RF Microneedling
Needling with radiofrequency heat, for scarring, pores and texture in one course.
From £350Skin
Acne scarring and texture
The marks left behind after the spots stop. Some of them are not scars at all, which changes the treatment and the price considerably.
- Treatments that address it
- 4
- Starting from
- £95
Chemical Peels, per session - Assessment
- Free, 45 minutes, written plan by email
What it actually is
Two different things get called acne scarring. Flat brown or red marks are post inflammatory pigmentation and erythema, and they fade on their own over six to eighteen months. True scars are changes in the shape of the skin: shallow rolling dips, sharper boxcar edges, or narrow ice pick holes. Only the second group needs remodelling work.
What causes it
- Inflammation that went deep enough to damage the collagen scaffold under the follicle.
- Lesions that were squeezed or picked, which spreads the inflammation sideways.
- Acne that was left untreated for years rather than months, which is the single biggest predictor.
- Skin that scars readily anywhere, which you usually already know about from other injuries.
Before you book anything
If you still get active spots, treat those first. If the scars are raised and thickened rather than sunken, they are keloid or hypertrophic scars, and those want a dermatology opinion because injected steroid is usually the first move.
Nothing on this page is a diagnosis. It is what we would say in the room, written down so you can read it before deciding whether to come in.
What treatment can do
Rolling and boxcar scars respond to controlled injury that makes the skin rebuild the collagen underneath. Expect a meaningful improvement rather than a flat surface. A realistic target for a full course is somewhere between forty and seventy per cent better, judged in the same lighting rather than from memory.
What it cannot do
Ice pick scars do not fill from above. They need a punch technique or excision, which is a minor surgical procedure and not something we do here. We will say so at consultation rather than sell you a course of microneedling that was never going to reach them.
Treatments for acne scarring and texture
Microneedling
Fine needle channels that prompt the skin to rebuild collagen, with modest downtime.
From £180Laser Skin Resurfacing
Fractional laser that removes columns of damaged skin so it is replaced with new tissue.
From £400Chemical Peels
Acid solutions at varying strengths that lift the surface layer to clear congestion and brighten.
From £95What a course usually looks like
Three to six sessions, four to six weeks apart, then a wait. The collagen response runs for about six months after the last session, so the honest review point is six months out, not the week after. Most people need one top up course a year or two later.
Course pricing is lower than the same sessions bought one at a time, and spreading the cost is available over three months on anything above £300.
Often alongside
Looking for something else?
Or just ask
If it is not on the menu, or you are not sure what to call it, say so in your own words and the team will answer. Ask about this concern.
Where to start
Bring a photograph of it at its worst.
Most concerns look different in clinic lighting at eleven in the morning than they do at home at night. A photograph on your phone is genuinely useful and we would rather see one than take your word for it.