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Acne scars — treated by type, not by trend

Rolling, boxcar and icepick scars respond to completely different things. Matching the treatment to the scar is the whole difference between visible improvement and money spent.

Acne Scar Treatment — doctor-administered at the hospital

Acne scarring is a change in the structure of the skin, not a mark on its surface. That is why creams do not fix it: the collagen underneath has either been lost, leaving a depression, or laid down as a tethering band that pulls the surface down.

The first job is to identify what kind of scars you actually have. Rolling scars — broad, shallow, wavy — are usually tethered from below and respond best to subcision releasing them. Boxcar scars, with sharp edges, respond to resurfacing. Icepick scars, narrow and deep, often need a focused approach of their own. Most people have a mixture, which is why a single treatment rarely handles everything.

The realistic goal is substantial improvement across several sessions, not erasure. Anyone promising perfectly smooth skin in one sitting is selling something.

Dermatology at this hospital is self-pay. We do not have an insurance facility for skin — neither for aesthetic treatment, which no Indian health policy covers, nor for medical dermatology consultations and courses.

Suitability

First, an honest starting point

Scar treatment works best when active acne is under control — otherwise new scars form as fast as old ones improve. If your acne is still active, that gets treated first.

  • Rolling scars — broad, shallow depressions with soft edges
  • Boxcar scars — sharply defined, crater-like depressions
  • Icepick scars — narrow, deep, pitted
  • Post-inflammatory pigmentation — dark marks rather than true scars, which improve far more easily
  • Raised or keloid scarring, which needs a different approach again

The process

The treatments, and what each is for

  1. Assessment and scar mapping

    Which scar types you have, where, and in what proportion. This determines the combination and the realistic number of sessions.

  2. Subcision

    For tethered rolling scars. A fine instrument releases the fibrous bands pulling the skin down, letting the surface lift. Bruising for several days afterwards.

  3. Microneedling with radiofrequency or PRP

    Typically 4–6 sessions, a month apart

    Controlled micro-injury triggers new collagen to fill the depression. The workhorse of scar treatment, with modest downtime — redness for a day or two.

  4. Fractional laser resurfacing

    For boxcar scars and overall texture. More downtime than microneedling and requires careful settings on Indian skin to avoid post-inflammatory pigmentation.

  5. Review and adjust

    Collagen remodelling continues for months after a session. Results are assessed on photographs at set intervals, not by eye in the mirror.

Aftercare

Between sessions

  • Strict daily sunscreen — sun exposure after resurfacing causes pigmentation
  • No active acids or retinoids for the days either side of a session
  • Expect redness for one to three days after microneedling, longer after laser
  • Bruising for up to a week after subcision — plan around events
  • Photographs at each visit; month-to-month change is easy to miss otherwise

Next step

Ask about acne scars

Two taps and your message is written. Dr. Neha's team replies with a time — in English, ગુજરાતી, हिन्दी or मराठी.

  • No form to fill in and no call centre — the message goes to the hospital.
  • Ask a price or check your insurance without committing to a date.
  • Answered by Dr. Neha's own team, who can see your history.

Book in three taps

Tell us what it's about and we'll reply with a time.

1What is it about?

Pick what it's about and we'll write the message for you.

Questions

What people ask us

In English and ગુજરાતી, because the decision gets made in whichever one you think in.

How many sessions will I need?

Typically four to six for microneedling-based treatment, spaced a month apart, often combined with subcision for tethered scars. You will be given a realistic number after your scars are assessed, not before.

Will my scars disappear completely?

No, and you should be sceptical of anyone who says otherwise. Substantial improvement is achievable — commonly a large reduction in depth and visibility. Complete erasure is not.

Is it painful?

Numbing cream is applied beforehand, which makes microneedling and subcision quite tolerable. There is soreness afterwards, similar to sunburn, for a day or so.

Can I treat scars while I still have acne?

Active acne is brought under control first. Treating scars while new lesions are forming means treating a moving target, and some scar procedures are unsafe over inflamed skin.

Results & reviews

Acne Scar Treatment at Eye & Skin Plus

Dr. Neha Shukla holds 4.8 across 1,163Google reviews. Treatment-specific patient stories for this page are being recorded with patients' written consent — see patient stories.

Dr. Neha Shukla, dermatologist

Skin care

Dr. Neha Shukla

MD (Gold Medalist) · Dermatologist

Medical dermatology and doctor-led aesthetic treatment — acne, hair fall and pigmentation treated as medical problems, not packages.

4.81,163 Google reviews

Ask about acne scars

Send us a message describing what you would like treated. Dr. Neha's team will tell you what is realistic, and what it costs.

Near Atria Mall, Sargasan Circle, Gandhinagar · Replies in English, ગુજરાતી, हिन्दी or मराठी

Call 096015 65327, message us on WhatsApp, or get directions to Near Atria Mall, Sargasan Circle.