A concern-based knowledge hub to support structured, physician-guided treatment planning.
3 articles in this category
Acne scars result from disrupted wound healing (elevated MMP, reduced TIMP, abnormal TGF-β1 signaling), classified into ice pick, boxcar, and rolling scars that respond differently to treatment. The standard approach is morphology-driven treatment — classify first, then select technique: subcision, fractional laser, RF microneedling, TCA CROSS, and biostimulators/fillers as appropriate, with PN as an adjunct only.
Acne scars come in different types, and no single treatment works for all of them. This article summarizes the main scar types in simple terms, explains why a physician's assessment before treatment matters, and why acne scar treatment requires multiple repeated sessions to see real results.
In acne scar treatment, patients may have heard of several technologies, including the SylfirmX program, the PicoSure program, and collagen booster injections. However, each technology has a different mechanism of action and a different area of strength — they are not always interchangeable. In this article, Dr. Punyanun explains the mechanism behind each technology, which scar types each is best suited for, and how combining them can lead to more comprehensive results.
| Item | Best for | Type |
|---|---|---|
| Skin laxity | Lifting and tightening goals | Ultrasound / Thread lift |
| Pigment concerns | Uneven tone and dark spots | Pico / Laser |
| Acne scars and texture | Texture and scar depth concerns | RF microneedling |
Start with physician assessment of your primary concern, urgency, and acceptable downtime to define the right sequence.
Yes, in many cases, when sequencing and intervals are planned properly for safety and balanced outcomes.