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Go to the shopTreating acne scars combines techniques that stimulate new collagen, such as the Alma Hybrid™ CO2 laser, SkinPen® microneedling and subcision, depending on the type of scar. It does not erase them completely, but it visibly improves their depth and the texture of the skin, including in darker skin tones.
Dr. Olga Gómez Montoya, physician and surgeon from the University of Antioquia, identifies which type of scar you have and designs a realistic, safe, step-by-step plan.
Reviewed by Dr. Olga Gómez Montoya · Updated: October 2026
Alma Hybrid™ CO2 laser · SkinPen® · Medical judgment
They are treated by combining techniques according to the type of scar. The best result almost always comes from combining, not from a single technique.
In darker skin tones we prepare the skin before the laser and adjust the settings to reduce the risk of dark spots.
It's for you if…
It's not the right time if…
Each type responds to a different technique. That's why diagnosis is the first step.
Small, deep and narrow. They respond best to targeted techniques and fractional CO2 laser, almost always over several sessions.
Depressed, with well-defined edges. They improve with the Alma Hybrid™ CO2 laser and SkinPen® microneedling, which stimulate new collagen.
They give the skin an uneven look because bands of tissue pull it down. Subcision releases them and collagen biostimulators help lift them.
They aren't scars but spots left by inflammation. They are treated differently. See dark spots and melasma.
Pores don't “close”, but they can look smaller and the skin smoother with microneedling, peels and laser. See skin quality.
C-section, surgical or wound scars can also improve in texture and color. For stretch marks, see stretch mark treatment.
Because new collagen doesn't form overnight: after each session the skin keeps repairing itself for weeks. That's why sessions are spaced out and the improvement shows progressively.
Regenerating the skin doesn't mean attacking it. Excessive intensity can inflame the skin and leave dark spots, especially in darker skin tones. We work with appropriate intensities, rest periods and a guided recovery.
“These aren't drastic changes: they are mindful processes your skin will thank you for.” — Dr. Olga Gómez Montoya
We analyze the type of scar (icepick, boxcar or rolling), your skin phototype and your history, such as active acne or isotretinoin use, and take clinical photos to choose the technique and the safe timing.
We define the combination of techniques and the number of sessions: subcision, SkinPen® microneedling, Alma Hybrid™ CO2 laser, peels or collagen biostimulators. We give you realistic timelines, without overselling.
Controlled procedures with topical anesthesia. After microneedling the redness is short-lived; with CO2 laser there are a few days of redness and peeling, and we explain this to you beforehand.
We evaluate your response between sessions, compare your photos and guide you at home: daily sun protection and actives that support recovery, such as PDRN (polynucleotides) or exosomes.
Photos published with the patients' authorization. Results vary from person to person and depend on the medical assessment.
They can be improved noticeably, but they don't always disappear completely. With a step-by-step plan combining subcision, SkinPen® microneedling and CO2 laser, the skin looks smoother and the scars less noticeable. During the assessment we'll tell you how much your case can improve.
The most common are atrophic or depressed scars: icepick (small and deep), boxcar (with well-defined edges) and rolling (giving an uneven surface). There are also hypertrophic or raised scars. Several types usually coexist, and each one responds to a different technique.
Usually several, spaced a few weeks apart, because collagen keeps forming after each session. The number depends on the type of scar, the technique and how your skin responds. The best result almost always comes from combining techniques.
Yes, with sound judgment. In darker skin the main risk is dark spots after the laser, so we prepare the skin beforehand, adjust the settings and combine CO2 with the Alma Hybrid™'s non-ablative 1570 nm mode when appropriate. In some cases we prefer to start with SkinPen® microneedling.
Creams can improve dark marks and surface texture, but they don't fill in a depressed scar. Changing the skin's relief requires stimulating collagen deep down, with microneedling, laser or subcision. Creams are, however, a good complement at home.
Active acne needs to be controlled first, because treating scars on inflamed skin can make it worse. If you are taking or recently took isotretinoin, some techniques are postponed or done with special settings. We review this during the assessment, and if your acne needs dermatological management, we'll tell you.
In the same session it combines fractional CO2 laser, which renews the surface and remodels collagen, with a non-ablative 1570 nm laser. This lets us adjust the intensity to your skin and your scar. More on the Alma Hybrid CO2 laser.
They are devices from the same family. We use SkinPen®, the first microneedling device cleared by the FDA for acne scars, with sterile single-use cartridges. What matters is the depth, the actives and the judgment with which it is applied. More on microneedling.
We use topical anesthesia and most people describe it as mild discomfort. After microneedling, 1 to 3 days of redness is normal; with CO2 laser there are a few more days of redness and peeling. We give you clear instructions: sun protection, hydration and no makeup for the first few hours.
It depends on the type of scar, the area, the techniques and the number of sessions your skin needs. It's defined during the assessment so you're never charged more or less than you need. Message us ASSESSMENT.
Book a calm, unhurried, no-commitment assessment and define with Dr. Olga Gómez the right plan for your scars.
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