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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.

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
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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
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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.

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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.

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.

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Thinking about tattoo removal? Let us tell you about PicoSure ⚡️

PicoSure is one of the most advanced tattoo removal technologies available today — and it works very differently to traditional lasers.

Using ultra-short pulses of laser energy measured in trillionths of a second, PicoSure’s PressureWave™ technology shatters tattoo ink into tiny fragments that the body can absorb and clear far more efficiently — delivering greater fading per session with less damage to the surrounding skin.

It is effective across a wide range of tattoo types and ink colours, including notoriously stubborn blues, greens and purples. It is suitable for all skin types, works on tattoos that haven’t responded to previous laser treatment, and is also an excellent option for those looking to fade a tattoo ahead of a cover-up.

The number of sessions required will vary depending on the size, age, colour and density of the tattoo — all of which our clinical team will assess thoroughly during your consultation.

Book your consultation with our team at Dr Joney De Souza Skin & Laser today 🤍Everything you need to know about Skinvive by Juvéderm 🤍

Not sure what it is or whether it’s right for you? Swipe through and we break it all down 👉

Skinvive is not your typical injectable, it is not about adding volume or altering your features. It is purely about transforming the quality of your skin from within. 

Using innovative microdroplet technology, tiny amounts of hyaluronic acid are precisely delivered just beneath the surface of the skin, working at a cellular level to deeply hydrate, smooth and restore a natural, lit-from-within radiance that no topical product can replicate.

The results are visible, the treatment is virtually painless, and there is absolutely no downtime, making it one of the most accessible injectable treatments we offer. 

Results last up to nine months, and Skinvive can be performed on the face, neck, décolletage and hands, making it a wonderfully versatile option for improving skin quality across multiple areas.

If your skin has been feeling dull, dehydrated or lacking its usual vibrancy, this could be exactly what it needs.

📍Marylebone, London | 020 7043 0748 📱Don’t just take our word for it… 👀

We could talk about our treatments and results all day — but nothing speaks louder than the words of our clients themselves. Swipe to see what they have been saying about their experience at Dr Joney De Souza Skin & Laser 👉

We are incredibly proud of every single patient who trusts us with their skin journey, and feedback like this reminds us exactly why we do what we do. Thank you to everyone who has taken the time to share their experience with us,  it means the world to our whole team.

If you would like to find out what we can do for your skin, book a consultation with our team today 🤍

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–6 pm
Tuesday
9 am–6 pm
Wednesday
9 am–6 pm
Thursday
9 am–6 pm
Friday
9 am–6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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