Acne Scars Treatment in Karachi: Types of Scars and What Works
Acne scars are changes in the skin’s texture left after deep or long-lasting breakouts. They are different from flat dark or red marks, which fade on their own over time. This guide explains the types of scars and what the research says about treating them.
For a wider look at the options, see choosing a dark spot serum in Pakistan.
Key takeaways
- Scars are changes in skin texture; marks (red or brown) are different and often fade.
- Cosmetic serums help the look of marks, not indented scars.
- Indented scars are a matter for a dermatologist, who can discuss in-clinic options.
- Do not pick or squeeze; treating active acne early reduces new scars.
What are the types of acne scars?
Atrophic scars are dents in the skin and come in three shapes: ice-pick (narrow and deep), boxcar (wide with sharp edges) and rolling (soft waves). Raised scars are less common. Flat colour marks are not scars; see our guide to dark marks after acne.
What treatments are used for acne scars?
Textural scars usually need procedures done by a dermatologist or trained clinician. Creams and serums cannot rebuild lost skin.
| Option | What it is | Notes |
|---|---|---|
| Microneedling | Tiny needles stimulate repair | Found most tolerable for pain in one analysis |
| Chemical peels (such as TCA) | Controlled acid peel | Done in clinic |
| Laser and radiofrequency | Energy treatments | Often combined with other therapies |
| Fillers or PRP combinations | Added to laser sessions | Used by specialists |
What does the research say?
- Chilicka et al., J Clin Med, 2022: a review describing icepick, rolling and boxcar scars and noting that ablative lasers, radiofrequency, microneedling and trichloroacetic acid peels have very good results with minimal side effects.
- Wu et al., PeerJ, 2025: a network meta-analysis of 68 randomized trials (4,480 patients) ranked laser plus platelet-rich plasma best for reducing scar scores, laser plus filler best on another scale, and laser plus chemical peels best for satisfaction. It found no strong evidence that any treatment reduced redness or post-inflammatory pigmentation more than the others.
- Clark et al., Am J Clin Dermatol, 2018: a review showing existing acne-scar grading scales have limits and that a validated standard is still needed.
Where does Chelure fit in?
No serum, including ours, removes acne scars. What a cosmetic can do is help keep pores clear so fewer new breakouts form. The Acne & Oil Control Serum (Rs 2,450) lists 2% salicylic acid and 10% niacinamide for that purpose, and Set A adds a gel moisturizer for Rs 4,499. Results vary. Delivery is a flat Rs 250: 1 to 3 working days in Karachi, 5 to 7 elsewhere in Pakistan.
When should you see a dermatologist?
See a dermatologist before any scar procedure, especially if you have deep scars, raised scars, or still have active, painful acne. Treating active acne first usually gives better results.
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What is the difference between a mark and a scar?
| Mark | Scar | |
|---|---|---|
| Surface | Flat | Indented or raised |
| Color | Red, pink or brown | Usually skin-colored or slightly red |
| Fades on its own? | Often over weeks to months | Rarely |
| Who helps | Sunscreen and gentle care; see red vs brown marks | A dermatologist |
What are the main types of acne scars?
| Type | Description | Who helps |
|---|---|---|
| Icepick | Narrow, deep, pit-like marks | A dermatologist |
| Boxcar | Wider dents with sharp edges | A dermatologist |
| Rolling | Broad, wave-like dents | A dermatologist |
| Raised (hypertrophic) scars | Firm, raised areas where acne healed | A dermatologist |
These are descriptions of scar shape, not products; the options for each are a medical decision.
How can you reduce the chance of scarring?
- Treat active acne early with a gentle routine, and see a dermatologist for painful or deep spots.
- Do not squeeze or pick; the AAD warns that squeezing can cause infection and scarring.
- Use sunscreen daily so marks do not darken.
- Moisturize so skin heals comfortably.
What should you ask a dermatologist about scars?
- Is this a mark that will fade, or an indented scar?
- Which options suit my scar type and skin tone?
- How many sessions or how long might I need?
- What are the risks, including dark marks afterwards?
- How should I protect and care for my skin in between?
Frequently asked questions
Can acne scars fade on their own?
Flat marks often fade; dents and raised scars usually need a procedure.
Is microneedling at home safe?
Needles can cause infection and marks if used incorrectly; ask a professional.
When should I treat scars?
Usually once active acne is under control.
Can a serum remove acne scars?
Cosmetic serums cannot rebuild indented scars. They can help the look of marks.
Can a serum remove deep acne scars?
No cosmetic serum rebuilds indented scars. Serums help the look of flat marks, not scars.
How long do acne scars take to improve?
It depends on the type and the option chosen, and a dermatologist can explain realistic timelines.
Sources
- American Academy of Dermatology. Acne: who gets and causes
A gentle reminder
This article is general information, not medical advice. Skincare helps the look and feel of your skin; it does not treat medical conditions. Patch test any new product behind the ear or on the inner arm first, and introduce one new active at a time. See our FAQ for more, or build your own routine.
Related reading: the complete guide to oily and acne-prone skin in Karachi.
Chelure’s Brightening & Anti-Aging Serum contains 3% tranexamic acid, 3% kojic acid, AHAs and alpha arbutin; the full ingredient list is on its product page.