Board-certified dermatologist markKAHF mark (Korea Accreditation Program for Hospitals Serving Foreign Patients)Led by a board-certified dermatologist
Personal diagnosis · Accountable care
Ministry of Health and Welfare
KAHF-accredited hospital

DM DERMATOLOGY

Acne Scar Treatment

  • Laser beams

    2,000/cm²

    Fine laser beams per 1 cm²

  • Scar types

    3types

    Depressed scars: ice pick · boxcar · rolling

  • Areas

    3options

    Treatment area: 1 cm · both cheeks · full face

  • Interval

    4–8weeks

    Typical treatment interval

ACNE SCAR

Acne scar treatment:
we start by checking the scar type

Acne scar treatment begins with knowing the shape and depth of the scars.

Fraxel CICU-F

Fraxel CICU-F

A laser treatment that delivers about 2,000 fine laser beams per 1 cm² for a microscopic peel invisible to the eye, aiming to improve acne scars and pores. The beams create microscopic treatment zones while leaving the skin between them intact, remove some old pigment from the epidermis, and deliver heat down to the dermis.

When acne inflammation runs deep, the dermis is damaged. If there is too little collagen as the wound heals, a sunken scar remains; if too much collagen builds up, a raised scar forms.

At DM Dermatology in Apgujeong, we first check the scar type and depth, and your skin type. Then we decide the intensity and number of Fraxel sessions. Fraxel does not erase scars in one session; it is a treatment that aims for gradual improvement through repeated skin renewal over several sessions.

  • Scar · blemish improvement
  • Collagen production
  • Wrinkle improvement
CICU-F fractional laser device

SCAR TYPE

Acne scar types and general approaches

Different scar shapes call for different methods. At your visit, we first identify the scar type.

  • 3D skin cross-section showing an ice pick scar with a narrow opening that goes deep

    Ice pick

    Ice pick scars

    Scars with an opening narrower than 2 mm that go deep.

    Because the laser may have difficulty reaching the bottom, methods that treat scars one by one are sometimes considered as well.

  • 3D skin cross-section showing a boxcar scar with angular edges and a flat, sunken base

    Boxcar

    Boxcar scars

    Scars about 1.5–4 mm across, with angular edges and a flat base.

    Shallow ones tend to respond to resurfacing treatments such as fractional laser; deeper ones may need more sessions.

  • 3D skin cross-section showing a rolling scar sunken in a gentle wave shape and the fibrous bands pulling down its base

    Rolling

    Rolling scars

    Scars 4–5 mm or wider, with gently sloping, wave-like edges.

    They are caused by fibrous bands that pull down the base, so methods that release the bands, or radiofrequency microneedling, are sometimes considered as well.

  • 3D skin cross-section showing a hypertrophic scar raised above the skin and the dense collagen bundles beneath it

    Raised

    Hypertrophic scars · keloids

    Scars raised above the skin.

    They form in the opposite way, so other methods such as injections are considered first.

  • 3D skin cross-section showing a flat skin surface with only red and brown marks

    Mark

    Red marks · brown marks

    Flat marks that differ only in color.

    They are not scars in the strict sense, so methods that address color are used.

The combination of treatments for each scar type is decided by the doctor after an examination.

Fraxel CICU Fractional

Improving multiple skin concerns by inducing the regeneration of new skin tissue

Fine laser beams are delivered to the skin in fractions, and controlled heat injury induces the regeneration of new skin tissue.

Fractional means 'divided.' Instead of treating the whole skin surface, the laser is delivered in very thin, column-shaped fractions. The skin left between the columns helps wound healing, so recovery can be less demanding than with a peel that removes the entire skin surface.

As the wounds heal, collagen in the dermis is newly made and rearranged (collagen remodeling). This change happens gradually over several months.

  • Step-by-step skin improvement
  • Stable power and uniform beam quality
  • Various treatments, such as wrinkles and elasticity
  • Ablative fractional

    Vaporizes the skin in tiny columns, treating part of the epidermis and dermis together. Each session tends to bring larger change, but pain and downtime also tend to be greater.

  • Non-ablative fractional

    Leaves the skin surface intact and delivers heat to the dermis. Downtime tends to be short, and more sessions may be needed for similar change.

  • Depth and density

    Even with the same device, the depth and spacing of the columns are adjusted. The doctor decides the method and intensity based on your skin type and scar condition.

3D skin cross-section showing the microscopic treatment zones of a fractional laser and collagen regeneration
  1. 1

    Microscopic treatment zone Where the laser reaches in thin columns. In early studies, the diameter was about 0.1 mm.

  2. 2

    Untreated skin Remains between the columns and helps wound healing.

  3. 3

    New collagen Newly made and rearranged over several months during healing.

Illustration for explanation only. Actual depth and spacing vary with the settings.

DEVICES

The Fraxel device used for scar treatment

  1. Fraxel device

    Fraxel

    Fraxel

    A fractional laser delivered in thin, divided beams

    A fractional laser that divides the laser into many thin beams to create microscopic treatment zones in the skin. The skin between the beams is left intact.

    • Fractional laser
    • Microscopic treatment zone

This is equipment DM Dermatology has on site. The doctor decides the method and intensity based on the scar condition.

METHOD

Skin renewal lasers differ by method

  1. Peels that remove existing skin

    STEP 01

    Peels that remove existing skin

    Recovery takes a long time and is inconvenient for daily life.

  2. Lasers that renew only beneath the existing skin

    STEP 02

    Lasers that renew only beneath the existing skin

    Recovery tends to be less demanding than with a peel, and more sessions may be needed for similar change.

  3. CICU Fractional

    STEP 03

    CICU Fractional

    A fractional laser that uses both methods together. It aims to improve scars and pores by helping skin texture and tone at the surface and collagen and elastin production beneath it.

EFFECT

Effects of Fraxel

  • ScarAims to improve scars and stretch marks
  • PigmentHelps improve epidermal pigment
  • Fine linesFine line improvement
  • ElasticitySkin elasticity improvement

Effects and their degree vary from person to person with scar condition and skin type.

RECOMMEND

DM Fraxel is recommended
in these cases

  • Recommended case 1

    You are concerned about acne scars, chickenpox scars, or similar scars

  • Recommended case 2

    You are concerned about an overall loss of elasticity in your face

  • Recommended case 3

    Long recovery from chemical peels or lasers feels like too much for you

  • Recommended case 4

    You are concerned about enlarged pores or fine lines

  • Recommended case 5

    You want to improve freckles, blemishes, or hyperpigmentation

PROCESS

Fraxel treatment process

From diagnosis to scheduling the next session, here is how one visit goes.

  1. Consultation · diagnosis

    Under lighting, the doctor checks the scar type and depth, and your skin type. We also check your current medications and any history of cold sores (lip herpes).

    Woman with depressed acne scars on her cheek, touching the scarred area with her fingertips
  2. Cleansing · numbing

    We remove makeup and apply topical numbing cream to the treatment area. The numbing method varies with the area and intensity.

    Topical numbing cream being applied to the treatment area
  3. Laser treatment

    After setting the depth and density for the scar areas and your skin condition, we apply the laser.

    Treatment scene: a fractional laser handpiece placed on the cheek of a patient wearing protective eye shields
  4. Soothing

    After treatment, we do soothing care to calm warmth and redness.

    A soothing mask being placed after treatment
  5. Going home · next session

    You receive home-care instructions. After confirming your skin has recovered, we set the timing of your next session.

    Person applying moisturizer at home to care for their skin

RECOVERY

How recovery goes

  1. Day of treatment

    Warmth and redness appear. You go home after soothing care.

  2. A few days

    Redness and swelling gradually settle.

  3. About 1 week

    Tiny brown micro-crusts fall off on their own.

  4. Several months

    Collagen in the dermis is newly made and rearranged.

This is the typical course. The actual course varies by person and treatment intensity, and redness sometimes remains for a few weeks.

INFORMATION

Treatment info

Typical treatment cycle

  1. Session 1First treatment
  2. 4–8 weeks
  3. Session 2
  4. 4–8 weeks
  5. Session 3About 3 sessions

Usually 4–8 weeks apart. The next session is done after your skin has recovered.

Usually about 3 sessions. Deep scars may need more.

  • Procedure time

    This varies by person and area. Extra time is needed to apply numbing cream and wait, and the laser itself usually takes about 30 min for the full face.

  • Numbing

    Topical numbing cream is usually used. How much stinging and warmth you feel varies from person to person.

  • Downtime

    Usually, redness and swelling last a few days, and micro-crusts about 1 week. This varies by person and intensity.

  • When changes show

    Collagen remodeling happens gradually over several months.

DM Dermatology explains your treatment interval and number of sessions after an examination.

Caution

DM Fraxel aftercare precautions

Care during recovery affects the results and helps prevent hyperpigmentation.

An open jar of moisturizing cream, a sunscreen tube, a dish of cotton pads, and a folded cotton towel on linen
  1. 01
    Alcohol · smoking · sauna · exercise

    Avoid alcohol, smoking, saunas, and exercise.

  2. 02
    Moisturizing

    Skin may feel dry after treatment, so apply lotion or cream often.

  3. 03
    UV · strong light

    For about 48 hours after treatment, avoid going out when UV light is strong. Indoors, or when going out at night, avoid very bright light as well.

  4. 04
    Irritating the treated area

    You can wash your face, shower, and wear makeup. But be careful not to rub or scratch the treated area too hard.

  5. 05
    Micro-crusts

    Leave the tiny brown crusts until they fall off on their own. Picking them off can cause hyperpigmentation.

  6. 06
    Pause irritating ingredients

    Do not use retinol, exfoliants, scrubs, or peeling products for the period our medical staff advise.

  7. 07
    Acne care

    New inflamed acne can create new scars. Keep up your acne care alongside treatment.

  8. 08
    Warning signs

    If blisters, pus, severe pain, or blisters around the mouth appear, contact the clinic right away.

Side effects to know
  • Redness and swelling may occur. They usually settle within a few days but sometimes last a few weeks.
  • Micro-crusts, flaking, itching, or stinging may occur.
  • Post-inflammatory hyperpigmentation may occur. It is reported relatively often in Asian skin, and fading may take weeks to months or need treatment.
  • Acne may flare temporarily, or small bumps like milia may form.
  • If you have had cold sores (lip herpes), they may recur after treatment. Tell our medical staff before treatment.
  • Rarely, bacterial or fungal infection, long-lasting redness, loss of pigment, or new scars may occur.
  • If you are pregnant, tend to form keloids, have an infection or inflammation in the treatment area, have recently taken isotretinoin, take medication that makes you sensitive to light, or have recently tanned, talk with the doctor before treatment.

※ Bruising and swelling may occur after a procedure or surgery, depending on the person.

Dr. Shin Young-ik, Medical Director, board-certified dermatologist

DM DOCTOR

A board-certified dermatologist personally checks
the type and depth of your scars

At DM Dermatology, our Medical Director, a board-certified dermatologist, personally examines your skin and decides the methods and order that suit your scar type.

Dr. Shin Young-ik Medical Director · Board-Certified Dermatologist

  • M.S., Hanyang University College of Medicine
  • Adjunct Professor, Hanyang University
  • Full Member, Korean Dermatological Association
  • Clinical Fellowship in Dermatology, Jefferson Medical College (Thomas Jefferson University), USA
Meet our doctor

FAQ

01Will Fraxel get rid of my depressed scars?

Rather than removing scars, it aims to make their depth and edges less noticeable. The degree of improvement varies from person to person, and changes appear over several months.

02My acne marks are red or brown. Are these scars too?

Flat marks that differ only in color are usually not scars in the strict sense. Red marks are often blood vessels that increased after inflammation, and brown marks are often post-inflammatory hyperpigmentation. If needed, methods that address color are used.

03Does Fraxel for acne scars hurt? How is numbing done?

Treatment is usually done after topical numbing cream is applied to the treatment area. The numbing method varies with the area and intensity. Even with numbing, you may feel stinging and warmth when the laser touches the skin, and how much varies from person to person. If it becomes hard to bear during treatment, tell us right away.

04How long does Fraxel for acne scars take?

For the full face, the laser itself usually takes about 30 min. This does not include applying numbing cream and waiting, which takes extra time. The time varies with the treatment area (1 cm · both cheeks · full face) and your skin condition. We tell you the total time, including numbing cream and soothing care, after an examination.

05How much downtime does Fraxel for acne scars have? Can I go back to daily life right away?

Usually, redness and swelling last a few days and tiny brown micro-crusts about 1 week, and some redness may remain for a few weeks. You can wash your face, shower, and wear makeup, but do not rub or scratch the treated area hard. Avoid alcohol, smoking, saunas, and exercise; we tell you how long to avoid them after an examination. If you have an important event, we plan the treatment date together during your consultation.

06How many Fraxel sessions do I need for acne scars, and how far apart?

Typically, about 3 sessions 4–8 weeks apart. We do the next session after checking that your skin has recovered. Deep scars may need more sessions, and it depends on the depth and type of the scars. At DM Dermatology, we tell you the interval and number of sessions after an examination.

07Can I get Fraxel for acne scars together with other treatments?

Depending on the type of acne scar, other methods are sometimes added to Fraxel. For rolling scars, methods that release the fibrous bands, or radiofrequency microneedling such as Potenza, may be considered as well. If enlarged pores also concern you, Triple Pore Care may be discussed. Which treatments to combine, and in what order, is decided after an examination, based on your skin.

08How is Fraxel different from Potenza?

Fraxel uses laser light to create tiny column-shaped heat injuries. Potenza delivers radiofrequency heat to the dermis with microneedles. The right method may differ by scar type and skin condition, and the doctor decides whether to plan both together.

09I still get acne. Can I have scar treatment?

If inflamed acne keeps appearing, new scars may form. So scar treatment is usually planned while acne is being controlled, and the doctor decides the timing based on your acne.

10I'm taking acne medication (isotretinoin). Can I get Fraxel?

If you are taking it or have recently stopped, be sure to tell us before treatment. The doctor decides the timing after checking your skin.

11I only have a few scars. Can you treat just those spots?

DM Dermatology in Apgujeong offers scar treatment in three area options: a small area (1 cm), both cheeks, or the full face. If you have only a few scars, we check at your visit whether just those spots can be treated.

CONSULTATION

Consultation comes first

Before any treatment is chosen, a board-certified dermatologist checks your skin in person.

DM Dermatology, 4F, 579-1 Sinsa-dong, Gangnam-gu, Seoul

From Apgujeong Station (Line 3) Exit 5, walk straight for 50 m. 4th floor of the A Twosome Place building

Weekdays
am 10:00 - pm 07:00
Saturday
am 10:00 - pm 04:30
Lunch break
pm 01:00 - pm 02:00
Sun & holidays
By appointment only
  • Subway

    3Apgujeong StationExit 5

    Walk straight for 50 m · 2 min on foot · 4th floor of the A Twosome Place building

  • Bus

    Apgujeong Station Exit 4 · Exit 32310523429

    Blue bus147 · 148 · 240 · 463 · 343Green bus4211

    Kwanglim Church · Hyundai High School2310323104

    Blue bus143 · 240 · 345 · 472Green bus3011 · 4312 · 4318

  • By car

    Search in your navigation app158 Apgujeong-ro, Gangnam-gu디엠피부과의원

    Use the building’s underground parking · Parking available in the building

WeChat consultation

DM Dermatology WeChat QR code

WeChat ID : dmderma

Scan the QR code in the WeChat app, or search for our ID and add us.