Acne Scars Treatments

Dr Shobhan Manoharan is one of Australia’s leading acne scar experts. He studied medicine at the University of Queensland, has worked in the United Kingdom and Australia, has extensive surgical experience and has sub-specialised in cosmetic and laser dermatology. He is passionate research and treatments on scars and is one of just a few dermatologists in the world specialising in the management of complex scars.

Dr Manoharan has many patients come to him with acne issues and acne scarring – it’s a common experience. However, all scarring is not equal and can present itself in many forms, from ice pick scars to keloid scars. With many finding it affects their confidence, Dr Manoharan takes a custom approach to developing every treatment plan so that your skin type, lifestyle and the nature of your scarring is taken into consideration for the best possible result.

 

Before & Afters

Types Of Acne Scars

  • Ice Pick Scars.

    Ice pick scars present as narrow, deep scars. They are best treated surgically, often using a punch excision and elevation technique to correct the scar indentation, and other times using the TCA CROSS method.

  • Box Car Scars.

    Ice pick scars present as narrow, deep scars. They are best treated surgically, often using a punch excision and elevation technique to correct the scar indentation, and other times using the TCA CROSS method.

  • Keloid Scars.

    Ice pick scars present as narrow, deep scars. They are best treated surgically, often using a punch excision and elevation technique to correct the scar indentation, and other times using the TCA CROSS method.

  • Rolling Scars.

    Boxcar scars present as broad, shallow depressions with defined edges. They form from inflammatory acne and can be treated using the TCA CROSS method, ablated laser treatments or radio frequency needling.

Acne Scars Treatments

  • Ablative laser treatment is effective in the revision of severe acne scars for those who are prepared for a longer downtime period in return for dramatic results. In addition to removing damaged skin, the laser stimulates underlying skin cells to trigger collagen production to break down scars. Dr Manoharan is one of the country’s most experienced specialists in Erbium:YAG and CO2 lasers for long-term acne scar treatment.

  • Fractionated lasers treat chosen densities of micro-columns of skins, sparing the surrounding tissue. This method is at the forefront of acne scar treatment as it enables scars to be treated at depth, with less discomfort, complications and a reduced recovery time.

  • Subscision is a surgical technique that releases scars bound down to underlying tissue. It is performed under local anaesthetic and generally has no downtime.

  • RF needling delivers controlled radio frequency energy up to 3.5mm deep into the skin to break down scar tissue and promote collagen remodelling. It is usually performed with anaesthetic gels and local blocks.

  • Chemical peels use agents such as TCA to replace the top layer of skin with new, underlying skin. This method brings forward healthier skin that has less visible signs of scarring.

  • The TCA CROSS method is used for local scar destruction to encourage new skin production. It involves TCA being inserted into a scar and performs as a localised peel to reduce the depth of scars over a series of treatments.

Before & Afters

This young lady had only one session of RF needling with the Endymed Intensif device - brilliant rustles and one happy patient.
Acne and scars treated with a combination of medication and Endymed Intensif radio frequency microneedling.
Female jawline acne often leaves tethered scarring that may be challenging to treat. Patient treated by Dr M with a combination of fractionated CO2 laser and Infini RF needling.
Acne and scars in darker skin treated with medication and picosure laser.
Inflammatory acne and keloid scarring treated with a combination of medications, RF needing, Erbium: YAG and CO2, as well as steroid injections.
Early results from Dr Manoharan’s Fraxel/Isotretinoin trial - promising outcomes with no complications. Watch this space for more great results!
Patient with acne scarring and an autoimmune disease treated for difficult scarring around the mouth - combination TCA X, RF microneedling, and CO2 resurfacing.
This 24 year-old man is a good example of the journey made by many acne patients at our clinic. After having his acne treated with isotretinoin and radio-frequency therapy, his severe scarring was improved significantly over time by TCA CROSS, Erbium
Acne and scarring treated in Asian skin with a combination of oral medications and combination pulsed-dye laser and Endymed Intensif radio-frequency microneedling.
Early results from Dr Manoharan’s Fraxel/Isotretinoin trial - promising outcomes with no complications. Watch this space for more great results!
Acne scars treated with a combination of Erbium: YAG and CO2 laser. Improvement was noted with both scars and general texture of the skin.
Acne scars treated with a combination of Erbium: YAG and CO2 laser. Improvement was noted with both scars and general texture of the skin.
An excellent improvement over 8 months, with a combination of fractionated CO2 and Infini RF needling treatment. 5 days downtime with each for this young man.
Scars with pigment loss are often the most difficult type to treat. Dr Manoharan combines the Erbium: YAG and CO2 lasers with ReCell cell harvesting device to provide optimal improvement of both scars and pigment.
25 year old woman treated with a combination of Isotretinoin and Infini radiofrequency microneedling.
25 year old woman treated with a combination of Isotretinoin and Infini radiofrequency microneedling.
15 year old girl treated with low-dose Isotretinoin and Endymed Intensif RF needling therapy.
15 year old girl treated with low-dose Isotretinoin and Endymed Intensif RF needling therapy.
Female jawline acne often leaves tethered scarring that may be challenging to treat. Patient treated by Dr M with a combination of fractionated CO2 laser and Infini RF needling.
This 24 year-old man is a good example of the journey made by many acne patients at our clinic. After having his acne treated with isotretinoin and radiofrequency therapy, his severe scarring was improved significantly over time by TCA CROSS, Erbium/
This 24 year-old man is a good example of the journey made by many acne patients at our clinic. After having his acne treated with isotretinoin and radiofrequency therapy, his severe scarring was improved significantly over time by TCA CROSS, Erbium/
Darker skin types are always a challenge to treat, due to a requirement for more conservative treatment settings, as well as a higher risk of complications such as post-inflammatory hyperpigmentation. Treatments CAN be done, and in this case, the pat
Darker skin types are always a challenge to treat, due to a requirement for more conservative treatment settings, as well as a higher risk of complications such as post-inflammatory hyperpigmentation. Treatments CAN be done, and in this case, the pat
20 year-old female with mixed, inflammatory acne scarring. Improvement following a combination of Erbium: YAG and CO2 lasers, then a series of radiofrequency treatments and finally with pulsed dye laser to reduce redness.
24 year-old with papular acne with inflammatory scarring. Treated with isotretinoin, then 6 months after completion with combination Erbium: YAG and CO2 lasers; completed with a pulsed-dye laser to reduce redness.
24 year-old with papular acne with inflammatory scarring. Treated with isotretinoin, then 6 months after completion with combination Erbium: YAG and CO2 lasers; completed with a pulsed-dye laser to reduce redness.
Scarring on the chin can be particularly difficult to treat. It is often seen as a consequence of Adult Female Jawline Acne. In this gentleman, however, a three-stage process involving subscision, Erbium: YAG/CO2 lasers, and fillers have transformed
Scarring on the chin can be particularly difficult to treat. It is often seen as a consequence of Adult Female Jawline Acne. In this gentleman, however, a three-stage process involving subscision, Erbium: YAG/CO2 lasers, and fillers have transformed
20 year old South-East Asian girl with significant papular and comadonal acne, treated with laser extractions, isotretinoin and radiofrequency treatment. The chin area is a problem area for many adult females and requires a multi-layered treatment ap
Another challenging case of acne scar treatments in darker skin. This patient was treated by Dr Manoharan with a combination of TCA CROSS, Erbium: YAG and fractionated CO2 laser, and following healing, PicoSure laser. Darker skin types need to be tre
Another challenging case of ice pick and box car scars on Asian skin. Triple therapy with TCA cross, ablative erbium laser and fractionated CO2 with a downtime of 10 days.
More promising results with Dr Manoharan’s Fraxel/Isotretinoin trial - we are getting more patients coming to the end of this trial utilising low-level Fraxel laser while patients are on low doses of isotretinoin. This is a remarkable case of a young
25 year old woman treated with a combination of isotretinoin and Infini RadioFrequency microneedling.
Early results from Dr Manoharan’s Fraxel/Isotretinoin trial - promising outcomes with no complications. Watch this space for more great results!
Another challenging case of ice pick and box car scars on Asian skin. Triple therapy with TCA cross, ablative erbium laser and fractionated CO2 with a downtime of 10 days.
Early results from Dr Manoharan’s Fraxel/Isotretinoin trial - promising outcomes with no complications. Watch this space for more great results!
Postinflammatory hyperpigmentation, scarring and pores treated by the PicoSure laser.
Postinflammatory hyperpigmentation, scarring and pores treated by the PicoSure laser.
Significant acne scarring treated initially by surgical revision and then followed up with Erbium: YAG laser resurfacing. Next step - some dermal fillers to finish things off.
Patient treated for rolling scars with a combination of subcision and erbium/co2 lasers.
Filler for acne scarring beautifully positioned by our Dermal Nurse Kate!
Acne scars treated with a combination of pulsed-dye laser, subscision and fractional CO2.
Acne scars treated with a combination of pulsed-dye laser, subscision and fractional CO2.
Lower face rejuvenation and acne scar treatment with a combination of subscision and Ultrapulse Fractional CO2 by Dr Manoharan.
Acne scarring treated by Dr Manoharan with combination subscision and fractional CO2 laser.
Combination treatment with subscision and fractional CO2 by Dr M. Results following one treatment only.
Combination treatment with subscision and fractional CO2 by Dr M. Results following one treatment only.
Combination treatment with subscision and fractional CO2 by Dr M. Results following one treatment only.
Lower face rejuvenation and acne scar treatment with a combination of subscision and Ultrapulse Fractional CO2 by Dr Manoharan.
Acne scarring in skin of colour treated with Enlighten Picosecond laser.
Acne scarring treated by Dr Manoharan with combination subscision and fractional CO2 laser.
Acne scarring treated by Dr M with 2 sessions of subscision and fractional CO2 laser. No filler used.
Acne scarring treated by Dr M with 2 sessions of subscision and fractional CO2 laser. No filler used.
Acne scarring treated with 2 sessions of subscision and fractional CO2 by Dr M.
Acne scarring treated with 2 sessions of subscision and fractional CO2 by Dr M.
Acne scarring treated with 2 sessions of subscision and fractional CO2 by Dr M.
Patient treated with a combination of subscision, fractional CO2 laser and scar softening injections by Dr M.

Interested in talking to Dr Manoharan