Acne Scarring

Acne scarring can have a huge negative psychological impact on its sufferers and is the result of acne, which can appear at the same time or months after the acne has settled and treated. There are various types of acne scarring which can be easily divided into atrophic (loss of tissue) or hypertrophic/keloid (excessive thickened tissue).

The majority of acne scars on the face are atrophic which can be further subdivided into: rolling, icepick, and boxcar scars.


Icepick scars tend to be narrow and deep and are best treated with punch excision. This is a technique where the individual scar is completely removed surgically and the resultant shallow scar is much more amenable to laser treatment afterwards.


Boxcar scars tend to be less deep with shoulders and often rectangular or round shaped. These scars often respond well to laser resurfacing with CO2.


Rolling scars tend to have the appearance of hills and valleys and can appear with shadows and can vary in severity. Treatment often includes an initial procedure called subcision where the scarred tissue underneath is cut, allowing for release of the tethered scarring. Subsequently laser resurfacing is used for optimal results. At times, injection with dermal fillers can help too.


In terms of looks, the hypertrophic scar is usually red in colour and slightly elevated. They can become quite itchy or, in some instances, even painful. Hypertrophic scars are caused by injury, as with most scars. Common injuries or occurrences that may result in hypertrophic scars are body piercings, burns, cuts or after severe acne.

At 152 Harley Street, our Consultant Dermatologists offer a comprehensive tailor-made individual treatment which can constitute of any (or combination) of the aforementioned treatments. For example if you suffer from both rolling and icepick scars you will be treated with subcision for your rolling scars, followed by punch excision for your icepick scars and finally for the ultimate results with the CO 2 laser.


UltraPulse Co2 Laser now available at 152 Harley Street

152 Harley Street is proud to offer some of the most advanced treatments on the market, performed by our highly trained and skilled Consultant Dermatologists and clinicians. One of our most popular treatments is laser skin resurfacing and we are delighted to announce that we now have the UltraPulse Co2 Laser by Lumenis available.

“Improve fine lines, deep wrinkles, scarring & skin tone & texture in one single treatment”

Laser resurfacing is a highly effective and popular method used to treat a range of skin conditions and concerns. At 152 Harley Street, we have what is considered to be the ‘gold standard’ in CO2 lasers called the UltraPulse by Lumenis. UltraPulse technology was introduced more than 18 years ago and has proven itself with over 34 FDA cleared indications. With its long history of fractional capabilities, UltraPulse has led the way in fractional skin resurfacing and remains to be the most versatile and sophisticated CO2 laser in the world. Due to the variable intensities that UltraPulse is capable of delivering, the system can treat patients who are not only seeking overall skin rejuvenation, but can also effectively treat more dramatic conditions such as burns and scars. It is also the best treatment available for deep wrinkles. Our Consultant Dermatologists are all experts in the use of the UltraPulse Laser in London and in treating scars (including acne scars), burns and other complex skin conditions, in addition to cosmetic applications such as wrinkle reduction.

Like to find out more or arrange an initial consultation with one of expert Dermatologists? Call our friendly team on 0207 467 3000.