Acne Scars

The scarring and/or discoloration that can result from acne can be just as devastating as acne itself and many patients are not aware that there are numerous treatment options available to them. Even if acne is still present, speak with a board-certified dermatologist to customize the right treatment plan for your unique skin concerns.

Types of marks and scars that acne leaves behind

  • Post-inflammatory hyper-pigmentation
  • Boxcar scars
  • Rolling scars
  • Ice-pick scars
  • Hypertropic or raised acne scars

How to treat acne scars and hyperpigmentation

Chemical Peels improve skin texture and pigmentation issues by providing chemical exfoliation and increased cell turnover. Types of chemical peels can include many types of physician grade acid peels, as well as sophisticated bleaching peels.

Micro-needling, or SkinPen®, stimulates your skin’s natural collagen production through controlled, precise injury to the skin resulting in uniform repair.

The Fraxel Restore laser delivers microscopic laser columns to treat a fraction of the skin at a time without affecting the surrounding tissue. These laser columns stimulate the production of deeper levels of collagen, replacing damaged tissue to reveal healthy, youthful skin.

Vbeam laser is a pulsed dye laser that delivers an intense but gentle burst of thermal energy (heat) into selectively targeted areas of the skin. This energy is then absorbed by specific blood vessels or pigmented areas in the dermis depending on the condition being treated.  Once the thermal energy is absorbed the target is selectively destroyed.

There are a number of topical treatments that are effective in treating post-inflammatory hyper-pigmentation, or dark marks from acne. These include: prescription retinoids, topical hydroxy acids, as well as several types of prescription lightening agents.

Dermal fillers are excellent for volume loss caused by deeper acne scarring, as they provide immediate results by raising the depressed area of skin. The results can last between six months to two years and work best when combined with other acne scar treatments to achieve long-term results.

Surgical revision is an important tool in treating acne aftermath. The results depend on patient genetics, severity and location of the scars as well as patient healing. These techniques are highly patient- specific and can be used both in large areas as well as individual scars.

Localized injections are a mainstay of treatment for hypertrophic or raised acne scars. Corticosteroid injections reduce excessive scarring by reducing collagen synthesis, altering glucosaminoglycan synthesis, and reducing inflammation during wound healing. Results are highly effective when used in combination with Fraxel resurfacing and Vbeam laser treatments.

Learn more about acne scars here.


  • Advanced Dermatology addressed my pre-cancerous skin damage as discussed/advised and to my satisfaction. I really appreciate the thoughtfulness and care Dr. Ingraham takes to explain the condition, the solution, and the precaution measures I will need to take. I always feel I'm in expert hands here as a result. Advanced honors my appointments as scheduled and the staff always seem to appreciate my business. I highly recommend these guys.” 

    Joe S. Advanced Dermatology Patient
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    Jenbackupca Advanced Dermatology Patient
  • I will never go to any other dermatologist! Dr. Duncan has taken care of me for about seven years now, and she is an incredible doctor. The best thing about her is that she is an expert on making you look refreshed and younger without any signs that you have had anything done. I get Botox and filler from Dr. Duncan, and no one can believe that I am 44, or for that matter that I have had any work done. Subtlety is her specialty! [She has] a keen eye for assessing your particular needs, without pushing unnecessary treatments or products. Advanced Dermatology takes pride in their work and it shows!” 

    P.B. Advanced Dermatology Patient




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