The occurrence and incidence of scarring resulting from acne are still not well understood. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others. In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair.

Acne scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin, but scarring also may arise from more superficial inflamed lesions. Nevertheless, the only sure method of preventing or limiting the extent of acne scars is to treat acne early in its course, and as long as necessary. The more inflammation can be prevented or moderated, the more likely it is that scars can be prevented.

The following is a list of different types of acne scars:

The results of most treatments vary from 30 to 70% improvement. Any better result should be considered as a bonus.

  1. Ice-pick scars are acne scars associated with loss of tissue which usually occurs on the cheeks. They are usually small with a somewhat jagged edge and steep sides-like wounds from an ice pick.
  2. Keloidal acne scars are raised and thickened scars which commonly occur in darker skin type patients. They are quite a unique type of scarring that can grow and thicken with time, acting almost tumour-like. These scars are best treated with intralesional steroids, Titan infrared light, Laser Genesis, and injectable treatments. In severe cases, these scars may require surgical excision.
  3. Hypertrophic scars are raised and thickened scars, but do not grow and thicken with time like keloids do. These scars are best treated with Needling, fractionated treatments and some injectables may be necessary to break down the excess tissue. 
  4. Rolling scars are the most common and most disfiguring form of acne scars. They are soft scars, superficial or deep, and are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape. In most cases, the lower part of this scar type is connected to the deeper fascia by collagen fibres.
  5. The Boxcar Acne scar is a depressed fibrotic scar that is usually quite large with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time.
  6. PIH or Post Inflammatory Pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people but can be seen in all skin types.


In-Office Treatments:

At Skin Renewal, a number of treatments are available for acne scars. The type of treatment selected should be the one that is best for you in terms of:

  • your skin type
  • your budget
  • whether you can afford downtime
  • what you want the treatment to accomplish

The objective of scar treatment is to give the skin a more acceptable physical appearance. Total restoration of the skin to the way it looked before you had acne is often not possible but scar treatment does usually improve the appearance of your skin.

The scar treatments that are currently available at Skin Renewal include:

  • Radio Frequency Needling with Endymed Intensif and Secret RF
  • Fractional treatments with Pearl Fractional, CO2 Fractional Laser, Fraxel DUAL and Endymed FSR (Fractional Skin Resurfacing)
  • Laser toning treatment with Laser Genesis 
  • Micro-Needling with Dermapen
  • Carboxytherapy
  • Dermal Fillers are injected under the skin to "stretch" and "fill out" certain types of superficial and deep soft scars which have caused indentation of the skin
  • Keloidal acne scars are treated by injecting steroidal drugs or TAC and Botox into the scar after a Laser Genesis treatment
  • Mesotherapy
  • Skin resurfacing treatments such as Pearl Laser, Limelight, PDL and deep chemical peels


At Skin Renewal all patients with skin conditions are treated holistically by our qualified medical doctors who have experience in treating acne and acne scarring. In other words, in an acne consultation at Skin Renewal, your doctor will take a comprehensive history to ensure that there are no underlying medical conditions which are contributing to your acne. If the acne can be controlled and managed, there will be a greater success in treating the existing scarring and preventing new scar formation from occurring.

Frequently Asked Questions

At Skin Renewal all patients with skin conditions are treated holistically by our qualified medical doctors who have experience in treating acne. In other words, in an acne consultation at Skin Renewal, your doctor will take a comprehensive history to ensure that there are no underlying medical conditions which are contributing to you acne.

There are numerous significant medical conditions that are associated with acne that need to be identified and addressed. Conditions such as low stomach acid, dysbiosis and leaky gut all compromise skin but more importantly which have future health ramifications such as auto immune disease, food sensitivities, allergies, asthma, depression and even cancer if they are not adequately addressed.

In addition, low stomach will eventually lead to low levels of Zinc and other important minerals and vitamins which are essential for good healthy skin.

At Skin Renewal, during your initial consultation with one of our qualified doctors, it may be advised that you are checked for low stomach acid thereafter a complimentary Betaine HCl acid test is explained and done. Because:

Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

Adequate Stomach acid prevents dysbiosis.

Adequate stomach acid will help prevent a "leaky gut "with all its health ramifications from developing.

Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

Adequate stomach acid is necessary for the absorption of the B vitamins.

Stomach acid activates protein-digesting enzymes and is necessary for proper digestion of protein.

Adequate stomach acid is necessary for the pancreas to release its cascade of digestive enzymes for absorption of carbohydrate and fat.

Sub-optimal fat digestion means we won't benefit from the anti-inflammatory properties of omega-3 fats, nor the wide array of beneficial effects of fats for fertility, skin health, immunity, etc.

Adequate stomach acid destroys pathogens bacteria, fungi, parasites etc) and a lack of stomach acid can lead to bad bacteria proliferating in the small intestine dysbiosis (bad bacteria) and unwanted parasites which have Health Renewal ramifications down the line.

How can we expect to stay healthy and have healthy skin without constant breakouts and other Skin/ Body/ Health Renewal conditions if we have chronically poor nutrient and mineral absorption due to incomplete digestion?

Having normal levels of stomach function the first important domino in a row of dominos: If stomach acid is adequate, the rest of one's digestion and absorption won't be compromised and the first domino won't fall and immune dysfunction is less likely down the line.

If digestion in the stomach is compromised due to low stomach acid, then the fall of the first domino will occur and the breakdown and absorption of nutrients in the stomach and beyond won't be optimal. In fact, digestion and absorption can be reduced to the point where even if someone is consuming a nutrient-dense diet, they can suffer both sub-clinical and overt deficiencies because they're not assimilating those nutrients because they have low stomach acid. Get your stomach acid checked by our Skin Renewal Doctors.


See all reviews
*Please note results may vary by individuals.
Review -Phenomenal Transformation
Reviewed on 25 May 2022 by LSG Pitse

I have been at Skin renewal for the past 3 years and my skin has gone through a phenomenal transformation. Your skin treatment is customized based on a medical diagnosis and all treatments target all your skin issues. Skin renewal is the absolute best aesthetic clinic!!

Review -Willing to assist
Reviewed on 18 August 2018 by Anonymous

My overall experience is amazing. My therapist is very good at what she does. She explains procedures before they done and she always ensures That I am comfortable.

Review -Absolutely Brilliant
Reviewed on 5 July 2018 by Anonymous

Weeks before my appointment, I had very strong and informative communication with the clinic regarding Hyperhidrosis treatment. I went in today - the procedure was carried out very smoothly and almost painlessly. Unfortunately, during the procedure, my blood pressure dropped suddenly and I became incredibly dizzy (this was due to personal reasons.) the doctor promptly suspended the treatment while explaining to me what was happeneing and provided me with sugared water, tea and a quick blood pressure test. I felt in very safe hands and will definitely be back every time I come to South Africa.

Thank you so much, I hope the results are as good as my experience with you.

Review -Skin Needling Treatment
Reviewed on 30 June 2018 by Anonymous

I visited Skin Renewal Willowbridge branch for Skin Needling. My therapist Candice was amazing as always. She explained the full procedure and completely put me at ease in terms of any discomfort I would experience. After numbing, the procedure was surprisingly not as painful as expected and all in all, this was an amazing experience from start to finish.

Review -Friendly warm Relaxing
Reviewed on 30 June 2018 by Carmen Hengse

Candice has been my therapist for the last 6 months. From day 1 she has always been professional and welcoming.Not only is my experience great but my skin looks amazing. People has mentioned to me that I look 10 years younger. My cellulite is the only thing that does not appreciate this warm gentle, trusting human being. Which I don;t mind. Highly recommended!

Review -Spa Day at Cape Quarter
Reviewed on 29 June 2018 by Uoanne Ross

What a wonderful experience. Elize is a breath of fresh air. The perfect balance between professional and friendly. This was the best massage I have ever experienced and cannot wait to retun for another one.

Review -Amazing Experience - Spa Day!
Reviewed on 29 June 2018 by Nicci Creed

Megan was incredible, such great experience they made Jo and I feel amazing and really went the extra mile to make sure we had a great time! Love this place

Review -Fantastic results
Reviewed on 28 June 2018 by Anonymous

The treatment is quite short from a time perspective but the results are amazing. There is a "lifting" of some of the pigmentation that enhances the complexion. It's also always a pleasure to be in the safe hands of an experienced therapist who manage the treatment effectively.

Review -Excellent Treatment
Reviewed on 24 May 2018 by Anonymous

The treatment I received helped me restore my skin, treated acne scars and added a fresh look to my skin - Lourita is excellent! She keeps track of my details, she knows what needs to be done and does it it nicely and diligently.

Review -Fantastic Service
Reviewed on 7 May 2018 by Anonymous

Fantastic Service! Always a pleasure coming here once a month. After each treatment my skin feels amazing. Really personal and friendly staff.

Sharon Izak Elaine Chat staff ) WhatsApp