Avalon MediSpa

Different types of Acne

Here at Avalon MediSpa we are pleased to offer a range of Acne and Acne Scar laser removal treatments. Please see below for more information on types of acne scars, and once we have diagnosed your skins condition we can discuss further what treatment plan is best suited to your needs.

What type of Acne do I have?

Acne Scars explained


Hypo trophic Acne scars (Depressed /Pitted Acne Scars) Treatment

Depressed scars are the most common type of scars from inflammatory acne. Within this class of scars there are three main types that are common in acne:

Rolling Acne Scars

Rolling scars are common for individuals who have had patches of skin that have been afflicted by long term inflammatory acne. They tend to become more pronounced as the skin ages and lose its original elasticity and fullness. Rolling scars have rounded sloping borders. Because rolling scars have rounded sloping borders, these are the easiest of the three to treat. These can be treated with non ablative clear lift or ablative fractional i-pixel. Shallow rolling scars can also be treated with our Murad peels, LED light and skin needling, see our Clearlift and Skin Resurfacing pages for more information.


Box Car Acne Scars

Because box car scars have more clearly defined and steeper edges than rolling scars it is more difficult to smooth them out and blend them into the surrounding skin. Laser fractional ablative resurfacing with ipixel often produces good results. Shallow box car scars can also be treated with our Murad peels, LED light and skin needling, read more on our Resurfacing and Murad Peels page.


Ice Pick Acne Scars

Ice pick scars are often the most difficult type of acne scar to treat as they are often quite deep and narrow. A combination of clear lift and fractional i-pixel resurfacing are unlikely to have the most significant impact on ice pick scars, read more on our Clear lift and Resurfacing page.

Raised Acne Scar Treatments

Commonly called hypertrophic or keloid scars, raised scars present a different problem than depressed scars. Hypertrophic scars are those in which excess scar tissue forms at the site of the injury, which presents as a raised region of fibrous and firm scar tissue. When the scar tissue forms in great excess, it can become a large nodule of dense, rubbery scar tissue that is raised from the surface and firm in texture, also known as a keloid. The development of hypertrophic and keloid scars is less common in acne patients than the development of depressed scars.
These types of scars are commonly found on the back or chest area of the body but can also appear on the face and neck. Hypertrophic scars usually reduce in size over time. Hypertrophic scars are generally less responsive to mild treatments such as facial peels, Keloid scarring is a form of Hypertrophic scarring. If you are prone to Keloid scaring in particular we cannot treat the skin with a laser. If you are not prone to Keloid scarring but do have a Hypertrophic scar we can treat with a laser and skin needling after consultation with your Doctor.

Discoloration and Pigmentation Acne Scar Treatment

The trauma associated with acne damage can cause many other abnormal conditions in the skin besides the formation of fibrous scar tissue. Perhaps the most common long-term form of acne scarring is the abnormal discoloration of the skin Hyper-pigmentation acne scarring (dark patches).
Hyper-pigmentation is a condition where darker areas of the pigment melanin accumulate in the skin, this creates the appearance of freckle-like spots or blotches. Hyper-pigmentation can be treated with our Harmony Pro DVL treatment to lighten the patches of skin, regular Murad facial peels & LED light facials can also help.


The complete opposite of hyper-pigmentation, hypo-pigmentation occurs when melanocyte cells are depleted (the cells that colour your skin) from the injury site or lose their ability to produce melanin. This is often the case in areas of skin that has been replaced with scar tissue which tends to have a light pinkish appearance. It can also occur in otherwise healthy looking regions of skin. Generally this condition is more noticeable in those individuals with darker base skin tones. Vitiligo is a condition in which melanocytes lose the ability to produce melanin. We are unable to effectively treat Hypo-pigmentation but can treat the scars themselves as explained above.

Erythema (Permanent Redness)

Erythema is a condition in which small capillaries near the surface of the skin become damaged or permanently dilated. This condition presents as a region of redness in the skin, occasionally individual capillaries are visible and it is somewhat common in acne patients and is most visible in patients with lighter skin tones and those who regularly squeezed the spots. Erythema generally responds well to Harmony Pro DVL Vascular treatments.

How Many Acne Scar Treatments will I need?

3 -6 treatments will usually be required. Skin needling, Impact and Murad products are also available and can be used in conjunction with laser treatments for optimum results.
All cases are individual, a full consultation and patch tests will be completed before treatment commences.  All consultations are free of charge.

Acne Scar Treatment Consultation

For a free consultation and patch test in a relaxed, private setting, contact Avalon MediSpa. With the latest technology and most effective treatments and products at our fingertips, we can customise a treatment plan that is ideal for you and your skin.

Contact Us