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Acne Scars, Texture & Enlarged Pores
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Atrophic acne scars (boxcar, rolling, some ice-pick)
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Textural roughness and “orange peel” skin
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Enlarged pores
How it happens
Inflammatory acne damages the pilosebaceous unit and surrounding dermis. As the lesion heals, abnormal collagen remodeling can create depressions (atrophic scars) or, less commonly, hypertrophic/keloid scars. Pores appear “larger” when follicular openings are surrounded by damaged or thinned dermal support.
Variations
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Ice-pick, boxcar, rolling atrophic scars.
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Superficial textural roughness vs discrete deep pits.
Severity & treatment approach
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Mild texture / shallow scars: microneedling, lighter peels, non-ablative laser, topical support.
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Moderate scars: RF microneedling, deeper microneedling, TCA peels or focal TCA techniques, often in a series with PRP support.
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Severe, mixed scar types: staged, combination approaches (RF microneedling + chemical reconstruction, sometimes referral for surgical subcision or resurfacing at higher levels of care).
Best-Matched Treatments at ALux
Microneedling (Salient Medical Pen)
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Collagen induction therapy can reduce acne scars by 50–70% in some studies and improve texture and pore appearance.
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Multiple studies and reviews show RF microneedling is effective for scars and skin rejuvenation, enhancing tightening and remodeling versus needling alone.
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Combining PRP with microneedling further supports collagen production and textural improvement.
Chemical Peels (especially TCA in selected patterns)
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Useful for certain superficial scars and overall resurfacing when planned appropriately.
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Gentle resurfacing and collagen stimulation to smooth overall texture with minimal downtime.
