Acne Scars & Uneven Skin Texture

Atrophic (Pitted) Scars

Hypertrophic & Keloid Scars

• Intralesional steroid injection — For larger raised lesions
• Cryotherapy (Cryopen) — For smaller lesions
• Silicone sheets — Used between treatments to flatten and soften

If you've tried every cream, serum, and home remedy but your acne scars refuse to budge, you're not alone—and there's a reason.

The answer lies in understanding what you're actually dealing with. Many people confuse acne marks (which do fade) with true acne scars (which don't).

Post-Inflammatory Marks (What WILL Fade)

Post-Inflammatory Hyperpigmentation (PIH) — Brown or dark spots from excess melanin production. More common in darker skin tones. These fade naturally but treatment accelerates resolution.

Treatment approach:

1. Topical pigment suppression — Alternating cycles of Hydroquinone, Azelaic Acid, Kojic Acid, Alpha Arbutin, and Tranexamic Acid
2. Sylfirm X (Pigment-Specific Protocol) — After sufficient pigment suppression, RF targets residual melanin

Post-Inflammatory Erythema (PIE) — Red or pink marks left after acne heals. These are caused by damaged blood vessels, NOT structural damage.

Treatment approach:

1. Topical agents — Azelaic Acid, Niacinamide to calm inflammation
2. Pulsed Dye Laser / IPL — Targets damaged vessels directly
3. Sylfirm X — For overall texture and quality recovery after complete resolution of erythema

What WON'T Fade — True Acne Scars

If you can feel a pit, depression, or texture change when you run your finger across your skin, that's a true scar. This represents permanent structural damage to the dermis where collagen has been lost or disorganised.

No amount of waiting, no topical product, and no home remedy will fix this. True scars require professional treatments that physically remodel the collagen structure beneath your skin. The good news? Modern combination treatments can achieve 50-80% improvement in scar depth and texture.

Living in London presents unique challenges for acne-prone and scarred skin:

Hard Water London's notoriously hard water (high in calcium and magnesium) can disrupt the skin's natural pH balance, irritate sensitive post-acne skin, and leave mineral deposits that clog pores—potentially worsening breakouts and delaying scar healing.

Urban Pollution Airborne particulate matter (PM2.5) from traffic and industry penetrates the skin, triggering oxidative stress and inflammation. Research shows pollution can exacerbate post-inflammatory hyperpigmentation (PIH), making dark spots more stubborn in city dwellers.

Central Heating & Air Conditioning London's indoor environments tend to be dry, which can compromise the skin barrier and slow the healing process for acne scars.

What This Means for Treatment These factors make professional intervention even more valuable for Londoners—home skincare alone often can't overcome the environmental burden on your skin.

*Topical pigment suppression: alternating cycles of Hydroquinone, Azelaic Acid, Kojic Acid, Alpha Arbutin, and Tranexamic Acid.

Educational Information Only: This guide is for informational purposes only and does not constitute medical advice. Treatment recommendations are made only after a face-to-face consultation and examination by a GMC-registered doctor, taking into account your medical history, scar severity, skin type, and individual goals.

At PRP London Clinic, we take a different approach to acne scar treatment:

Combination Therapy Expertise We understand that a single treatment rarely delivers optimal results. Our strength lies in creating synergistic plans that layer multiple technologies—energy devices, biostimulators, and regenerative medicine—for results that exceed what any single treatment can achieve.

Advanced Sylfirm X Technology We offer Sylfirm X—the most advanced RF Microneedling device available—alongside Morpheus8, allowing us to match the right technology to your specific needs. Sylfirm X excels at texture and pigment with minimal downtime; Morpheus8 goes deeper for structural remodelling.

Doctor-Led Care Every treatment plan is designed and overseen by our Clinical Board, led by Dr. Mohamed Nafei (GMC: 7520509), whose background in Endocrinology and Aesthetic Medicine ensures a medically rigorous approach to skin health.

Honest Expectations We provide realistic assessments. We'll tell you what's achievable and create a plan designed for the best possible improvement in YOUR skin.