acne-scarring-banner

Acne scarring

Acne scarring can leave lasting changes in skin texture after active acne has resolved. At our clinic, scarring is assessed medically, led by Medical Director Dr Joney De Souza and supported by our expert medical team, to understand its cause before considering treatment.

What Is Acne Scarring?

Acne scarring refers to permanent changes in skin texture that develop following inflammation from acne. These changes can appear as indentations, uneven surface texture, or areas of skin that heal differently to surrounding tissue. Scarring can vary widely in depth, shape and distribution. Some scars are shallow and subtle, while others are more pronounced. The way scars form is influenced by inflammation severity, healing response, genetics and how acne was managed at the time. Where acne has left dark marks or post-inflammatory pigmentation rather than indentations, our PicoSure laser can even out the colour.

UltraClear is a laser treatment used to improve the appearance of acne scarring by encouraging the skin to repair and remodel itself. Acne scars form when inflammation disrupts normal healing, leaving uneven texture or indentations in the skin. By delivering controlled laser energy into the skin, UltraClear stimulates collagen renewal and gradual smoothing of scarred areas. Over time, this leads to improved texture, firmness, and overall skin quality, with results developing progressively and downtime kept to a minimum compared with more aggressive resurfacing treatments.

Learn more about Ultraclear

Why Does Acne Scarring Develop?

Acne scarring develops when inflammation disrupts the normal structure of the skin during healing. Instead of repairing evenly, the skin may produce too little or too much collagen.

Common contributing factors include:

  • Deep or prolonged inflammatory acne

  • Delayed or inadequate treatment of active acne

  • Picking or squeezing spots

  • Individual healing and collagen response

Not everyone who experiences acne will develop scarring. Microneedling is a minimally invasive treatment used to improve the appearance of acne scarring by stimulating the skin’s natural healing response. Acne scars develop when inflammation disrupts collagen formation, leaving uneven texture or shallow depressions in the skin. By creating controlled micro-injuries, microneedling encourages new collagen production and gradual remodelling of scar tissue. Over time, this helps smooth skin texture, improve firmness, and enhance overall skin quality, with little downtime and a subtle, progressive improvement.

Learn about Microneedling
Acne-scarring-mirror

How We Assess Acne Scarring

Assessment focuses on the skin as a whole, not just the visible scars. Our medical team evaluates scar type, depth and distribution, alongside skin thickness, tone and overall skin quality.

We also consider whether acne is fully controlled, as active breakouts may influence treatment timing. This careful assessment allows us to explain which aspects of scarring are most likely to respond to treatment and which may be more resistant.

Ask us about acne scarring
collagen-treatment
Dr-Mattia-gloves

Acne Scarring Treatments at Dr Joney De Souza

Acne scarring leaves pitted, uneven texture and shadowing behind long after breakouts have settled, as the skin heals with disrupted collagen. At our Marylebone clinic we resurface and remodel the skin from within, and a consultation matches your scar type and depth to the right option.

CO2 Laser Resurfacing
From £850
Ablative resurfacing that vaporises damaged surface layers and triggers deep collagen renewal, smoothing pitted and boxcar acne scars.
UltraClear Laser Resurfacing
From £850
A cold fibre laser that refines scarred texture and evens tone with less downtime, ideal for gradually softening acne scars.
SkinPen Microneedling
From £450
Controlled micro-injuries stimulate fresh collagen to fill and remodel rolling acne scars, a gentle option suited to all skin tones.
PicoSure Laser
From £250
Rapid picosecond pulses target scar-related pigmentation and stimulate collagen, brightening tone and softening the look of acne scars.

Book a consultation at our Marylebone clinic to have your acne scarring assessed and a tailored treatment plan created.

Frequently Asked Questions

What is one of the most commonly discussed treatments for acne scarring?

UltraClear laser resurfacing is one option often discussed for improving skin texture by supporting collagen remodelling. It may be considered depending on scar type, skin quality and individual suitability.

UltraClear laser resurfacing

How can acne scarring be improved?

Improvement depends on scar type, depth and skin quality. Options discussed at our clinic may include UltraClear laser resurfacing, microneedling to support collagen remodelling, alongside skin boosters and medical-grade skincare to optimise overall skin health. Progress is usually gradual and planned conservatively.

What types of acne scars exist?

Acne scars can be shallow or deep and vary in shape. Common types include rolling, boxcar and ice-pick scars.

Can acne scars be completely removed?

Complete removal is unlikely. Treatment focuses on improvement in texture and overall skin quality.

Should active acne be treated first?

Yes. Active acne should usually be controlled before addressing scarring to avoid further skin damage.

How long does improvement take?

Changes are gradual and may develop over several months depending on the treatment approach.

Does everyone with acne scarring need treatment?

No. Some people choose not to pursue treatment once they understand their scarring and how it may change over time.

Follow us on Instagram

Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
Get directions
Whatsapp