Acne is hard enough; the marks and scars it leaves behind can be even more frustrating. The key to treating them is understanding that active acne, dark marks and true scars are three different problems needing different approaches. This guide breaks down what works for each, for Calgary skin.
First: are they scars or marks?
- Post-inflammatory marks (PIE/PIH): flat red or brown spots left after a pimple heals. These are not scars and usually fade with time, brightening treatments and sun protection.
- True scars: changes in skin texture — usually atrophic (depressed: ice-pick, boxcar, rolling) or, less often, raised. These need collagen-building treatments.
Treating active acne first
There is no point resurfacing skin that is still actively breaking out. Get breakouts under control first (a good skincare routine, and a dermatologist’s help for moderate-to-severe acne). Then address the aftermath.
Best options for marks (PIE/PIH)
- Chemical peels to speed cell turnover and fade discolouration — see our peels guide.
- Brightening topicals and, critically, daily SPF so marks fade rather than re-darken.
Best options for true (atrophic) scars
- Microneedling: creates controlled micro-channels that trigger collagen, gradually filling depressed scars and smoothing texture — see our microneedling guide. Usually a series of 3–6 sessions.
- Resurfacing treatments for deeper scarring, discussed at consultation.
What about Calgary’s climate?
Dry, cold air can aggravate a compromised acne barrier, and strong UV darkens marks. A simple barrier-supporting routine plus daily SPF makes every in-clinic treatment work better and last longer.
Realistic expectations
Marks can fade substantially; true scars usually improve meaningfully (often 30–70%) rather than vanish entirely, and improvement builds over months as collagen remodels. Anyone promising to erase scars in one session is overselling.
Get a tailored plan
Because the right treatment depends on whether you have marks or scars, start with an assessment. Book a free consultation at Alyssum Laser in NE Calgary and we will map a realistic plan.