How to Finally Treat Acne Scars (Without Wasting Time or Money)
The good news: Today's acne scar treatments are more effective, personalized, and safer than ever. The key is knowing what type of scars you have and how to match them with the most appropriate therapy.
Understanding Your Acne Scars
Not all acne scars are the same. Each type responds differently to treatment, so accurate identification is an important first step.
Ice pick scars: Deep, narrow scars that resemble small puncture marks. Often considered one of the most challenging types to treat. Think V-shaped.
Boxcar scars: Broad, well-defined depressions with sharp edges, commonly seen on the cheeks and temples. Think U-shaped.
Rolling scars: Shallow, wave-like indentations caused by bands of scar tissue pulling down the skin.
Hypertrophic or keloid scars: Raised, thickened scars often found on the chest, shoulders, or jawline.
Post-inflammatory hyperpigmentation (PIH) or erythema (PIE): Red or dark discoloration that remains after acne resolves, especially common in skin of color. While technically not a true scar, they can feel like it!
Accurate diagnosis leads to more successful outcomes and avoids the trial and error that can waste both time and money.
There Is No Universal 'Fix'
Despite online claims, no single product or procedure treats every type of acne scar. Treatment needs to be customized based on scar type, skin tone, and individual goals. Be cautious of 'miracle' solutions or overly aggressive procedures that promise dramatic results overnight.
Evidence-Based Treatments That Work
Here are some of the most effective, dermatologist-approved methods:
Subcision and Laser-Assisted Subcision
Ideal for rolling scars, subcision involves releasing the fibrous bands beneath the skin that cause depressions. When combined with laser therapy, it also stimulates collagen for smoother skin.
Microneedling With Radiofrequency
This combines fine needles with thermal energy to remodel skin and improve texture. It is a preferred option for moderate scarring and has minimal downtime.
TCA CROSS (Chemical Reconstruction of Skin Scars)
This technique uses a high-strength acid like TCA or phenol, applied directly into ice pick scars to stimulate collagen production. It's highly targeted and effective for deep, narrow scars.
Laser Resurfacing
Ablative lasers like CO2 or erbium can improve skin texture and depth of scarring. Caution is advised for people with darker skin tones to reduce the risk of pigmentation issues.
Topical Treatments for Pigmentation
When scars leave behind discoloration, the following options can be effective:
Broad-spectrum sunscreen used daily
Tretinoin to increase skin turnover and collagen boosting
Brightening agents such as vitamin C, niacinamide, azelaic acid, and tranexamic acid
Lasers and chemical peels may also be used as a second step, once inflammation has resolved.
Don't Overlook Fillers and Biostimulatory Treatments
For certain types of depressed acne scars – like rolling or boxcar scars – injectables can offer fast and visible improvement. These are especially helpful when used alongside other treatments like subcision or microneedling.
Here's how they work:
Hyaluronic acid fillers: Add immediate volume to lift indented scars and smooth the skin's surface. Results are visible right away and can last six to 12 months.
Biostimulatory injectables (like Sculptra or Radiesse): They do more than just fill. These stimulate your skin's natural collagen production for gradual, longer-lasting improvement, and they're especially useful in combination treatments.
Combination therapy: This is often used after subcision to hold the skin up and prevent the scar from tethering down again.
While not a permanent fix, fillers can be a powerful tool in your acne scar treatment plan, especially if you're looking for quicker wins while working on long-term skin texture.
Address Active Acne First
Scar treatments are only effective when active acne is controlled. Initiating scar therapy while breakouts continue can undermine results and increase the risk of complications. Begin by managing active acne to set the foundation for long-term skin health.
Set Realistic Expectations
While complete scar removal is unlikely, significant improvement – often 30% to 50% – is achievable. These changes can make a major difference in how the skin looks and feels, contributing to greater self-confidence and comfort.
Navigating the world of acne scar treatments can be overwhelming. With an accurate diagnosis, evidence-based therapies, and a personalized approach, real and lasting improvement is possible.
Rather than chasing quick fixes, focus on progress. The skin has an impressive ability to heal with the right support – and your path to smoother, more confident skin may be closer than you think.
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Pink Salt Trick Recipe to Weight Loss Trend 2025: An Analysis of Slumber Slim as a Science Informed Option
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Fiber supplements — particularly those solely or predominantly made of psyllium husk — can be helpful if you have problems eating enough fiber or medical problems that need to be addressed more aggressively, such as high cholesterol, sources said. But they shouldn't replace fibrous foods as you'd be missing out on all the nutrients, minerals and vitamins they have to offer. There are several ways you can start incorporating more fiber into meals you already eat, such as swapping white rice, bread or pasta for whole-grain versions, Manaker said. The Dietary Guidelines for Americans site has a list of hundreds of commonly available foods and how much fiber they contain per standard serving size. Be sure to drink plenty of water, too — if fiber doesn't have any water to bring with it into your digestive tract, that can cause more bloating, gas and constipation due to dry stools, sources said. Sign up for CNN's Eat, But Better: Mediterranean Style. Our eight-part guide shows you a delicious expert-backed eating lifestyle that will boost your health for life.
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Food & health TikTok Cancer Mental healthFacebookTweetLink Follow Chia seeds, goji berries, strawberries and raspberries: A TikTok user going by the name 'impamibaby' is filling her pretty wooden breakfast bowl with fiber-rich foods and filming it, inspiring her audience to eat more of the nutrient she says has made her bloating disappear. She's '#fibermaxxing' — the practice of eating meals that help people meet or exceed their daily fiber intake recommendations in the name of improving their gut health, losing weight and more. Videos with the tag have garnered tens of millions of views and likes. They generally feature people making and eating meals chock-full of fiber-rich foods, and are sometimes overlaid with text detailing the amount of the nutrient in their dish and the health benefits. TikTok has served up more than its fair share of questionable eating trends — looking at you, NyQuil chicken and #SkinnyTok — but every now and then, it surprises with something actually worth trying, registered dietitian Lauren Manaker said. Right now, that's fibermaxxing. 'Most Americans aren't getting nearly enough fiber in their diets, and that's a problem,' Manaker, owner of Nutrition Now Counseling, a nutrition communications business based in Charleston, South Carolina, said via email. The Dietary Guidelines for Americans recommend adults consume 22 to 34 grams of fiber daily generally dependent on age and gender, but more than 90% of women and 97% of men in the United States don't meet these recommendations, according to the guidelines. 'Whether it's adding chia seeds to everything, sneaking veggies into your meals, or finding new ways to love whole grains, fibermaxxing might just be the trend we didn't know we needed,' Manaker said — especially as rates of colon cancer, to which low fiber intake has been linked, she added, have been rising among people ages 20 to 54. Gastroenterologist Dr. Kyle Staller agreed, adding that adequate fiber intake has 'been a recommendation that has not changed for years.' 'Despite lots of science that comes and goes and trends that come and go, fiber is an oldie but goodie,' said Staller, director of the Gastrointestinal Motility Laboratory at Massachusetts General Hospital and associate professor of medicine at Harvard Medical School in Boston. But like anything else — and especially TikTok trends — fibermaxxing can definitely have drawbacks if you make substantial changes too quickly, Staller said. There are two types of dietary fiber: soluble and insoluble, experts said. Soluble fiber dissolves in water and absorbs it to form a gel-like substance, and is more associated with some of the digestive benefits of fiber, experts said. Insoluble fiber, on the other hand, doesn't dissolve in water and helps people have more frequent and heavier bowel movements. 'A balance of both is key for overall health,' Manaker said. 'If you get too much of one type and not enough of the other, you might experience digestive issues like bloating or constipation.' Most fibrous foods contain both types. Foods richer in soluble fiber include apples, bananas, citrus fruits, barley, carrots, oats, beans and psyllium, which derives from the husks of seeds of the Plantago ovata plant, according to the Mayo Clinic. Those with mostly insoluble fiber include vegetables such as green beans, cauliflower and potatoes; whole-wheat flour or wheat bran; nuts; and beans. Many TikTok videos on fibermaxxing feature meals made from a variety of these foods, such as colorful salads mixing different leafy greens and vegetables. Versions of TikTok user impamibaby's breakfast are common among fibermaxxers, and they're rich in insoluble fiber. Within those two types of fiber, there are other forms and characteristics of fiber also critical for gut health, Staller said. The viscosity of the fiber, for one, affects how well it flows through your digestive tract, while fiber fermentability influences how much your gut microbiome can actually ferment the fiber into helpful compounds to use as an energy source, he said. 'Then finally, how is the fiber packaged?' Staller added. Foods that are more processed, cut up, raw or cooked — all those forms have different effects on your digestive health, even if the foods contain the same type of fiber. However, you don't need to worry about doggedly tracking all these things in your efforts to increase your fiber intake. Eating a variety of whole or minimally processed foods will give you enough of what you need, Staller said. The link between higher fiber intake and decreased rates of colon and rectal cancers may be explained by a couple of factors, according to Jennifer House, a registered dietitian nutritionist and founder of First Step Nutrition in Alberta. When fiber increases stool bulk, it decreases the amount of time waste is in contact with the intestinal tract. 'Also, our gut bacteria ferments fiber, and it creates something called short-chain fatty acids,' such as butyrate, she added, which can nourish critical cells in the colon and inhibit cancer cells and inflammation. Recent research also suggests people with colon cancer may have greater odds of surviving if they increase their fiber consumption, Staller said. Fiber can also reduce your risk of other chronic illnesses and health conditions, experts said — including type 2 diabetes, high cholesterol, cardiovascular disease and premature death. And by improving your digestion, you're also reducing your risk of constipation-induced issues such as hemorrhoids and pelvic floor problems. Part of why fiber can help prevent or manage those conditions is because it aids in blood sugar regulation by slowing digestion — to a healthy degree — and the absorption of sugar into the bloodstream, reducing blood sugar spikes after meals, Manaker said. Fiber helps maintain a healthy weight, which is possible due to that blood sugar regulation and to fiber keeping you fuller longer, likely reducing overall calorie intake, Manaker added. Some TikTokers claim fibermaxxing can also help 'detoxify' your gut. Some of the experts don't love that word, given all the pseudoscience it's associated with in diet culture. But since fiber helps you poop, it 'literally does help remove toxins from your body,' House said. Additionally, some fibrous foods, such as leafy vegetables and nuts, support liver health, which plays an important role in detoxification, Manaker said. Experts are also increasingly learning more about the connections between our gut health and mental health, House said — finding that diets high or low in fiber-rich foods do affect your mood. If you want to start fibermaxxing, first know that 'going from zero to 60 when you don't consume any fiber at all is probably not going to go well,' Staller said. That's because when fiber pulls water into the digestive tract, the tract expands, causing discomfort and bloating in people who aren't accustomed to a normal fiber intake. Start low and slow by maybe adding some berries to your usual cereal breakfast or swapping one of your meals for one higher in fiber, House suggested. See how you feel after doing that for a week or two before you increase your intake. Some types of fiber don't work for everyone, Staller said, so listen to your body and adjust accordingly. Working with a dietitian, if possible, is best when navigating significant dietary changes. Fiber supplements — particularly those solely or predominantly made of psyllium husk — can be helpful if you have problems eating enough fiber or medical problems that need to be addressed more aggressively, such as high cholesterol, sources said. But they shouldn't replace fibrous foods as you'd be missing out on all the nutrients, minerals and vitamins they have to offer. There are several ways you can start incorporating more fiber into meals you already eat, such as swapping white rice, bread or pasta for whole-grain versions, Manaker said. The Dietary Guidelines for Americans site has a list of hundreds of commonly available foods and how much fiber they contain per standard serving size. Be sure to drink plenty of water, too — if fiber doesn't have any water to bring with it into your digestive tract, that can cause more bloating, gas and constipation due to dry stools, sources said. Sign up for CNN's Eat, But Better: Mediterranean Style. Our eight-part guide shows you a delicious expert-backed eating lifestyle that will boost your health for life.
