Author: Cho Yoon-ju (Director)
This content has been written in compliance with relevant laws including the Medical Service Act.
Can Old Acne Pitted Scars Be Treated with Multi-Device Therapy in Uijeongbu?
Pitted scars left behind after acne heals are difficult to fill naturally over time. This is because the collagen structure inside the skin itself has been damaged. According to relevant clinical data, pitted scars constitute a type of structural damage that is difficult to recover naturally. Additionally, Gangnam Unni Medical Information explains that a significant number of acne pitted scars are classified as types requiring laser or procedural treatment rather than ointments or basic skincare.
In Uijeongbu, it is also possible to receive combined treatment by first accurately distinguishing scar types (ice pick, boxcar, rolling) and then combining Fraxel, Pico, subcision, and radiofrequency microneedling. Clinical data suggests that a multi-faceted approach tailored to scar shape and depth increases the possibility of improvement compared to repeating a single procedure. However, the type and order of procedures vary depending on scar depth, distribution, and skin type, and individual differences exist, so a dermatologist's diagnosis must always precede treatment.
Multi-Device Treatment Mechanisms That Vary by Pitted Scar Type
Because pitted scars have different structural origins, the most effective treatment methods also vary by type. In actual clinical practice, combination types with two or three types appearing on one face are commonly observed. According to Medical News, the main applicable procedures by scar type are presented as follows.
| Scar Type | Morphological Characteristics | Commonly Applied Procedure Combinations |
|---|---|---|
| Ice Pick | Narrow, deep needle hole-like indentation | CROSS, dot peeling, localized CO2 laser |
| Boxcar | Wide, clearly defined rectangular indentation | Erbium YAG, Fraxel, CO2 laser |
| Rolling | Gently sloping wide indentation like waves | Subcision, radiofrequency microneedling, fractional laser, Rejuran combination |
▪ Fraxel and Pico lasers work by delivering fine stimulation to the dermal layer to induce collagen regeneration.
▪ Subcision works by severing fibrous adhesion bands formed beneath the scar to pull the indented area upward.
▪ Radiofrequency microneedling delivers thermal energy to deep skin layers to promote dermal remodeling.
Even with the same rolling scar, the combination method can vary depending on skin type and depth, and individual differences exist. Accurate scar type evaluation is the starting point of treatment design.
How REJU CLINIC Approaches Scar Treatment
REJU CLINIC, based on over 25 years of accumulated clinical experience and the director's work as an executive of the Korean Academy of Dermatology and Hair Surgery, has a dedicated 1:1 doctor examine each patient's individual scar type and skin type to personally design a multi-procedure direction.
Clinical data also suggests that combined treatment design considering both scar type and skin condition is a more systematic approach than repetitive single-device treatment. Below is REJU CLINIC's scar treatment progression.
▪ Step 1 — Initial Diagnosis: Understanding skin type (dry, oily, sensitive, etc.) and overall scar distribution
▪ Step 2 — Scar Type Classification: Evaluating whether ice pick, boxcar, and rolling types are mixed and assessing depth
▪ Step 3 — Multi-Procedure Treatment Plan Design: Determining device combinations by type, procedure order, and intervals between sessions
▪ Step 4 — Procedure Progression: A dedicated 1:1 doctor performs the procedure directly and maintains progress records
▪ Step 5 — Ongoing Progress Management: Checking skin regeneration status by session and adjusting the plan
Two male and female specialists are stationed on-site, allowing you to select a doctor of your preferred gender for a comfortable consultation. Results may vary due to individual differences in skin regeneration capacity, and the suitability of procedures is determined after consultation.
This Approach Works Best For — Self-Check & Precautions
Check below to see if multi-device acne scar treatment could be particularly helpful for your situation.
✔ Could This Be Me?
▪ More than a year has passed since acne healed, yet pitted marks remain unchanged
▪ It seems like two or more types of ice pick, boxcar, or rolling scars are mixed together
▪ Previously received single laser treatment but improvement was insufficient
▪ Worried about strong procedures due to thin or sensitive skin
▪ Scars are evenly distributed across multiple areas like cheeks, jaw, and forehead
⚠ Important Things to Know — Precautions
▪ If active acne (red and inflamed state) remains, the principle is to proceed with inflammation control before scar treatment.
▪ Downtime and required number of sessions may vary depending on scar depth and skin type.
▪ Combined-type scars often require treatment divided into multiple sessions over several appointments suited to each type.
▪ Generally procedures are conducted over several sessions at certain intervals, but individual differences are significant, so it is important to establish a plan after diagnosis.
Many patients from nearby Yangju, Pocheon, Nowon, and Dobong areas also visit. If you are looking for a Fraxel dermatology clinic in Uijeongbu, please feel free to inquire.
Consult with Ease. We'll Look Into This Together.
At REJU CLINIC in Uijeongbu, we carefully examine your skin type and scar type, then work together to consider the most suitable multi-device treatment approach. Please consult with ease. We'll look into this together.
Scar treatment is far more important that you have the right "combination for your scar type" than "what procedure it is." Clinical data also emphasizes that accurate scar type identification is the starting point of treatment design. For pitted marks you've been concerned about for a long time, it would be good to start with a diagnostic consultation.
Based on over 25 years of accumulated clinical experience, a dedicated 1:1 doctor will examine your condition from start to finish. If you want treatment that isn't factory-style procedure but genuine care that listens to your skin concerns, knock on the door at REJU CLINIC.
You Might Be Wondering About This
Q1. Even if my pitted scars are old, can they improve if I start treatment now?
Even if scars have been present for a long time, starting treatment is not meaningless. However, as scars age, fibrosis may progress, and the degree of improvement may vary depending on type and depth. It's best to have your current condition diagnosed first.
Q2. I have a mix of ice pick, boxcar, and rolling scars. In what order are they treated?
Combined-type scars have treatment order and combination designed to match the characteristics of each type. Generally, deeply pitted ice pick areas are addressed first, followed by wider rolling and boxcar areas, though this may vary depending on individual skin condition.
Q3. How do I know which of Fraxel, Pico, or subcision is right for my scars?
Only after directly examining the skin and evaluating scar type, depth, and skin type can we recommend appropriate treatment. Accurate distinction is difficult based solely on photos or self-assessment, so a dermatologist's diagnosis is essential. We'll examine this together during consultation.
Q4. How many sessions does scar treatment usually require?
The number of sessions varies depending on scar type, depth, and individual skin regeneration capacity. Generally, treatment is conducted over multiple sessions at certain intervals, and since individual differences are significant, personalized guidance after diagnosis is most accurate.
Q5. I still have active acne breaking out. Can I receive scar treatment at the same time?
When active acne (red and inflamed state) remains, the principle is to proceed with inflammation control before scar treatment. There are also methods to approach inflamed and scarred areas separately in stages, so we'll provide consultation after assessing your current skin condition.
Treatment suitability is determined after consultation.