Acne Scar Treatment in Singapore

Discover Personalised acne scar treatments for ice pick, boxcar scars and rolling scars

Introduction

Understanding Acne Scars

Illustration showing the structural formation of different acne scar types within the skin

Acne scars develop when inflammation from acne disrupts the skin’s normal healing process, leading to changes beneath the surface of the skin. Depending on how the skin repairs itself, this can result in uneven texture, depressions, tethering or areas of collagen loss that remain visible even after active acne has resolved.

Because acne scars affect the skin at different structural levels, treatment is rarely one-dimensional. Effective acne scar treatment often requires a personalised approach based on the type of scarring, skin condition and overall treatment goals.

At The Aesthetic Studio Clinic, treatments are carefully tailored to address the underlying structural changes associated with acne scarring while supporting smoother, more refined-looking skin over time.

Acne Scar Types

Different Types of Acne Scars and How They Form

Illustration showing the different types of acne scars including ice pick scars, boxcar scars, rolling scars, and hypertrophic or keloid scars

There are several different types of acne scars, each forming differently depending on the severity of inflammation, the depth of skin damage, and the way the skin heals after acne breakouts.

Some acne scars create depressed areas within the skin, while others may become raised or thickened due to abnormal collagen formation during the healing process.

The main acne scar types include ice pick scars, boxcar scars, rolling scars, and hypertrophic or keloid scars. These scars can contribute to uneven skin texture, visible depressions, and changes in overall skin smoothness.

Many individuals develop a combination of different scar patterns rather than a single acne scar type alone, which is why the appearance and severity of scarring can vary significantly from person to person.

Facial illustration showing deep narrow ice pick acne scars on the cheek

Ice Pick Acne Scars

Ice pick scars are deep, narrow atrophic acne scars that extend into the deeper layers of the skin, creating small puncture-like depressions on the surface. These acne scars are commonly associated with severe inflammatory acne and can significantly affect overall skin texture and smoothness.

 

Facial illustration showing broad boxcar acne scars with defined edges on the cheek

Boxcar Acne Scars

Boxcar scars are broader depressed acne scars with more defined edges, often creating a crater-like appearance within the skin. They develop when inflammatory acne damages collagen within the dermis, leading to visible loss of structural skin support and uneven skin texture.

Rolling Scars

Rolling scars are a type of atrophic acne scar that create uneven, wave-like skin texture due to fibrous scar bands pulling the skin downward. These depressed acne scars often become more noticeable under lighting and can contribute to an overall rough or irregular skin surface.

Facial illustration showing raised hypertrophic and keloid acne scars on the cheek

Hypertrophic & Keloid Acne Scars

Hypertrophic and keloid scars are raised acne scars caused by excessive collagen production during the skin healing process. Unlike atrophic acne scars, these scars project above the skin surface and may continue to become thickened, firm, or prominent over time.

How It Works

How Acne Scar Treatments Work

Acne scar treatments work by targeting the structural changes that develop beneath the skin following inflammation, collagen damage and abnormal wound healing from acne breakouts. Different acne scars form differently within the skin, which is why treatment approaches are often tailored according to the scar type and depth of scarring present.

Infographic explaining how acne scar treatments work through collagen remodelling, skin resurfacing, and tethered scar release

Stimulating Collagen Remodelling

Some acne scars, such as boxcar scars and certain depressed scars, are associated with collagen loss beneath the skin. Collagen remodelling treatments help support skin repair and improve overall skin smoothness over time.

Resurfacing Uneven Skin Texture

Certain treatments focus on resurfacing the skin to improve uneven texture, superficial scar depressions and enlarged pores commonly associated with acne scarring.

Releasing Tethered Acne Scars

Rolling acne scars are often caused by fibrous bands tethering the skin downward beneath the surface. Structural scar release approaches help reduce this tethering effect to improve skin texture and contour.

Treatments

Acne Scar Treatment Options

TCA Cross

TCA Cross is commonly used for deep ice pick scars and focal acne scars that extend deeper into the skin. The treatment works by applying a controlled chemical reconstruction technique directly into the scar to stimulate localised collagen remodelling.

Close-up of subcision procedure being performed for rolling acne scars on the cheek

Subcision

Subcision is a structural scar release treatment commonly used for rolling acne scars caused by fibrous tethering beneath the skin. The treatment helps release these tethered attachments to improve skin smoothness and reduce visible acne scar depressions.

Fractional CO2 laser treatment being performed on acne scars using a resurfacing laser device

Fractional CO2 Laser

Fractional CO2 laser treatment helps resurface uneven skin texture while stimulating collagen remodelling within the skin. This treatment is commonly used for boxcar acne scars, superficial acne scarring and overall skin texture improvement.

RF microneedling treatment being performed on acne scars using Morpheus8 device

RF Microneedling

RF microneedling works by creating controlled micro-injuries within the skin to stimulate natural collagen remodelling and skin repair processes. It may help improve mild acne scarring, uneven skin texture and overall skin quality over time.

FAQ

Frequently Asked Questions About Acne Scars

Can acne scars be permanently removed?

Acne scars can often be improved significantly, but complete “permanent removal” is not always realistic. Acne scars are caused by structural changes in the skin, such as collagen loss, tethering beneath the surface or abnormal wound healing after inflammation.

The goal of acne scar treatment is usually to improve skin texture, soften visible depressions and support collagen remodelling over time. Some scars may become much less noticeable, while deeper scars may require a series of treatments such as TCA CROSS, subcision, fractional CO2 laser or microneedling.

A personalised assessment is important because the outcome depends on your scar type, scar depth, skin condition and how your skin responds to healing.

There is no single best acne scar treatment for everyone because different acne scars form in different ways. Ice pick scars, boxcar scars and rolling scars each affect the skin differently, so the most suitable treatment depends on the scar type and depth.

For example:

  • TCA Cross may be considered for deep ice pick scars
  • Subcision may be used for tethered rolling scars
  • Fractional CO2 laser may help with resurfacing and boxcar scars
  • Microneedling may support collagen remodelling and texture refinement


In many cases, the best approach is not one treatment alone, but a carefully planned combination based on how your scars are structured.

Acne scars often affect more than one layer of the skin. Some scars involve surface texture irregularities, while others involve deeper collagen loss or fibrous tethering beneath the skin.

This is why one treatment may not address everything. For example, fractional CO2 laser can help resurface uneven texture, but rolling scars caused by tethering may need subcision to release the scar tissue first. Ice pick scars may require more targeted treatments such as TCA Cross because they are narrow and deep.

Combination acne scar treatments allow different components of scarring to be treated more comprehensively, leading to a more balanced improvement in skin texture over time.

Most acne scar treatments require multiple sessions because collagen remodelling happens gradually. The number of sessions depends on the scar type, scar severity, skin healing response and the treatments used.

Milder textural scarring may improve with fewer sessions, while deeper ice pick scars, rolling scars or mixed acne scars often require a staged treatment plan. Treatments such as TCA Cross, subcision, fractional CO2 laser and microneedling are usually performed over time to allow proper healing between sessions.

During consultation, our doctor will assess your scars and recommend a realistic treatment plan based on your skin and goals.

Acne scars may appear more noticeable with age even if the scars themselves are not actively worsening. As collagen, elastin and facial volume gradually decline, the skin may become thinner and less supported, making depressed scars and uneven texture more visible.

Rolling scars and boxcar scars may also cast stronger shadows under certain lighting as skin laxity develops. This is why some people feel their acne scars look more obvious in their late 30s or beyond.

Acne scar treatment focuses on improving texture, stimulating collagen remodelling and supporting skin structure over time.

Some downtime is expected after acne scar treatment, but it varies depending on the treatment performed. Microneedling may cause temporary redness and sensitivity, while fractional CO2 laser can involve more visible redness, peeling and recovery time.

TCA Cross may cause small areas of whitening, scabbing or darkening before healing, while subcision may cause swelling, bruising or tenderness in the treated areas. These effects are usually part of the healing process.

Your downtime will depend on the treatment intensity, your skin type and the combination of treatments used.

Lasers can be very useful for acne scar resurfacing, especially when there is uneven texture, boxcar scarring or superficial skin irregularity. However, not all acne scars are purely surface-level problems.

Rolling scars, for example, are often caused by fibrous bands pulling the skin downward from beneath the surface. In these cases, laser treatment alone may improve texture, but may not fully release the underlying tethering. Deep ice pick scars may also need more focal treatment because they extend deeper into the skin.

This is why acne scar treatment should be based on scar structure, not just the device used.

Yes, some acne scar treatments may also help improve enlarged pores and uneven skin texture, especially when the concerns are related to surface irregularity and collagen loss.

Fractional CO2 laser and microneedling are commonly used to support skin resurfacing and collagen remodelling, which may make the skin appear smoother and more refined over time. However, enlarged pores and acne scars are not exactly the same concern, so the treatment plan should be customised based on what is most visible in your skin.

For many patients, improving acne scars also helps the overall skin texture look more even and polished.

Restylane® Kysse Lip Fillers
What is Restylane® Kysse

Dubbed as the gold standard of lip fillers, Restylane® Kysse is a hyaluronic acid (HA) filler that’s designed specifically for our lips. Using XpresHAn™ Technology, it provides flexible movement and natural-looking volume while enhancing the texture and colour of the lips.

Benefits of Restylane Kesse
  • Luscious, plumped lips

  • Soft, natural-looking results

  • Smooths lip lines and wrinkles

  • Enhances the colour of your lips

  • Allows for flexible lip movements

  • More defined, volumized, and youthful lips

  • Longer-lasting results as compared to other lip fillers

  • Immediate results with zero downtime

What to Expect

Step 1

All Restylane® Kysse fillers come with lidocaine, an anesthetic, to ensure that your treatment is relaxing and entirely comfortable. Initially, a topical anesthetic will be applied on the injection site to numb the area.

Step 2

Our aesthetic doctor will begin the procedure with the first injection using an ultra-fine needle, before taking a pause to allow the lidocaine in Restylane® Kysse to further numb the lip area.

Step 3

The procedure then continues until the treated area shows the desired results. Thereafter, the injected area will be massaged to ensure that the filler gel is distributed evenly across the lips for natural results.

Are there any before and after photos of Restylane® Kysse results?

As dictated by Ministry of Health, we are not allowed to publish ‘before’ and ‘after’ images of aesthetic treatments. If you are interested in seeing the full before-and-after results please provide us with your name and email below, and we will send the images to your email address.

Restylane Kysse Frequently Asked Questions
Am I an ideal candidate for Restylane® Kysse Lip Fillers?

Patients should not use Kysse lip filler if they:

  • Have a history of severe allergic reactions.

  • Have had a previous allergic reaction to hyaluronic acid fillers.

  • Are allergic to anesthetics, like lidocaine.

While both of these are hyaluronic acid lip fillers, they have slightly different formulas. Restylane® Kysse adds volume and enhances your existing lip shape and symmetry to create smooth, natural-looking lips. It can also treat smoker’s lines, or commonly known as wrinkles around the mouth.

Juvederm, on the other hand, is a great option for patients who are looking for a more voluminous look. When deciding on which lip filler, it depends on the look you want to achieve.

Due to the different formulations, Restylane® Kysse has a unique structure that lasts longer than other fillers. Most dermal lip fillers last around 9 months, however you can expect results lasting up to 12 months with Restylane® Kysse.

The discomfort experienced during the treatment varies from person to person and depends on factors such as:

  • Sensitivity of the patient

  • Pain tolerance of the patient

  • Anxiety level of the patient

Restylane® Kysse comes with anesthetic inside the gel already, hence discomfort is at its minimum.

All lip fillers have some mild side effects. You may experience some slight swelling and bruising on the injected area, but these should go away within 7 days.

  • As with other lip fillers treatment, a cold compress may be applied to the injected area to reduce swelling.

  • Avoid touching the injected area for at least 6 hours so that you do not accidentally injure your skin while the area is numb. Thereafter, the treatment area can be gently washed with soap and water.

  • Minimise strenuous exercise and exposure to excess heat, sun, or UV rays for the first 24 hours. Exposure to these may cause temporary redness, swelling, or itching at the treated area.

Full aftercare instructions will also be provided after the treatment.

Got more questions? Contact our clinic for more information or schedule an appointment with our doctor

Non-Surgical Butt Lift in Singapore
Lift, shape & enhance the buttocks naturally without surgery or implants using non-surgical techniques
What Is a Non-Surgical Butt Lift?

A non-surgical butt lift is a modern aesthetic treatment approach designed to enhance the shape, contour and firmness of the buttocks without surgery, implants or fat transfer. Often described as a non-invasive Brazilian Butt Lift (or non-surgical BBL), it is ideal for patients seeking natural-looking butt enhancements with minimal downtime, lower risk, and more controlled results.

Unlike a traditional Brazilian Butt Lift, which requires liposuction, fat transfer, and general anesthesia, a non-surgical butt lift focuses on refinement rather than dramatic enlargement. Patients can achieve improved projection, symmetry, and overall shape safely and gradually.

Who Is a Suitable Candidate for a Non-Surgical Butt Lift?

A non-surgical butt lift may be suitable for individuals who:

  • Feel their buttocks appear flat or under-projected

  • Have mild to moderate sagging or loss of firmness

  • Are concerned about hip dips or uneven buttock contours

  • Want butt enhancement without surgery

  • Prefer gradual, natural-looking results

  • Are not suitable candidates for a surgical Brazilian Butt Lift

A thorough doctor’s assessment is essential to determine whether a non-invasive butt lift is the right approach for your body and aesthetic goals.

For those interested in learning more about the factors that contribute to an ideal buttock shape and proportion, you can read our detailed article here.

Types of Non-Surgical Butt Lift Treatments

Injectable Collagen Stimulation for Butt Enhancement

Injectable collagen stimulators, such as poly-L-lactic acid (PLLA), gradually timulate the body to produce new collagen, strengthening the underlying buttock structure. This improves projection, contour, and tissue firmness over time.

Unlike traditional fillers that only add temporary volume, injectable collagen stimulators create a natural, progressive lift, making them ideal for patients seeking refined butt enhancements rather than dramatic enlargement.

Benefits:

  • Gradual, natural-looking lift
  • Improved buttock shape and projection
  • Firmer, smoother skin texture

Butt Fillers for Shape & Symmetry contour

Butt fillers are used to refine shape, smooth contour irregularities, and correct mild asymmetry. When administered carefully by a doctor, fillers can improve the overall silhouette of the buttocks in a way that complements the hips and waist.

These treatments are particularly suited for patients who want targeted enhancement and smooth transitions between anatomical areas, achieving proportions that look natural and aesthetically pleasing.

Benefits:

  • Smooths contour irregularities
  • Corrects mild asymmetry
  • Refines overall silhouette

Energy-based Butt Lift for Gluteal muscle tone

Energy-based treatments, such as truSculpt Flex, help tone glute muscles by focusing on muscle conditioning to supporting overall contour and firmness of the buttocks without surgery.

While they do not add volume, it relies on targeted electrical muscle stimulation to activate the glute muscles, helping to enhance the appearance of lift, firmness and shape by supporting soft‑tissue structure.

Benefits:

  • Improves skin firmness and texture
  • Subtly enhances buttock contour
  • Minimal downtime and a non‑invasive approach
Frequently Asked Questions
Are non‑surgical butt lifts safe?

When performed by a qualified, experienced medical professional, non‑surgical butt lift treatments are considered safe and well‑tolerated. Key points that contribute to safety include:

  • Doctor‑led assessment and customized treatment planning

  • Use of medically approved injectables and energy‑based devices

  • Careful technique to minimise risk

  • Clear aftercare guidance

Non‑surgical options avoid the risks associated with general anesthesia, fat transfer and surgical incisions. That said, every medical treatment carries some degree of risk, which is why informed consent, proper evaluation, and expert execution are essential.

Yes, non‑surgical butt lift treatments do work for many patients when performed by qualified doctors. These options are designed to improve buttock shape, contour, projection, and skin quality without surgery:

  • Injectable collagen stimulators gradually strengthen the underlying tissue structure and build new collagen over time, leading to a natural‑looking lift and improved firmness

  • Butt fillers improve targeted volume and smooth contour irregularities

  • Energy‑based treatments like activate glute muscles to improve tone and definition, while supporting overall contour

While results may vary by treatment type, individual anatomy, and treatment plan, many patients experience noticeable improvement in shape and firmness without surgery. It’s important to set realistic expectations, as non‑surgical methods produce gradual, subtle enhancement rather than dramatic volume increases.

One of the major benefits of a non‑surgical butt lift is minimal downtime. Most patients can return to everyday activities immediately or within a day. However:

  • Injectable treatments may cause mild swelling, redness, or bruising, typically resolving within a few days.

  • Energy‑based procedures can leave the skin feeling warm or slightly tender, usually subsiding quickly.

Because these treatments avoid incisions and general anesthesia, they do not require the long recovery associated with surgical procedures.

Non-surgical butt lifts are designed for refinement, subtle lift, and contour enhancement, rather than dramatic volume increases.

While they cannot replicate the major augmentation achieved with a surgical Brazilian Butt Lift (BBL), they offer a safer, less invasive alternative for patients who want to improve projection, firmness, and shape without undergoing surgery.

Non-surgical treatments also allow for gradual, controlled improvements, giving patients a more natural, balanced result that complements their overall body proportions.

Results depend on the type of non‑surgical treatment used:

  • Butt fillers often show immediate contour improvement after the procedure.

  • Injectable collagen stimulators work over time — most patients see progressive enhancement over several weeks to months, as new collagen develops.

  • Energy‑based treatments provide subtle improvements that accumulate over a series of sessions.

Because non‑surgical butt lift treatments focus on natural tissue changes rather than brute volume addition, results tend to appear gradually.