The short answer
Rolling, boxcar, ice-pick, hypertrophic and pigmented acne marks need different approaches. Treatment may combine subcision, resurfacing, focal methods, selected filler or medical acne control, often over several stages.
Why the question needs assessment
The same cheek can contain several scar types. One global laser setting may improve texture but leave tethering or narrow deep scars largely unchanged.
Scar type, skin tone, active acne, pigment tendency, medical history and available downtime are assessed before choosing laser, needles, subcision or a combination.
Related topic: Explore fractional laser and scars services.
What changes the plan
Active acne, scar type and depth, skin tone, keloid tendency, previous treatment, downtime and realistic improvement determine the plan.
- Diagnosis and treatment goal
- Medical history and previous procedures
- Skin tone or tissue characteristics
- Recovery and follow-up
Results, timing and follow-up
Collagen remodelling and scar change are gradual. Visible recovery and residual redness may outlast the first few days, so treatment should be scheduled with a margin before events.
The plan should define when review is useful, what a realistic response looks like and when to change course instead of repeating the same session automatically.
Safety and when to seek review
Infection, prolonged inflammation, pigment change and scarring are recognized risks. Preparation, sterile technique, parameter choice and aftercare all matter.
This guide is educational and cannot confirm an individual’s suitability. Severe or sudden symptoms need direct medical contact or an appropriate emergency service.
Frequently asked questions
01Can the plan be decided from photos?
Photos can help explain a concern, but the final plan needs an appropriate history and examination.
02Can a result be guaranteed?
No. Expected outcomes, risks and alternatives can be explained, but individual response varies.
03What is the best first step?
Begin with a consultation that defines the diagnosis, goal and alternatives rather than booking from a treatment name alone.
Written and medically reviewed by Dr Fawzeya Eltamimi • Last reviewed: 4 September 2026 • Educational content; not an individual diagnosis.