Can I Treat Old Acne Scars?

Introduction

If you’ve struggled with acne in the past, you’re not alone — and for many Australians, the battle doesn’t always end when the breakouts do. Old acne scars can linger for years, affecting self-confidence and skin texture. The good news? Thanks to advancements in dermatology and cosmetic treatments, old acne scars can be treated, improved, and in some cases, significantly faded.

This article explores everything you need to know about treating old acne scars in Australia — including the types of scars, the most effective treatments, what to expect, and how to prevent further damage.

What Are Old Acne Scars?

Acne scars form when inflamed blemishes damage the deeper layers of the skin. If your body doesn’t produce enough collagen during the healing process, or produces too much, you may end up with permanent textural changes. Old acne scars are simply scars that have been present for a year or more — often becoming more noticeable as skin loses elasticity with age.

Types of Acne Scars

Understanding the type of scar you have helps determine the best treatment approach. Common types include:

• Atrophic (Indented) Scars:
  • Ice Pick Scars: Deep, narrow holes in the skin.
  • Boxcar Scars: Wider depressions with sharp edges.
  • Rolling Scars: Soft, shallow indents with sloping edges.
• Hypertrophic or Keloid Scars:
  • Raised and thickened tissue that forms where the acne was.
• Post-Inflammatory Hyperpigmentation (PIH):
  • Not technically a scar, but dark patches left behind after acne. PIH tends to be more common in darker skin tones.

Can Old Acne Scars Really Be Treated?

Yes — even scars that are years or decades old can be treated. While complete removal isn’t always possible, dramatic improvements in texture, tone, and appearance are achievable. The key lies in choosing the right combination of professional treatments, ongoing skincare, and realistic expectations.

Most Effective Treatments for Old Acne Scars in Australia

Let’s take a look at some of the most popular and effective treatments available in Australia, offered by dermatologists, cosmetic clinics, and skin specialists.

1. Fractional Laser Resurfacing

This technology uses focused laser beams to remove damaged skin and stimulate collagen production. It’s especially effective for atrophic scars and uneven texture.

• Pros: Noticeable improvement after a few sessions
• Downtime: Moderate (3–7 days)

2. RF Microneedling (Radiofrequency Microneedling)

Combines micro-needles and radiofrequency energy to target deep layers of the skin, boosting collagen and tightening tissue.

• Pros: Improves skin firmness and scar depth
• Downtime: Mild to moderate

3. Chemical Peels

A chemical solution is applied to exfoliate damaged skin layers and reveal smoother, clearer skin underneath. Great for mild atrophic scars and pigmentation.

• Types: Glycolic acid, salicylic acid, TCA (trichloroacetic acid)
• Downtime: Varies by peel strength

4. Skin Needling / Dermarolling

This technique uses tiny needles to trigger skin repair and new collagen production. It’s a lower-cost, effective treatment for shallow scars and overall texture.

• Home vs. Professional: At-home devices have limited depth and results. In-clinic treatments are more effective.

5. Subcision

A minor surgical technique used to break fibrous scar tissue under the skin. Often used in combination with fillers or microneedling.

• Best for: Deep rolling scars
• Downtime: Bruising and swelling for a few days
• Performed by: Dermatologist or cosmetic doctor

6. Fillers

Dermal fillers can temporarily “lift” indented scars, making them appear less noticeable.

• Duration: 6–18 months
• Note: Best used with other treatments for long-term improvement

7. LED Light Therapy

While not a primary treatment, LED therapy (especially red and blue light) can support skin healing, reduce inflammation, and improve treatment recovery time.

Can You Fade Pigmentation from Old Acne Scars?

Yes — pigmentation left behind from acne (post-inflammatory hyperpigmentation or PIH) often fades over time but can be accelerated with targeted treatments:

• Topical ingredients:
  • Niacinamide
  • Vitamin C
  • Azelaic acid
  • Alpha arbutin
• Laser treatments:
  • Intense Pulsed Light (IPL)
  • Q-switched lasers
• Chemical exfoliants:
  • AHAs like glycolic or lactic acid
  • BHAs like salicylic acid

Always wear sunscreen daily, as UV exposure can worsen pigmentation and slow healing.

How Many Treatments Will I Need?

There’s no one-size-fits-all answer. The number of sessions required depends on:

• The type and severity of your scars
• Your skin type
• Your response to treatment

In general, 3–6 sessions are common for noticeable improvement. Most clinics in Australia offer package deals for this reason.

Does Treating Old Scars Hurt?

Modern techniques are designed to be as comfortable as possible:

• Topical anaesthetic creams are used before microneedling, laser, or chemical peels
• Some discomfort is normal, but it’s usually manageable

What Can You Expect After Treatment?

• Redness or swelling for a few days
• Mild flaking or dryness
• Visible improvement typically starts around 4–6 weeks as new collagen forms

Home Care for Old Acne Scars

In addition to professional treatments, a good skincare routine can support your results:

• Cleanse gently and avoid harsh scrubs
• Moisturise daily
• Use antioxidant serums (like Vitamin C)
• Exfoliate 1–2 times a week with mild acids
• Never skip sunscreen

Where to Get Acne Scar Treatment in Australia

There are many reputable skin clinics in cities like Melbourne, Sydney, Brisbane, and Adelaide that offer advanced acne scar treatments. When choosing a clinic:

• Look for qualified practitioners
• Ask about before-and-after photos
• Read patient reviews
• Don’t be afraid to ask about treatment plans and costs

Can You Treat Scars at Any Age?

Yes — whether you’re in your 20s or 50s, it’s never too late to address acne scarring. Older skin may take slightly longer to respond, but with the right treatment plan, significant improvements are possible.

Final Thoughts

Old acne scars can be frustrating, but they don’t have to be permanent. With so many proven treatments available in Australia, you can absolutely improve the appearance of your scars and boost your confidence. From fractional laser to RF microneedling, there are solutions for every skin type, budget, and goal.

As always, consult a qualified skincare professional or cosmetic doctor to create a treatment plan that’s tailored to you. Your skin deserves to feel as smooth, even, and vibrant as you do.

At Medix Clinic, we offer a comprehensive range of professional skin and cosmetic treatments in Melbourne, tailored to your unique needs. Our services include effective acne scarring treatment in Melbourne, advanced scar treatment in Melbourne, and cutting-edge radio frequency microneedling in Melbourne to stimulate skin repair and regeneration. We also specialise in skin needling in Melbourne, non-surgical skin tightening in Melbourne, and safe skin tag and mole removal in Melbourne.

For pigmentation concerns, we provide precise pigmentation removal in Melbourne, helping you achieve a more even skin tone. To restore your skin’s natural radiance, our expert skin rejuvenation treatments in Melbourne are designed to revitalise and refresh. Additionally, enhance your smile with our professional LED teeth whitening in Melbourne, delivering safe and noticeable results.

At Medix, our goal is to deliver visible outcomes using evidence-based technologies, ensuring you feel confident in your skin.