Nova Derma | Amman, Jordan
Acne Scar Treatment
The Scar Type Chooses the Treatment — Not the Device
The scar type chooses the treatment — not the device.
Rolling, boxcar, icepick and hypertrophic scars do not respond to the same thing. Mapping the scars during the consultation is what decides the plan — and it is the part that cannot be skipped.
Scar Mapping Is the Treatment
Four scar types, four different answers
Acne scars differ in depth and in how the skin is tethered beneath them. A scar that sits flat may need resurfacing; one that is tethered down needs to be released first. Treating them all with the same device is how patients end up disappointed.
At the consultation, each scar type is mapped and counted. That map decides whether the plan starts with subcision, with fractional resurfacing, with a laser, or with a combination — and it tells you honestly what is achievable.
- Rolling
- Boxcar
- Icepick
- Hypertrophic
Which Scar Is It, and What Helps?
A short reference to bring to the consultation. The answer is a plan, not a single device.
| Scar type | What usually helps |
|---|---|
| Rolling — the skin is tethered to the deeper tissue | Release first, then resurface |
| Boxcar — a defined, box-like depression | Fractional resurfacing, often in a series |
| Icepick — narrow, deep pits | Needling or a punch technique, then resurfacing |
| Hypertrophic — raised and red | Flattening rather than resurfacing |
| Post-inflammatory marks — flat, red or brown | Time and pigment-targeting treatment |
Scars that are still changing are treated differently from scars that have settled. The map is taken at the consultation for that reason.
What Happens at a Scar Consultation?
Scar mapping
Each scar is classified by type, depth and count, and the map is what the plan is built from.
Active acne is assessed
New lesions mean new scars. Treating the acne and the scars together is usually the right order.
A staged plan
Deep tethering is released before the surface is resurfaced, and the stages are spaced so the skin can recover between them.
A realistic timeline
You are told what each stage can change and what it cannot, before you decide to start.
How many sessions will I need?
It depends on the scar types and their depth. The map answers this; a number given before the consultation is a guess.
No treatment without a diagnosis
Acne Scar FAQ
Can acne scars be removed completely?
Usually improved rather than removed. Depth and type set the ceiling, and the consultation is where you are told what is realistic for your scars.
Should I treat my acne first?
If the acne is still active, most scars first. Treating scars while new lesions appear means treating new scars later.
Is the treatment painful?
It depends on the stage. Local anaesthetic is used for needling; fractional resurfacing is managed with cooling and a simple pain relief afterwards.
How long until I see a difference?
Texture changes over weeks, and the deeper improvement continues for months. The timeline is set at the consultation.
Bring Your Scar Map
The consultation maps the scars and tells you what each type can realistically change — before you decide on anything.
Nova Derma · More-Xel® Fractional CO₂ · Amman, Jordan