Cosmetic Dermatology
Acne scarring: combining treatments, honestly.
Acne scars are not all the same, and no single device treats all of them. Real improvement usually comes from identifying your scar types and combining the right treatments in the right order.
Candidacy
What it’s good for
- Rolling and boxcar scars
- Icepick scars, in combination approaches
- Textural irregularity across the cheeks and temples
- Post-inflammatory redness and dark marks
- Scarring on the back and chest in selected cases
How it works
The mechanism, plainly
Tethered scars are released with subcision. Depressed scars are remodeled with fractional laser resurfacing or microneedling. Selected scars are elevated with filler or biostimulator. Discoloration is addressed with topical treatment and light-based therapy.
Active acne is controlled first, because treating scars while acne is flaring wastes effort and money.
A plan generally runs across several months, with staged treatments and realistic checkpoints.
The visit
What to expect in the room
- A dedicated cosmetic consultation ($150) to map scar types and build a staged plan.
- Individual treatments follow the protocol for whichever modality is used that day.
- Photographs help track progress, since improvement is gradual.
Recovery
Downtime and aftercare
- Varies by modality, from a day of redness to about a week for resurfacing
- Bruising after subcision is common and expected
- Sun protection is essential throughout
Honest expectations
What this treatment will not do
Scar treatment improves scarring; it does not erase it. A reasonable expectation for a well-planned course is meaningful, visible improvement — not perfectly smooth skin. Dr. Gaul will tell you what she believes is achievable before you commit to a plan, and individual results vary.
Cosmetic treatments are not covered by insurance. Payment is due at the time of booking, and a cosmetic consultation is $150. Pricing is subject to change, and a consultation may be required before treatment.
This page is general education and is not medical advice, diagnosis or treatment, and it does not create a physician–patient relationship. Individual circumstances differ; please discuss your own skin with a qualified clinician. If you are having a medical emergency, call 911.
Questions
Frequently asked
That depends on your scar types and how many treatments you complete. We will discuss a specific expectation for your skin at consultation rather than quoting a percentage.
Acne scar treatment is considered cosmetic and is not covered. Treating active acne is a medical service and generally is.
Start with a consultation.
Whether something has changed, something has been bothering you for years, or you simply want expert guidance on keeping your skin healthy, we’re here to help.