What is Acne Scar Treatment?
Acne scar treatment at Kirana Skin Clinic is a structured, evidence-based approach carried out by a certified Sp.DV dermatologist in Ubud, Bali. Rather than a single procedure, it typically involves a combination of modalities selected according to scar type, skin tone, and individual skin behaviour. Common clinical options include fractional laser resurfacing, microneedling with radiofrequency, chemical peels, subcision, and targeted topical formulations. Each approach aims to stimulate controlled collagen remodelling, refine skin texture, and reduce the visual depth of depressed or discoloured scars over a planned course of sessions. Because acne scars vary considerably in type and severity — from ice-pick and boxcar scars to rolling depressions and post-inflammatory hyperpigmentation — no single protocol suits everyone. Treatment plans are discussed and individualised at consultation, and realistic outcomes are communicated clearly. Results develop gradually and vary between individuals; multiple sessions are generally recommended. Sun protection is an integral part of any scar treatment programme.
Source: DermNet: Acne Scar Treatment
Who it is suitable for
- Adults with atrophic acne scars, including ice-pick, boxcar, or rolling types
- Individuals with post-inflammatory hyperpigmentation (PIH) from previous breakouts
- Those whose active acne has been adequately controlled and stabilised
- People with fair to deeper skin tones — suitability and modality selection are assessed at consultation
- Individuals seeking gradual textural improvement over a planned course of treatment
- Those with persistent acne or uncertain skin conditions should seek a dermatologist assessment before commencing scar treatment
How it works at Kirana
- 1
Initial consultation: A Sp.DV dermatologist evaluates your scar types, skin tone, medical history, and current skincare routine to determine the most appropriate combination of treatments.
- 2
Personalised treatment plan: A tailored programme is proposed, outlining the selected modalities, estimated number of sessions, expected recovery phases, and what realistic outcomes may look like for your skin.
- 3
Pre-treatment preparation: Depending on the procedure, the skin may be pre-treated with topical agents, and sun exposure is minimised in the weeks prior. Any active acne is addressed before scar work begins.
- 4
Treatment session: The selected procedure is carried out by the dermatologist in a clinical setting. A topical anaesthetic may be applied beforehand for comfort. Session duration varies by modality.
- 5
Post-treatment care: Written aftercare instructions are provided, covering wound care, recommended products, activity restrictions, and sun protection guidelines specific to your procedure.
- 6
Follow-up and review: Progress is reviewed at scheduled follow-up appointments. Treatment frequency and the plan may be adjusted based on how your skin is responding.
What to expect
Before
You will be asked to avoid retinoids, exfoliants, and prolonged sun exposure for a period before treatment. A pre-consultation form and skin assessment help your dermatologist tailor the approach.
During
Depending on the procedure, you may feel warmth, mild stinging, or pressure. Topical anaesthetic is typically applied beforehand to improve comfort. Most sessions last between 30 and 60 minutes.
After
Redness, mild swelling, or sensitivity is common in the days following treatment and varies by modality. Outcomes develop gradually over weeks to months as collagen remodelling progresses; individual responses differ and are discussed at consultation.
Downtime and recovery
| Day 1–2 | Redness, warmth, and mild swelling are typical immediately after most procedures. Skin may feel sensitive or tight. Avoid makeup unless advised otherwise by your doctor. |
|---|---|
| Day 3–5 | Some procedures cause visible peeling, flaking, or mild crusting as the skin renews. This is a normal part of the process; do not pick or forcibly remove skin. Keep the area moisturised as directed. |
| Day 6–14 | Most surface reactions resolve within one to two weeks. Residual pinkness or dryness may persist longer depending on the procedure and individual skin. Daily broad-spectrum SPF 30 or higher is essential throughout this period. |
| Weeks 4–12+ | Collagen remodelling continues well beyond the visible recovery period. Textural improvements typically become more apparent over months. Sun protection must be maintained consistently to protect results and prevent post-inflammatory pigmentation. |
