NEW: Take control of your health with our easy at-home blood test kits. Get your test.

On this page

    How to get rid of acne scars

    On this page
    1. What are acne scars?
    2. What causes acne scars?
    3. Types of acne scar
    4. How long does it take acne scars to fade? 
    5. Can you remove acne scars naturally?
    6. How to treat acne scars 
    7. How to prevent acne scars
    8. Conclusion

    Reviewed by Dr Neel Patel

    If you’ve experienced acne at any time in your life, you might have some scarring as a result. The majority of people would no doubt like to avoid scarring on their face, neck or back, so we’ve taken a look into acne scarring. We’ll explore how to treat acne scars, as well as how to prevent them in the first place.

    Person with acne scars touching face

    What are acne scars?

    Scarring is a common complication of acne, particularly in people who have moderate or severe acne. Scarring can occur when acne spots burst, or are picked or squeezed. The skin around the spot is damaged, and scars develop, which is a permanent change.

    What do acne scars look like?

    As everyone’s skin is different, some people’s acne will heal with only minimal damage, while other people will have lasting scars.

    The appearance of acne scars depends on the type of acne and severity of your acne. Acne scars can look like small deep holes in the skin, they can make the skin look bumpy and uneven or they can look like craters in the skin. Read on to find out more about the types of acne scars.

    What causes acne scars?

    Any type of acne spot can leave a scar if it damages the skin, however scarring is most likely when nearby skin is damaged following a burst nodules or cysts - these are the most severe varieties of acne spot. Nodules are large, hard bumps that sit under the skin, while cysts are large pus-filled spots that look like boils.

    Types of acne scar

    There are 3 main types of acne scar which appear differently on the skin. These atrophic scars are usually indented and can make the appearance of your skin look imbalanced. 

    Ice pick scars

    Ice pick scars look like small, deep holes in the skin, as though the skin has been punctured.

    Ice pick acne scar

    Ice pick acne scar

    How ice pick scars look under the skin's surface:

    Ice Pick Acne Scars

    Rolling scars

    Rolling scars are where the skin looks bumpy and uneven. 

    Rolling acne scar

    Rolling acne scar

    How rolling scars look under the skin's surface:

    Rolling Acne Scars

    Boxcar scars

    Boxcar scars are individual depressions, or craters, in the skin.

    Box scars

    Icepick and

    How boxcar scars look under the skin's surface:

    Boxcar Acne Scars

    Hypertrophic and keloid scars

    In certain people, the body can have an abnormal response to the damaged skin. This can result in more severe, raised scarring such as hypertrophic or keloid scars. These scars are more severe and appear as raised lesions. They’re more common on the chest, back and shoulders and in people with black skin.

    Keloid acne scar on chest

    Keloid acne scar

    How keloid scars look under the skin's surface:

    Hypertrophic and keloid scars

    How long does it take acne scars to fade? 

    Deep or raised scars don't really fade as such, and unfortunately those types of scars are likely to be permanent. Over time they will look less red and angry, which softens the appearance.

    Usually scars look a shade lighter than your usual skin tone, but some skin types, particularly dark or black skin, turn darker where the spots have been, which is called post inflammatory hyperpigmentation (PIH).

    Can you remove acne scars naturally?

    If your scarring is very mild, or you don’t want any of the cosmetic procedures suggested below, you can try a product such as Bio Oil. These are moisturising skin treatments that are said to reduce the appearance of scars.

    If you are concerned about your acne scars, or developing acne scars you should see your GP. 

    How to treat acne scars 

    In more severe cases, the treatments listed below are the most common in tackling acne scarring. But it’s worth noting that, while the kinds of scarring treatment listed below can have a noticeable effect on acne scarring, they cannot completely remove the appearance of scars.


    This is a cosmetic procedure where the top layer of the skin is removed, typically with a special instrument that is rolled across the skin.

    Removing the top layer of the skin can reduce the appearance of acne scarring and the make the skin smoother, however this technique is not as effective with deep scars.

    You may need two or three dermabrasion procedures for an effect to be seen. After each procedure your skin may be red, sore and swollen for several months while it heals.

    Laser therapy

    This is where lasers are used to remove outer layers of the skin (as with dermabrasion) and to stimulate collagen production, both of which can improve the appearance of scars.

    As with dermabrasion, laser therapy can cause redness, swelling and pain, with symptoms lasting for weeks.

    Punch excision, elevation and grafting

    Punch techniques are types of minor surgery carried out to remove acne scars.

    Excision is usually used for ice pick scars. The scar is cut out of the skin using a special tool, and the wound is stitched flat.

    Elevation is usually used for boxcar scars. This technique involves cutting out the bottom of the scar and lifting it up so that it sits level with the surrounding skin, giving a smoother appearance.

    Grafting is for deep ice pick scars and involves taking a skin graft from somewhere else on the body (usually the back of the ear). The scar is removed and the hole is plugged with the skin graft.


    Subcision is another type of surgery used for acne scarring, and specifically rolling scars. The upper layer of the skin is separated from the scar tissue, allowing blood to clot over the scarring and lift up the skin to make it smoother.


    This is where a special tool is rolled across the skin, creating lots of tiny wounds within the scar tissue. These wounds heal quickly, and during the process produce new collagen which helps smooth out the affected skin.

    The procedure causes redness and irritation, but for no longer than a few days. Multiple treatments are needed, typically every four to six weeks.

    Chemical peels

    A chemical peel is a cosmetic procedure whereby outer layers of skin are removed using glycolic or salicylic acid. As with dermabrasion or laser therapy, this can help reduce the appearance of scars.

    Dermal fillers

    To temporarily plump up the skin and reduce the appearance of scars you can receive dermal fillers under the skin.

    How to prevent acne scars

    It’s not always easy but there are some steps you can take to reduce your risk acne scarring:

    Don’t squeeze or pick breakouts

    Not only can burst spots damage the skin and cause scarring, squeezing and picking can also lead to infection.

    Use the correct acne treatment

    Make sure you’re using the correct treatments for your acne. If your symptoms are severe you should be using prescription treatments, not simple over-the-counter products.

    Daily skincare routine

    Establish a daily skincare routine. Acne is not caused by poor hygiene, but keeping your skin clean can help to reduce the blockages in the skin that cause acne spots.

    Be gentle on your skin

    Avoid scrubbing your face or using harsh skincare products. Keeping your skin clean is important, but washing it too harshly can cause damage.

    Wear sun protection

    Wear sun lotion to protect scars as they are healing. Sun damage can slow down the healing process. Find out how to look after acne in the sun in our article

    Quit smoking

    Studies have shown that scars don’t heal as well in smokers. Read our top tips for how to stop smoking and find out what products are available to help.


    Severe acne can leave scars, making your skin look bumpy and uneven. Creams and other topical treatment can help with mild scarring and discolouration (post inflammatory hyperpigmentation or PIH), but deeper or bumpy scars may need  different treatment, either through a specialised skin clinic or a dermatologist. we have skin care advice that can help to lessen the appearance of your scars and ways you can help prevent acne from causing scars.

    If you are concerned about your acne spots or scarring, make an appointment with your GP or use our free acne assessment.​​​​​​​


    Find the right acne treatment for you
    View treatment options
    LloydsPharmacy Online Doctor

    This service operates in the United Kingdom only

    LloydsPharmacy Online Doctor

    This service operates in the United Kingdom only

    Visit IE Online Doctor Continue with UK service
    LloydsPharmacy Online Doctor

    This service operates in the Republic of Ireland only

    Continue with Irish Service Continue with UK Service