expectations at your consultation.

What is the best acne scar treatment for dark skin?

Treatments that work beneath the surface or do not rely on light absorption carry the lowest risk of darkening. Sublative RF and microneedling are both safe across all Fitzpatrick types, while ablative lasers carry higher risk on deeper skin tones. Your provider matches the treatment to your scar type and skin.

How many sessions will I need?

A typical Sublative RF series is 3–4 sessions spaced 4–6 weeks apart. Microneedling and laser plans vary with the type and depth of your scars. Your provider gives you a realistic plan at your consultation.

Is there downtime?

After Sublative RF, expect pinkness and mild swelling for 24–48 hours and about 2–3 days of social downtime. Microneedling causes temporary redness and mild swelling. The Hydro Body & Skin treatment has zero downtime.

Are dark marks after acne the same as scars?

No. Flat dark marks are post-inflammatory hyperpigmentation — a pigment response, not a change in skin texture. They fade with pigment protocols and sun protection. Indented or raised marks are true scars.

Can I treat scars while I still have breakouts?

Active acne is treated first. Microneedling is not done over active breakouts, and ongoing inflammation keeps creating new marks. Once breakouts are under control, scar treatment can begin.

Keep Reading
What Is Sublative RF — and Why It Works on Acne Scars→Acne Scars on Melanin-Rich Skin: What Laser Can Do→How Microneedling Triggers Collagen Production→
Start with the
right diagnosis.

Book a consultation at our South Loop clinic, or take the 5-minute Skin Assessment and our clinical team will build your personalized skin summary.

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