01RF Microneedling · London
Secret RF MicroneedlingFractional radiofrequency microneedling for atrophic and rolling scars.
Treated, Layer by Layer
Acne Scarring
The right answer depends on which type of scarring you have. Assessed under the 4D Approach before any plan is written.
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Your Concerns
What Is It?
Acne scarring is one of the most rewarding aesthetic concerns to treat — and one of the most undertreated, because the right answer depends on which type of scarring you have. Ice-pick, rolling, and boxcar scars respond to different combinations of energy-based treatments and regenerative injectables. At 23MD, scarring is assessed under the 4D Approach before any plan is written, and the treatments that follow are sequenced under the Treatment Stacking method — not delivered in isolation.
Recommended Pathway
Treatments for Acne Scarring
The treatments our doctors most often recommend for this concern. Your consultation confirms the right combination and sequence for you.
02Fractional RF · Dubai
Secret Duo FRFFractional radiofrequency microneedling for selected scar patterns.
03Regenerative
PolynucleotidesRegenerative support for tissue quality, often stacked with energy-based treatments.
05Skincare
Medical-Grade SkincareDiscussed in consultation; supports clinical results between sessions. For patients with skin of colour, treatment selection is more conservative — in Dubai, Dr Surbhi Virmani leads this work.
Unsure which pathway suits you?
Book a Consultation
23MD Digital
Not sure how different treatments fit together?
Built on our Treatment Stacking™ method: aesthetic, regenerative and longevity treatments layered and sequenced around your goals and timeline.
Common Causes
What Could Be Causing It
Active Acne Damage
Inflammation that disrupts the skin's normal repair process.
Picking or Squeezing
Physical disruption that worsens scarring.
Skin Type
Deeper Fitzpatrick types are more prone to post-inflammatory hyperpigmentation alongside textural scarring.
Delayed Treatment
The longer active acne persists, the more scarring accumulates.
Ice-Pick Scarring
Narrow, deep, V-shaped scars — the most challenging type to treat.
Boxcar & Rolling Scars
Wider depressions and broad, undulating texture — typically the most responsive types.
FAQs
Your Questions, Answered
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Medically reviewed by Dr Surbhi Virmani, DHA-licensed Senior Cosmetic & Regenerative Clinician on April 2026.
