Reviews/Skin Concern

Skin Concern

Acne Scars: What Skincare Can Help, What Usually Needs a Procedure, and How I Would Set Real Expectations

A practical guide to acne scars: what retinoids and sunscreen can help, where skincare hits its limit, and when procedures make more sense.

Sarah ChenSenior beauty editor
April 30, 20267 min read4.2

TL;DR: I think acne scars get overpromised more than almost any other skin concern. Some topicals can help support smoother-looking skin and may modestly improve shallow textural change over time, but true indented scars usually respond better to procedures than to another expensive bottle.

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VerdictIf you are dealing with actual acne scars, skincare matters most for prevention, maintenance, and small texture improvements. It is useful, but it has limits.

Overall score8.4/10

Best forreaders trying to tell scars from dark marks, people deciding whether to keep buying scar serums, and anyone building a realistic routine after acne.

Skip ifyou need urgent treatment for deep cystic acne, have rapidly worsening scars, or want diagnosis for redness or melasma that may be getting mistaken for scarring.

Sources

  • Eichenfield DZ, et al. Management of Acne Vulgaris: A Review. JAMA. 2021. PMID: 34812859.
  • Dréno B, et al. Prevention and Reduction of Atrophic Acne Scars with Adapalene 0.3%/Benzoyl Peroxide 2.5% Gel in Subjects with Moderate or Severe Facial Acne. Am J Clin Dermatol. 2018. PMID: 29549588.
  • Afra TP, et al. Topical Tazarotene Gel, 0.1%, as a Novel Treatment Approach for Atrophic Postacne Scars: A Randomized Active-Controlled Clinical Trial. JAMA Facial Plast Surg. 2019. PMID: 30452511.
  • Ke M, et al. Efficacy and safety of non-ablative vs. ablative lasers for acne scarring: A meta-analysis. J Dtsch Dermatol Ges. 2025. PMID: 40066600.

Sources

  1. Article citation: PMID: 34812859.
  2. Article citation: PMID: 29549588.
  3. Article citation: PMID: 30452511.
  4. Article citation: PMID: 40066600.

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