Acne scars are the thing people most often assume can't be improved, and the thing that most often can — slowly. The acne is over. What is left is a change in the structure of the skin, and structure is rebuilt over months, not appointments.
Not all scars are the same scar
- Rolling scars — broad, soft-edged depressions. Often the most responsive.
- Boxcar scars — defined edges, flat base. Respond well to resurfacing and collagen stimulation.
- Icepick scars — narrow and deep. The most stubborn, and honest expectations matter most here.
- Pigment left behind — brown or red marks that are not true scars at all, and are treated differently.
Most people have a mix. The first job at consultation is to tell you which is which, because it changes the plan.
What we use, and why
RF microneedling on our Timeless Evolution creates controlled micro-channels while delivering radiofrequency heat into the dermis. That combination remodels collagen beneath the scar rather than just smoothing the surface. It is also safe across a broad range of skin types, which matters for anyone prone to pigment.
Pixel resurfacing on the Alma Harmony XL is a 2940 nm Er:YAG fractional laser. It removes columns of damaged surface skin and drives renewal from the edges. It is more direct on texture and carries more downtime.
Often the answer is both, sequenced across a season — which is exactly why the season matters.
The acne is over. What's left is structure, and structure is rebuilt over months, not appointments.Privé Aesthetics
Why autumn
Both treatments leave skin temporarily more sensitive to UV, and resurfacing in particular raises the risk of post-inflammatory pigmentation if the skin sees sun while it heals. Starting in September or October means the series runs through the lowest-UV months of the year.
A realistic plan is three to four RF microneedling sessions four to six weeks apart, sometimes with resurfacing layered in. Start now and the collagen response is still building into spring.
What to expect, honestly
Improvement, not erasure. Most people see a meaningful softening of depth and texture over a series, and the result continues to develop for months after the last session because collagen keeps remodelling. Icepick scars improve least. Anyone promising a single-session fix for scarring is describing something that does not exist.
Before we start
Active acne needs to be controlled first — treating scars over live breakouts spreads inflammation. Isotretinoin within the last six months is a pause, not a no. And anyone with a history of cold sores in the area gets antiviral cover arranged in advance.