01 — What we help with · Face and eyes

Acne scars and skin texture

Depressions and an uneven skin “texture” after acne can stay for years — but they can be visibly reduced. We rebuild the skin layer by layer: with a fractional laser and with microneedling. At your consultation we will assess the type of scarring (depressed, “ice-pick”, rolling) and match the technology and the number of treatments.

Consultation — Mokotów Consultation — City Centre Book a consultation →

Fractional laser + microneedlingremodelling of the skin texture

Matched to the scar typeice-pick, boxcar, rolling

2 clinicsCity Centre · Mokotów

Consultationwith a scar assessment

02 — What it is

Acne scars — why the skin stays uneven

Acne scars are a permanent trace of acne inflammation — the result of faulty collagen remodelling during healing. In some people they are narrow, deep “ice-pick” marks, in others wider depressions with sharp edges, or undulating, “rolling” irregularities. They are often accompanied by generally uneven texture, enlarged pores and post-inflammatory pigmentation.

The good news is that skin texture really can be rebuilt. A controlled, microscopic injury — from a fractional laser beam or from microneedles — triggers the production of new collagen, which gradually fills and smooths the scar. At Velvet Skin Clinic we match the method to the type of scarring, and we often combine techniques within a single plan. If acne is still active, we calm it down first — and this is helped by active acne therapy.

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How we rebuild the skin texture

We work on the principle of controlled regeneration: the Er:YAG fractional laser (Fotona) vaporises microcolumns of the epidermis and the dermis, while microneedling radiofrequency and microneedling deliver the stimulus deeper down. In response the skin produces new collagen and elastin, which fill the depressions and even out the surface. The effect builds over the weeks after the treatment and accumulates across a course — which is why we speak of visibly shallower scars rather than of a one-off “removal”.

03 — Velvet Skin Clinic in numbers

Experience in working with scars and skin texture

4 164treatments for scars and skin texture

8 173clients have trusted Velvet Skin Clinic

75% of clients return for further treatments

2clinics in central Warsaw

We have the Fotona Er:YAG fractional laser, Vivace microneedling radiofrequency and the Dermapen 4 device — which lets us match the technology and the working depth to the type of scarring.

Source: Versum and Booksy reports, as at 30.06.2026 (total treatments performed for acne scars and skin texture; client numbers and return rates — data for the whole clinic).

04 — Causes

Where acne scars come from

Deep inflammation

The deeper and longer the inflammation (papules, cysts, cystic lesions), the greater the risk of permanent collagen damage and of scarring.

Squeezing and irritation

Mechanical damage to the lesions — squeezing, picking — deepens the injury and encourages both scarring and pigmentation.

Predisposition and time

The tendency to scar varies from person to person. The longer scars go untreated, the more firmly their structure sets.

05 — Recognition

Identify the type of your scars

Ice-pick scars

Narrow and deep, like pinpricks. They call for the deepest, most targeted approach — a fractional laser, sometimes combined techniques.

Depressed scars (boxcar)

Wider depressions with fairly sharp edges. They respond well to Er:YAG fractional resurfacing, which evens out the surface.

Undulating scars (rolling)

A diffuse “waviness” of the skin caused by connective-tissue tethering. Microneedling radiofrequency and microneedling work well here.

Most often scars of different types coexist — which is why we agree the plan and the choice of technology individually at your consultation.

06 — Consultation

Acne scars that are hard to hide? Book a consultation — we will assess their type and match the right method for rebuilding your skin.

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07 — How we help

Recommended options for scars and skin texture

We rebuild skin texture with energy and microneedling — matching the technology to the type and depth of the scarring. We often combine methods. Each one has its own dedicated page.

Fractional laser

Fotona fractional laser resurfacing

Fractional Er:YAG vaporises microcolumns of skin and stimulates collagen rebuilding — it smooths depressions and evens out the surface, especially in boxcar scarring.

See the treatment

Microneedling RF

Vivace microneedling radiofrequency

Microneedles deliver energy deep into the skin, stimulating remodelling — effective for rolling scars and for improving overall texture.

See the treatment

Microneedling

Dermapen 4

Mechanical microneedling stimulates regeneration and improves skin texture — often combined with other methods within a course.

See the treatment

Scars in general

Laser scar removal

A comprehensive laser approach to scars of various origins — for when, alongside acne scarring, we are also working with other marks on the skin.

See the treatment

08 — Which method is for me

A quick comparison

Method	Works best on	Result	Course
Er:YAG fractional laser	boxcar scars, overall texture	smoothing and remodelling of the surface	a course of 3–5 treatments
Vivace microneedling RF	rolling scars, texture	remodelling of the deeper layers	a course of treatments
Dermapen 4	texture, shallower irregularities	stimulation of regeneration	a course, often combined
Laser scar removal	mixed and post-traumatic scars	an individual combined plan	as assessed

Unsure which to choose? Book a consultation

09 — Why it works

What the research says about treating acne scars

Fractional lasers and microneedling are among the best-documented methods for improving atrophic scars. Below are the publications on which we base our choice of technology.

Atrophic scars

Acne scars

Energy-based treatment of atrophic scars

A review of energy-based methods in the treatment of atrophic acne scars — it confirms improvement in skin texture.

Liu et al., 2024 · PubMed →

Fractional laser

Resurfacing

The fractional laser in skin resurfacing

A review of the use of fractional lasers in improving the surface and texture of facial skin.

Carniol et al., JAMA Facial Plast Surg 2015 · PubMed →

Microneedling

The effectiveness of skin microneedling

A review of the evidence on microneedling in improving scars and skin texture.

Atiyeh et al., Aesthetic Plast Surg 2021 · PubMed →

Informational and educational material — it does not replace a medical consultation. The studies cited concern the methods as a group; results are individual.

10 — How it works in practice

Scar treatment step by step

Once we have assessed the type of scarring, we choose the technology and the settings. The treatment is carried out under local anaesthetic (cream); the sensation is one of warmth and tiny pricks. Afterwards the skin may be red and slightly swollen for a few days, and the remodelling effect builds over weeks.

Your consultation and scar assessment

Establishing the type of scarring and the condition of the skin, taking a history and choosing the technology.

Preparation

Cleansing of the skin and local anaesthetic for comfort.

The fractional / microneedling treatment

A controlled micro-injury that stimulates collagen remodelling.

Recovery and the course

The skin heals over a few days; the effect accumulates across a course of treatments.

11 — Care and prevention

How to care for skin after treatment and protect the result

After remodelling the skin needs to recover and to be protected. The right aftercare speeds up healing and consolidates the improvement in texture.

Sun protection

SPF 50 every day — freshly remodelled skin is sensitive to the sun, which encourages pigmentation.

Gentle recovery

For a few days, soothing and moisturising products only, with no retinoids, acids or scrubbing.

Leave the skin alone

We do not pick off scabs or flaking skin — this is the key to smooth healing.

Patience with the result

New collagen forms over weeks — we assess the full effect after the course, not after the first treatment.

Keeping acne under control

If acne flares from time to time, we manage it in parallel so that new scars do not form.

Informational and educational material. Detailed recommendations are given by your specialist; results are individual.

12 — Related concerns and therapies

They trusted us

★★★★★

“I warmly recommend it, complete professionalism. The procedure for laser treatment of acne scars was explained in detail. A great result, I am very pleased.” (translated from Polish)

Karolina P. · 2024review from Google

★★★★★

“My problem skin is no longer a problem :) The team dealt brilliantly with my acne scarring and with my oily skin.” (translated from Polish)

Dorota B. · 2025review from Google

★★★★★

“I have got rid of the thing I was self-conscious about — my acne scars. I highly recommend it.” (translated from Polish)

Lena J. · 2024review from Google

14 — Safety

When to take extra care

Scar treatment is always preceded by a medical history. The main contraindications and situations calling for caution:

active acne in a flare — calming it comes first

isotretinoin (we leave a gap after the course)

a tendency to hypertrophic scars and keloids

a fresh tan and sunbed use

pregnancy and breastfeeding

active infection or cold sores

In people prone to keloids and after isotretinoin we plan treatment with particular care, working with a dermatologist where needed.

15 — Questions and answers

Frequently asked questions about acne scars

Can acne scars be removed completely?

Scars usually cannot be removed 100%, but they can be visibly reduced and the skin texture evened out — often by more than half over a course of treatments. The realistic goal is markedly smoother, far less noticeable skin, rather than a “zero” scar.

How many treatments are needed?

Most often a course of 3–5 treatments every few weeks, depending on the type and depth of the scarring. We agree the exact plan at your consultation, after assessing your skin.

What does a scar treatment feel like?

We work under local anaesthetic (cream), so the treatment is well tolerated — you feel warmth and tiny pricks. Afterwards the skin may be red and slightly swollen for a few days.

When can I start scar treatment?

We calm active acne first — we begin rebuilding the scars once the skin is settled. If you have taken isotretinoin, we leave an appropriate gap after the course.

How does the laser differ from microneedling for scars?

The fractional laser works mainly at the surface and in the dermis (excellent for boxcar scars and for texture), while microneedling radiofrequency reaches deeper (better for rolling scars). We often combine the two methods for a fuller result.

How much does it cost?

The price depends on the method, the size of the area and the number of treatments in the course. We provide a quote at your consultation, and full rates are available in the price list. The consultation includes a scar assessment.

16 — Who performs the treatments

Treatments are performed by our cosmetologists

Treatments at Velvet Skin Clinic are performed by certified cosmetologists with many years of experience in laser therapy, hi-tech devices and skin care treatments. After a consultation we match the method and the specialist to your skin and your goal.