There are people who believed that the marks left by acne would naturally fade, but they remain the same over time, making them feel heavy-hearted in front of the mirror. The first question that comes to mind is usually one: "Can I return to smooth skin texture even now, for scars that are already depressed?" To put it simply, depressed scars have limitations with surface management alone, and an approach that helps regenerate the deep layers of the skin is also needed.
Our bodies have the ability to repair themselves when injured, but if the damage is deeper than a certain level, additional treatments and management processes to assist skin regeneration must follow. In this article, we will gradually explain methods that help naturally fill in and refine the texture of uneven atrophic acne scars.
Why is surface management insufficient for depressed scars?
Acne often leaves depressed scars on the skin. Once a mark is left, it is difficult to expect satisfactory results by only refining the surface. This is because energy that helps recovery must reach the deep layers of the skin that cannot be reached by hand.

Looking at dermatology clinics in Sinchon, the types of laser equipment are quite specialized. They are divided into equipment strong in treating frequently recurring skin troubles, anti-aging equipment aimed at improving elasticity, and pigment lesion lasers that brighten dull skin tone. Equipment in the difficult area of scar treatment is also steadily advancing.

Laser regenerative treatment reaching deep layers

Acne scars can only be expected to change when recovery energy reaches the deep layers of the skin. Therefore, we recommend treatment methods that activate skin regeneration by irradiating strong energy to the necessary skin layers, such as StarLux and Ultrapulse Alpha.
When uniform energy fully reaches and induces regeneration, relatively positive prognoses are reported even in chronic depressed scars.
However, recovery speed varies from person to person. If you want to further accelerate the regeneration speed in addition to laser treatment, you can consider skin booster regenerative injections that sufficiently deliver necessary nutrients to the skin. Representative examples include:
- Rejuran to support the skin regeneration environment
- Juvelook Volume to assist in filling depressed areas
- Combining with laser treatment to enhance recovery condition
- Adjusting the cycle according to individual skin condition

Scar shapes vary from person to person

Just as the shape and progression of acne differ from person to person, the form of depressed scars is not uniform. Rolling, boxcar, and icepick types often appear in combination, and it is not uncommon to find that the depth of scars varies in different areas of a single person's face.
| Scar Type | Shape Characteristics | Approach Direction |
|---|---|---|
| Rolling | Gently undulating shape | Consider combining with fibrous band release procedure |
| Boxcar | Relatively distinct edges | Refine texture with regenerative laser |
| Icepick | Narrow and deep depressed shape | Treatment reaching deep layers is needed |
Because these patterns are mixed, treatment can feel challenging. If it is difficult to fill depressed areas with only regenerative lasers, combining with procedural methods like Subcision can be helpful.
If you are unsure which treatment is right for your acne scars, you can comfortably ask your questions via chat consultation about acne scar treatment directions.
Subcision, a method to release tightly pulled fibrous bands

Subcision is a method used when fibrous bands in the skin are tightly pulled during the formation of depressed scars, making the depressed shape more prominent. The principle is to improve scars by cutting the problematic fibrous bands and then inducing new skin to fill the empty space.
In the examination room, even with the same boxcar type, the perceived depth can be quite different depending on the degree of fibrous band pulling. As this method requires both medical knowledge and skill, it is most important to carefully examine and choose a scar clinic in Sinchon if you are considering Subcision. This procedural restoration approach is also related to the principles of Surgical Scar Revision.

Comprehensive treatment that sees the entire skin, not just the scar
Depressed scars caused by acne are a skin problem where it is often difficult to achieve satisfaction with a single treatment. Furthermore, if acne bacteria remain in the skin due to frequent recurrence, there is a high possibility of facing the same concerns again even after repeated treatments.
Therefore, it is more advantageous to approach it with comprehensive treatment that considers the overall skin condition rather than just looking at one scar. Premium Customized Acne Scar Care, which combines various methods tailored to the individual's condition, is a representative example. Points to check before proceeding are as follows:
- Is the scar type single, or are multiple forms mixed?
- Are there active acne or acne bacteria problems present?
- Are conditions suitable for combining with management that aids skin regeneration?
- Is it a suitable time to continue regular treatment cycles?

Why winter is a good time to start scar treatment
Winter is a period when sweat and sebum secretion are relatively reduced. Post-laser treatment care is relatively easy, and there may be more time due to school breaks. If you have postponed starting scar treatment because it is not a one-time procedure and regular sessions feel burdensome, I would say now is a relatively appropriate time.
Even if depressed scars have been present for a long time, positive changes can be expected with repeated laser treatments. However, the degree and speed of recovery may vary from person to person, so accurately identifying your scar type and skin condition is the first step.
If you are concerned about the starting point of treatment or the combination that suits you, 💬 Consult Now

I hope this content has been of some help on your journey to refine deep acne scars on your face. Thank you for reading this long article.
Chief Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Dermatological Association) Chief Director Lee Sang-joo's Profile First published 2026-01-07 / Last reviewed 2026-06-16
This article is for general information only, and the appearance and recovery of scars may vary individually. We recommend consulting with medical staff for an accurate diagnosis and treatment plan.
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