The Best Med Spa Treatments for Acne Scars

Treatment Guide

The Best Med Spa Treatments
for Acne Scars

9 min read March 30, 2026 Splendid Skincare Team

Acne scars are one of the most common — and most frustrating — skin concerns we treat at Splendid Skincare & Brow Studio. Long after breakouts have cleared, the marks they leave behind can affect your confidence and how you feel about your skin every single day. The good news is that today's med spa technology offers several highly effective treatments that can dramatically reduce the appearance of acne scars — and in many cases, eliminate them entirely.

Understanding Acne Scar Types

Not all acne scars are the same, and understanding which type you're dealing with is the first step toward choosing the right treatment. Acne scars generally fall into four categories, each formed by a different mechanism and requiring a different approach to treatment.

Ice pick scars are narrow, deep, pitted scars that extend into the dermis. They look like the skin has been punctured with a sharp instrument and are among the most challenging scars to treat because of their depth. Boxcar scars are wider depressions with sharply defined edges — think of them as shallow craters with vertical walls. Rolling scars create a wave-like, undulating texture across the skin, caused by fibrous bands pulling the epidermis down from underneath. And post-inflammatory hyperpigmentation (PIH) — while technically not a true scar — leaves dark marks at the site of former breakouts that can persist for months or years without treatment.

Most people dealing with acne scarring have a combination of types, which is why a customized, multi-treatment approach is typically the most effective strategy.

Identify Your Scar Type

Tap each type to learn which treatments work best for it.

Ice Pick Scars
Narrow, deep pits that extend into the dermis. V-shaped and often the hardest to treat.
Boxcar Scars
Broad, rectangular depressions with sharp vertical edges. Shallow to medium depth.
Rolling Scars
Wave-like undulations caused by fibrous bands pulling skin downward from beneath.
Hyperpigmentation
Dark marks left behind after breakouts. Not true scars but equally persistent without treatment.
01

Microneedling: The Collagen Powerhouse

Microneedling is often the first-line treatment for acne scars, and for good reason — it addresses the root cause of most scarring by forcing the skin to rebuild itself from within. The treatment uses a device fitted with ultra-fine needles to create controlled micro-injuries in the scarred tissue, triggering a cascade of collagen and elastin production that literally fills in and smooths out depressed scars over time.

What makes microneedling especially effective for acne scars is its versatility. The needle depth can be precisely adjusted — shallower for surface-level texture issues and PIH, deeper for boxcar and rolling scars. At Splendid Skincare, we can also infuse targeted serums during the treatment — growth factors, hyaluronic acid, or vitamin C — that penetrate directly into the micro-channels and accelerate the healing and remodeling process.

Results develop gradually as new collagen forms, with most clients seeing significant improvement after 3 to 6 sessions spaced 4 weeks apart. The cumulative effect is skin that's visibly smoother, more even, and structurally stronger.

45–60
Minutes per session
3–6
Sessions for scars
2–4
Days downtime
02

Chemical Peels: Resurfacing from Within

Medical-grade chemical peels work by dissolving the outer layers of damaged skin to reveal healthier, smoother tissue beneath. For acne scars, the key is using peels with the right acid type and concentration — significantly stronger than anything available at a day spa or over the counter.

Superficial peels using glycolic or lactic acid are excellent for addressing PIH and mild surface texture. Medium-depth peels with TCA (trichloroacetic acid) penetrate deeper and are more effective for shallow boxcar scars and overall texture refinement. The acid breaks down the damaged scar tissue at a cellular level, and as your skin heals, it regenerates with smoother, more evenly pigmented tissue.

Peels work beautifully as part of a combination approach — they're often used to prep the skin before a microneedling series or as maintenance between laser sessions. The key is working with an experienced provider who can select the right peel type and strength for your specific scar pattern.

30–45
Minutes per session
4–8
Sessions for scars
1–7
Days downtime

Taking care of one's skin is not a luxury, it's essential. My skin looks better than ever.

— Lisa, Splendid Skincare Client
03

Laser Skin Rejuvenation: Precision Repair

Laser treatments represent the most advanced technology available for acne scar revision. Different laser types target different aspects of scarring — ablative lasers physically vaporize the top layers of scar tissue, while non-ablative lasers heat the deeper layers to stimulate collagen remodeling without breaking the skin's surface.

For acne scars, fractional lasers are particularly effective. These devices deliver energy in a grid pattern of microscopic columns, treating a fraction of the skin at a time while leaving surrounding tissue intact. This creates an intense healing response in the treated zones while the untreated areas serve as a healing reservoir — resulting in faster recovery and impressive results.

Laser is often the treatment of choice for deeper ice pick scars and stubborn boxcar scars that haven't responded adequately to other modalities. It's also exceptionally effective at evening out skin tone and correcting the pigmentation irregularities that often accompany acne scarring.

30–60
Minutes per session
3–5
Sessions for scars
3–7
Days downtime
04

LED Light Therapy: The Gentle Accelerator

LED light therapy won't single-handedly eliminate deep acne scars, but it plays a crucial supporting role in any scar treatment plan. Red and near-infrared wavelengths penetrate into the skin to stimulate cellular energy production, accelerate collagen synthesis, and reduce the inflammation that can slow healing between more intensive treatments.

Where LED really shines in acne scar care is in two areas: managing active acne alongside scar treatment (blue light kills acne-causing bacteria, preventing new scars from forming while you treat existing ones), and accelerating recovery between microneedling or laser sessions. Many of our clients add LED therapy to their treatment plan to enhance results and reduce downtime.

Pro Tip: LED therapy is the only treatment on this list with zero downtime, making it easy to add to any visit. We often recommend a course of LED sessions in between your primary scar treatments to keep collagen production elevated and healing on an accelerated track.
05

Combination Therapy: The Gold Standard

Here's what years of clinical experience have taught us: the most dramatic results in acne scar revision come not from any single treatment, but from a strategically designed combination approach. Different scar types respond to different modalities, and since most people have a mix of scar types, using multiple treatments in the right sequence delivers results that no single treatment can match on its own.

A typical combination protocol at Splendid Skincare might look something like this: a series of chemical peels to address surface texture and PIH first, followed by microneedling sessions to stimulate deep collagen remodeling, with targeted laser work for any remaining deep scars, and LED therapy woven throughout to boost healing and maintain momentum.

The specific combination, sequence, and timing is completely customized to your individual scar pattern, skin type, and goals. This is where the expertise of a med spa provider makes all the difference — we're not just applying treatments, we're designing a strategic roadmap to get your skin where you want it to be.

Treatment Effectiveness by Scar Type
How each treatment performs across different acne scar categories
Treatment
Ice Pick
Boxcar
Rolling
PIH
Microneedling
Good
Excellent
Excellent
Excellent
Chemical Peels
Limited
Good
Good
Excellent
Laser Rejuvenation
Excellent
Excellent
Excellent
Excellent
LED Therapy
Supporting
Supporting
Supporting
Good
Combination
Best
Best
Best
Best
Microneedling
Ice PickGood
BoxcarExcellent
RollingExcellent
PIHExcellent
Chemical Peels
Ice PickLimited
BoxcarGood
RollingGood
PIHExcellent
Laser Rejuvenation
Ice PickExcellent
BoxcarExcellent
RollingExcellent
PIHExcellent
LED Therapy
Ice PickSupporting
BoxcarSupporting
RollingSupporting
PIHGood
Combination Therapy
Ice PickBest
BoxcarBest
RollingBest
PIHBest

Your Healing Journey: What to Expect

Acne scar treatment is a process, not a single event. Understanding the realistic timeline helps set expectations and keeps you motivated as improvements develop. Tap each milestone below to learn what happens at each stage.

The Scar Treatment Timeline

Tap a milestone to see what's happening at each stage.

1
Week 1
First treatment & initial healing
2
Month 1–2
Early collagen response
3
Month 3–4
Visible improvement
4
Month 5–6
Significant transformation
5
Month 6+
Maintenance & long-term results

Frequently Asked Questions
About Acne Scar Treatment

In many cases, yes — especially with today's advanced combination approaches. Shallower scars and hyperpigmentation often resolve completely. Deeper ice pick and boxcar scars can typically be reduced by 60–80%, which for most clients represents a dramatic and life-changing improvement. The key is setting realistic expectations during your consultation and committing to a full treatment course.
Ideally, yes. Treating scars while acne is still active can be counterproductive — you're repairing damage while new damage is still occurring. However, some treatments like LED blue light therapy can address active acne and support scar healing simultaneously. At Splendid Skincare, we'll often design a plan that tackles both concerns in the right sequence.
Costs vary depending on the treatments selected, the severity of scarring, and the number of sessions needed. We offer flexible payment plans to make scar treatment accessible. The best way to get an accurate estimate is to schedule a consultation where we can assess your specific situation and design a treatment plan with transparent pricing.
Most clients describe the sensation as very manageable — a tingling or warmth during chemical peels, a mild prickling during microneedling, and a warm snapping sensation during laser treatments. We use topical numbing agents for more intensive procedures and always prioritize your comfort. LED therapy is completely painless and actually quite relaxing.
That's exactly what a professional consultation is for. At your first visit, we'll assess your scar types, depth, distribution, and skin characteristics, then design a customized treatment plan. Most clients benefit from a combination of modalities rather than a single treatment — and the right combination depends on your unique situation.

Let Us Work Our Magic

Ready to start your acne scar transformation? Book a consultation at Splendid Skincare & Brow Studio and we'll create your personalized treatment plan.

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