How it works
Everything starts with a consultation. Your doctor listens to what you hope for, examines your skin, and assesses the type of scar, how shallow or deep it is, the texture, your skin tone, and how sensitive your skin is. This step matters, because each kind of scar responds to laser differently, and some deeper scars may need to be combined with another method. Your doctor also asks about your acne history, your tendency to scar, and the medications and products you use, and then agrees with you on the type of laser, the likely number of sessions, and the spacing between them.
Before the session, your skin is cleansed and a numbing cream is usually applied to the surface to keep you more comfortable; for some deeper techniques, your doctor may use another form of pain relief. How much numbing is needed depends on the type of laser and the size of the area being treated. You and the person performing the treatment both wear eye protection throughout, because laser light can harm the eyes.
During treatment, your doctor moves the laser handpiece across the scarred area in passes. The beam creates tiny points of action, removing or heating very small parts of the skin to prompt healing and the growth of new collagen, so the scarred surface remodels over time. You may feel something like the snap of a rubber band and a warm, tingling sensation on the skin. A session usually takes a few tens of minutes, depending on the area.
Laser treatment for acne scars almost always needs a course of several sessions, spaced a few weeks to a few months apart, so the skin can recover and collagen can rebuild between visits. After each session, your doctor reviews how your skin responded and adjusts the settings for the next one, rather than following a fixed recipe. The exact number of sessions depends on the type and severity of your scars.