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Acne Scars

Acne Scars

A closer look at what breakouts leave behind.

Three-quarter portrait of a woman in a charcoal top, with subtle cheek texture in warm light.

After acne heals, you may notice lasting dips, uneven texture or raised areas. These changes are different from flat marks of color. Understanding the type of scar is the starting point for a useful treatment conversation.

Understanding the concern

Understanding acne scars.

Not every mark after a breakout is a scar, and not every scar needs the same approach.
What you may notice
Shallow dips across the cheeks
Narrow pits left after breakouts
Texture that catches the light unevenly
Raised areas where acne has healed
What is realistic

Inflammation during acne

Deeper inflammation can damage tissue and contribute to scarring.

How the skin heals

Differences in collagen repair can leave depressions or raised areas.

Picking and squeezing

Repeated injury to breakouts can increase the risk of scars.

Individual susceptibility

Some people are more prone to scarring, including those with a family history.
What to know

A closer look.

Flat marks can involve color

A flat red or brown mark differs from an indentation or raised scar. If color is your main concern, begin with uneven tone.

Scar type guides the discussion

Shallow depressions, deep pits and raised scars are different. A dermatologist may recommend approaches beyond the treatments on our menu.
Options to explore

Treatments to discuss.

Needling procedures may be discussed for selected depressed acne scars after assessment of scar type, skin history and ongoing acne.
Raised scars and active inflammatory acne need a different assessment from healed, depressed scars.
Before you choose

Realistic expectations.

The aim is a realistic improvement in scar appearance. Discuss the aspects that may respond and those that may remain.
What is realistic

Improvement is individual

Scar depth, pattern and skin history affect the options. No procedure should promise to erase every scar.

Progress takes time

Ask when to review change and how future sessions would be decided, rather than assuming a fixed package.

Recovery belongs in the plan

Discuss aftercare, pigment changes and procedural risks alongside the improvement you hope to see.
Worth knowing before a consultation
Explain whether you still have active breakouts.
Mention raised scars or a history of unusual healing.
Share current acne medication and previous scar treatments.
Ask about device choice, provider training and recovery.
RF microneedling can cause serious complications, including burns, scarring, fat loss and nerve damage. Review its risks with an appropriately qualified healthcare provider.
Other concerns
Start with a conversation

You don’t have to choose a treatment on your own.

Tell us about the texture left after your breakouts. Explore the next step with Mirror Esthetics in Winston-Salem.
Common questions

About scars and next steps.

Something else on your mind?

Some color changes fade, but established changes in skin structure often persist. Separate fading marks from lasting indentations when deciding what you would like assessed.

Mention active acne before booking. Controlling ongoing breakouts may need to come first, particularly when lesions are inflamed or painful. A dermatologist can guide that part of your care.

No. Selected depressed scars may be considered, while raised scars or deeper patterns can need different approaches. Discuss scar type, healing history and risks before choosing Microneedling.

It adds radiofrequency energy and has a different risk profile. Serious complications have been reported. Read about RF Microneedling + LED and discuss the specific device and provider qualifications before considering it.