Acne scars are among the most stubborn skin conditions to treat. Unlike post-acne redness or hyperpigmentation, which fade with time or topical care, acne scars represent structural damage to the dermis caused by inflammation and collagen destruction. This is why they persist for years and why so many patients feel frustrated after trying “single solution” treatments with minimal improvement.
The truth is simple: there is no one miracle treatment for acne scars. Each scar type — rolling, boxcar, or ice-pick — requires a tailored approach. At BAC Clinic Bangkok, we specialize in combination therapy, using multiple scientifically proven technologies to deliver visible, long-term improvement.
Types of Acne Scars
Rolling Scars
- Wavy, shallow depressions caused by fibrotic bands pulling the skin downward.
- Best treated with subcision to release tethering, combined with collagen-stimulating therapies.
Boxcar Scars
- Broad, U-shaped scars with sharp edges, moderate to deep in depth.
- Respond well to microneedle RF and biostimulators that rebuild lost collagen.
Ice Pick Scars
- Deep, narrow scars that look like small punctures.
- Often require TCA CROSS or surgical punch techniques because energy devices alone cannot reach their depth.
Why Combination Therapy Is Essential
- Different problems, different solutions — Fibrotic tethering needs subcision, while collagen deficiency needs RF microneedling or biostimulators.
- Synergy works better — A combination of subcision + collagen stimulators + chemical reconstruction addresses every layer of scarring.
- Natural long-term results — Multiple pathways of collagen induction ensure results that continue to improve for months.
- Reduced relapse — Adding fillers or biostimulators after subcision helps prevent re-tethering of scars.
Advanced Acne Scar Treatments at BAC Clinic
1. Infini RF Microneedle (MRF)
- Uses insulated microneedles to deliver radiofrequency energy deep into the dermis.
- Stimulates fibroblasts, builds new collagen and elastin, and smooths rolling and boxcar scars.
- Also improves skin tightening and pore size with minimal downtime.
2. Subcision (Microsubcision)
- A minor surgical technique that releases fibrotic bands under tethered scars.
- Instantly lifts rolling scars by breaking the “anchors” pulling the skin downward.
- Usually combined with fillers or biostimulators to prevent scars from reattaching.
3. Juvelook — PDLLA + HA Biostimulator
- An injectable combining poly-D,L-lactic acid (PDLLA) with hyaluronic acid (HA).
- Works in two phases: HA provides initial hydration and glow, while PDLLA stimulates long-term collagen synthesis.
- Results build progressively over 2–3 months and last beyond what traditional fillers can offer.
4. Dermal Fillers vs. Biostimulators
- Hyaluronic Acid (HA) Fillers
- Provide instant lifting by filling depressed scars.
- Reversible and temporary (lasts 9–18 months).
- Good for patients seeking quick results or correction of selected scars.
- Biostimulators (Radiesse & Sculptra)
- Radiesse (Calcium Hydroxylapatite — CaHA): Provides initial volumizing while stimulating collagen and elastin over months. Excellent for rolling and boxcar scars.
- Sculptra (Poly-L-lactic acid — PLLA): Gradually induces collagen production, restoring skin thickness and long-term structural support. Often used in full-face rejuvenation as well as acne scar revision.
- Unlike HA fillers, these do not just “fill” but regenerate the dermis for long-lasting improvement.
5. TCA CROSS (Chemical Reconstruction of Skin Scars)
- Involves applying high-strength TCA acid into the base of deep ice-pick scars.
- Stimulates new collagen and gradually lifts scar depth.
- Considered the gold standard for ice-pick scars when combined with energy-based devices.
Recommended Treatment Plan
Most patients at BAC Clinic benefit from a stepwise combination therapy:
- Start with Infini RF — to stimulate dermal collagen and remodel texture across the whole face.
- Add Subcision — to release tethered rolling scars.
- Inject Biostimulators (Juvelook, Radiesse, Sculptra) — to rebuild lost volume and maintain collagen induction.
- Use TCA CROSS — to target stubborn ice-pick scars.
Sessions are spaced 3–6 weeks apart, and patients typically undergo 3–5 sessions for optimal improvement. Results are cumulative and continue to progress as collagen matures.
Why Choose BAC Clinic Bangkok
- Full spectrum of technologies: Infini RF, Subcision, Juvelook, HA Fillers, Radiesse, Sculptra, and TCA CROSS.
- Expert dermatologists with deep experience in scar revision.
- Personalized treatment plans customized to scar type and severity.
- Recognized by ReviewThai as the №1 Acne Scar Treatment Clinic in Bangkok.
Conclusion
Acne scar revision is not about chasing the “one best treatment.” It is about combining the right methods — subcision, microneedle RF, biostimulators, fillers, and chemical reconstruction — to treat scars from every angle.
At BAC Clinic, this combination therapy approach has helped thousands of patients achieve smoother, healthier skin. By integrating HA fillers for instant correction with biostimulators like Juvelook, Radiesse, and Sculptra for long-term collagen regeneration, results are both immediate and enduring.
For consultations, bookings, and international patient inquiries, contact BAC Clinic Bangkok today and start your journey to scar-free skin.
LEARN MORE : https://bangkokacnescarrevision.com/
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