Acne Scar Treatment in Nandyala
Acne scars can linger long after breakouts resolve, affecting your confidence and skin texture. Dr. Sireesha at Yashvini Skin & Hair Clinic, Nandyala, offers evidence-based treatments tailored to your scar type and skin tone.
What Are Acne Scars?
Acne scars are permanent textural changes and indentations left on the skin after severe or repeated acne lesions heal. When a pimple, cyst, or nodule damages the deeper layers of skin, the body attempts repair — but this repair process is often imperfect, leaving behind depressions, raised tissue, or discolouration.
There are several distinct scar types. Ice-pick scars are narrow, deep pits that look as though the skin was pierced with a sharp instrument. Boxcar scars have broad, well-defined edges with a box-like depression. Rolling scars create a wave-like, undulating texture caused by fibrous bands tethering the skin. Hypertrophic and keloid scars are raised, thickened areas of excess collagen more common on the chest, back, and jawline.
Post-inflammatory hyperpigmentation (PIH) — the dark marks left after a pimple — is technically not a scar but is frequently treated alongside true scars. It is particularly prominent in Fitzpatrick skin types IV–VI, which are common in South Indian patients. A correct diagnosis of scar type is essential before choosing treatment, and Dr. Sireesha performs a thorough assessment at every consultation.
Causes
Symptoms & Types
Ice-Pick Scars
Deep, narrow pits extending into the dermis. They are the most difficult to treat and are best addressed with TCA CROSS (chemical reconstruction of skin scars) technique.
Boxcar Scars
Broad, round or oval depressions with sharp, defined vertical edges. Respond well to fractional laser resurfacing and subcision.
Rolling Scars
Shallow, wide depressions with sloping edges giving a wave-like appearance. Caused by fibrous tethering beneath the skin; subcision and microneedling are highly effective.
Hypertrophic Scars
Raised, firm scars that remain within the original wound boundary. Treated with intralesional corticosteroid injections, silicone sheets, and fractional laser.
Keloid Scars
Raised scars that grow beyond the original wound area. More common in darker skin tones. Require combination therapy including steroid injections and careful laser use.
Post-Inflammatory Hyperpigmentation
Flat, dark marks remaining after acne. Not true scars but very common in South Indian skin. Respond to chemical peels, topical brighteners, and sun protection.
Treatment Options at Yashvini Clinic
Microneedling (Collagen Induction Therapy)
Fine needles create controlled micro-injuries that stimulate collagen and elastin production. Highly effective for rolling and boxcar scars. Safe for all skin tones including darker Indian skin. Multiple sessions spaced 4–6 weeks apart deliver progressive improvement.
Fractional Laser Resurfacing
Fractional CO2 or erbium laser targets microscopic columns of skin, prompting new collagen formation and skin remodelling. Effective for moderate to deep atrophic scars. Dr. Sireesha uses settings appropriate for South Indian skin to minimise PIH risk.
TCA CROSS for Ice-Pick Scars
High-concentration trichloroacetic acid (TCA) is precisely applied to the base of ice-pick scars using a sharp applicator. The controlled chemical injury stimulates collagen to fill the scar from within — this is one of the most targeted and effective treatments for this scar subtype.
Subcision
A minimally invasive procedure in which a needle is inserted beneath rolling and tethered scars to cut the fibrous bands pulling the skin down. This releases the depression and promotes natural collagen deposition. Often combined with filler or microneedling for optimal results.
Chemical Peels
Glycolic acid, salicylic acid, Jessner's, and TCA peels exfoliate damaged skin layers, improve skin texture, and reduce post-acne pigmentation. Peels are tailored to the patient's skin type and scar severity.
Dermal Fillers
Hyaluronic acid fillers are injected beneath depressed scars to immediately elevate them, providing instant improvement in skin texture. Best for isolated, well-defined scars. Results are temporary but can be combined with other modalities for longer-lasting correction.
What to Expect
Before Treatment
- Attend a full consultation with Dr. Sireesha for scar type assessment and skin tone evaluation.
- Disclose all medications, including isotretinoin (must be stopped 6–12 months before laser/microneedling).
- Begin a pre-treatment skincare regimen with sunscreen SPF 50+ for at least 2–4 weeks.
- If PIH is a concern, a preparatory bleaching cream may be prescribed 4 weeks before procedures.
- Avoid waxing, threading near the treatment area, and any active breakouts should be controlled first.
- Stay well hydrated and avoid alcohol or blood-thinning supplements 48 hours before the procedure.
During Treatment
- A topical anaesthetic cream is applied 30–45 minutes before procedures to ensure comfort.
- Treatment duration varies: microneedling 30–45 min, fractional laser 20–30 min, TCA CROSS 15–20 min.
- You may feel warmth, tingling, or mild pressure — severe pain is not expected.
- Protective eyewear is provided for laser procedures.
- A cooling device or ice pack is used immediately after laser to reduce heat and discomfort.
After Treatment
- Redness, mild swelling, and pinpoint bleeding are normal for 24–72 hours after microneedling or laser.
- Apply prescribed healing ointment or moisturiser as directed — do not pick or scratch the skin.
- Strict sun avoidance is essential for at least 2 weeks; use SPF 50+ every 2–3 hours outdoors.
- Avoid makeup for 24–48 hours post-procedure; gentle cleansing only with lukewarm water.
- Expect peeling or flaking at days 3–7 after chemical peels — do not forcibly remove peeling skin.
- Results improve progressively over 3–6 months as collagen remodels; multiple sessions are usually needed.
Benefits
Aftercare & Home Care
Frequently Asked Questions
Struggling with Acne Scars in Nandyala?
Book a consultation with Dr. Sireesha at Yashvini Skin & Hair Clinic, Nandyala.