Cosmetic Concerns
Acne & Acne Scar Treatment
Clear active acne and smooth scars with a plan written for your skin.
Starting price
NPR 3,500+
Sessions
3–5 sessions typical
Performed by
Qualified doctors
Location
Thapathali, Kathmandu
Overview
What this treatment does
Acne scars are not one condition — they are at least six. Boxcar, ice pick, rolling, hypertrophic, post-inflammatory hyperpigmentation and erythema each respond to different treatments. A single approach (one laser, one peel) will not work for all of them. We diagnose what you actually have, write it down, and treat accordingly.
Comparison
Acne scar types and the treatments that work for each
| Scar type | Appearance | First-line treatment | Typical sessions |
|---|---|---|---|
| Ice pick | Deep, narrow, V-shaped | TCA cross / radiofrequency microneedling | 3–5 |
| Boxcar | Wide, square-edged, U-shaped | Fractional CO2 laser / subcision | 3–5 |
| Rolling | Broad, wave-like, tethered | Subcision + microneedling | 2–4 |
| Hypertrophic | Raised, firm, on jawline/back | Intralesional steroid + silicone | Ongoing |
| PIH (dark marks) | Flat brown/purple marks | Chemical peel + topical | 4–6 |
| Erythema (red marks) | Flat red marks | Vascular laser + time | 3–4 |
Your exact treatment plan is confirmed at consultation.
Treatment options
How we approach it
01
Fractional CO2 Laser
The workhorse for boxcar and atrophic scars. Creates controlled micro-injuries that trigger collagen remodelling. We use a fractional (not fully ablative) approach to minimise downtime — expect 5–7 days of redness and peeling per session.
02
Subcision
For rolling scars that are tethered beneath the skin. A fine needle releases the fibrous bands pulling the skin down, allowing it to rise back to surface level. Often combined with filler or microneedling for best results.
03
TCA Cross
The gold standard for deep ice-pick scars. High-strength trichloroacetic acid is applied precisely into each scar, triggering localised resurfelling. Done carefully, one scar at a time.
04
Radiofrequency Microneedling
Delivers heat energy at precise depths to stimulate collagen. Good for diffuse atrophic scarring and skin texture refinement. Less downtime than CO2 laser, suitable for darker skin types.
05
Chemical Peels
For active acne and post-inflammatory pigmentation. Salicylic acid for oily/acne-prone skin, glycolic for texture, mandelic for sensitive and darker skin. A series of 4–6 sessions is typical.
06
Topical & Oral Therapy
For active acne that precedes scarring: retinoids, benzoyl peroxide, topical antibiotics, and oral isotretinoin where indicated. We manage the acne first, the scars second.
Realistic expectations
What results to realistically expect
Realistic improvement is 40–70% reduction in scar visibility after a full course of treatment, not 100% elimination. Anyone promising you perfect skin is lying. The goal is significant, visible improvement that holds up under normal lighting — not studio lighting. We photograph your skin before, during and after so we both measure honestly.
Suitability
Is this right for you?
Good for
- Adults with stable acne scars (acne controlled for 6+ months)
- Realistic expectations — improvement, not perfection
- Able to commit to a 3–6 month treatment timeline
- Willing to follow post-treatment sun protection
Not suitable if
- Active cystic acne (treat the acne first)
- Pregnant or breastfeeding (some treatments contraindicated)
- Unrealistic expectations of scar elimination
- Unable to avoid sun exposure during treatment
FAQ
Common questions
Ready to start acne & acne scar treatment? Book a consultation.
A 30–45 minute consultation with the right doctor. We'll assess if acne & acne scar treatment is suitable for you and give you a written plan.