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Acne Scar Treatment

Skin needling, Subcision, Fillers, TCA & Laser Acne Scar Treatment

The goal of acne scar treatment is to smooth and refresh your skin. Although perfect smoothness can never be achieved, multiple treatment modalities help to achieve improved skin texture, quality and feel.

We offer lasers, TCA cross, subcision, dermal filler, RF Microneedling, and skin needling for acne scarring at Pearl Clinic.  Often, multiple treatments of each are required. Therefore, a free consultation with our doctors or laser therapists is recommended to develop a customised acne scar treatment plan.

Overview of Acne Scar Treatment:

The rule for treating acne scars is to start with the deepest scars and progressively treat them to the most superficial. For example, icepick scars are the deepest, followed by tethered, atrophic, boxcar, and rolling scars.

TCA cross, subcision or other surgical means release tethered and ice-pick scars. Dermal fillers can then be used for atrophic scars before adding radiofrequency microneedling with Secret RF, lasers and perhaps skin needling. The course of your treatment depends on the type and depth of your acne scarring.

  1. TCA cross is used for deep icepick scars. TCA cross is a highly concentrated (70-100% TCA concentration) peel.
  2. Subcision manually releases tethered deep acne scars.
  3. Dermal Filler for atrophic scars.  The most versatile acne scar treatment and is often combined with subcision.
  4. Secret RF and Infini radiofrequency microneedling combine radiofrequency and skin needling. RF microneedling is safe for all skin types and effective for improving acne scars and collagen production.
  5. Fractional CO2 laser resurfacing for lighter skin types, Erbium or Picosure laser for skin of colour.
  6. Skin needling is a well-established treatment for acne scarring, but there are many other more effective options.

Treatments for Acne Scars

TCA Cross for Acne Scar Treatment

The TCA cross solution is applied with a toothpick or fine needle. It is used for deep dermal ice pick scars and can also treat pitted scars and enlarged pores. Healing takes 4-5 days, and collagen replenishment takes weeks to months. Therefore, three and sometimes more treatments are usually required.

Subcision & TCA Cross for Acne Scars

Subcision involves inserting a needle under the skin and breaking the scar’s bonds.  Once the scar tether is released, the subcision raises the surface instantly. Subcision and TCA cross are common treatment combinations, as is subcision and dermal filler. In addition, Acne Scars can be surgically removed in some cases.

Acne Scar Filler

Combined with subcision, dermal fillers are excellent for treating atrophic, rolling, and tethered lesions. Subcision raises the scar, and then dermal fillers are used to plump and smooth the skin. There is no downtime with these combined treatments, except for bruising and swelling after the treatment.

Secret RF & Infini – RF microneedling for Acne Scar Treatment

RF microneedling uses radiofrequency energy introduced under the skin by tiny needles. The heat from the radiofrequency breaks down scar collagen and stimulates fibroblasts to produce healthy collagen to plump up the skin and repair scarred areas.

Laser for Acne Scar Treatment

  • Laser and RF Microneedling are commonly used in combination to treat acne scarring.
  • Erbium, CO2 and Pico lasers are used to treat acne scars.
  • The Erbium laser is fully ablative and treats boxcar scarring well.
  • Fractional CO2 improves skin texture. In addition, CO2 laser penetrates deeper than Erbium.
  • Picolasers have revolutionised acne scar treatments for dark skin.
  • Other lasers perform better than the Fraxel 1550 acne scar laser.
  • The best laser for acne scarring is not really a laser but RF microneedling, such as the Infini or Secret RF. All skin types can use these technologies.


At Pearl Medispa, we offer a range of treatments for acne scarring. Acne scar treatment includes TCA cross, subcision, fillers, RF Microneedling, lasers and skin needling. A free consultation with our doctors or laser therapists is recommended to develop a customised acne scar plan.

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*Results are individual

*Results are individual

*Results are individual

*Results are individual

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* MEDICAL DISCLAIMER: Results of treatments vary from person to person. The information on this website is not intended to be a substitute for professional medical advice. All content and information contained or available through this website are for general information and educational purposes only.  The information, including products, services and treatments discussed, are not meant to diagnose, treat, cure or prevent any condition or disease. Statements on this website are not a substitute for consulting a registered Medical Professional or Physician.