01
“The acne cleared, but the marks stayed.”
The most common presentation — pigmentation persists after lesions resolve.
↗Concern · Face & Skin · 04
The acne cleared. The marks stayed.
Post-acne changes are colour, texture or both — red or brown marks left by inflammation, and depressed or raised scars left by tissue damage. The pathway depends on which one you have.
Before · Marks & scarring
After · Smoothed texture
VISIA reading
Scar type mapped
Colour vs structure
What it is
Marks and scars after acne.
Post-acne changes are the skin's record of previous inflammation. They may be colour-related — red or brown marks — or structural — depressed or raised scars.
Development is closely tied to the severity of the original inflammatory acne and how quickly it was treated. Untreated deep acne almost always leaves structural change.
“Two rules govern scar treatment. Get the acne under control first. Never treat the scar without protecting from the sun.”
What patients notice.
Symptoms named in the patient's own words alongside the clinical read.
02
Red or brown marks on the face
Post-inflammatory erythema (red) or hyperpigmentation (brown) — colour-only changes.
↗03
Depressed scars or an uneven surface
Atrophic scars — ice-pick, boxcar or rolling — where tissue was lost during inflammation.
↗04
Uneven skin texture
The overall surface reads rough or pitted under raking light, even without deep scars.
↗05
Difficulty applying makeup evenly
A functional sign — foundation catches on depressed areas and disperses on colour marks.
↗06
Widespread visible scarring
Multiple scar types often coexist and need a combined protocol.
↗Colour, texture, or both.
Post-acne changes fall into distinct categories — the pathway is different for each.
#TypeWhat it looks likePathway
01Post-inflammatory pigmentation.Brown flat marks left by inflammation — surface-only, not structural.Peels · Retinoids
02Post-inflammatory erythema.Red or pink flat marks left by inflammation — surface-only, vascular.Vascular laser
03Atrophic scars.Ice-pick, boxcar or rolling scars where tissue was lost.Fractional laser · Microneedling
04Hypertrophic scars.Raised scars where excess tissue formed — usually on the jawline or chest.Specialist referral
05Textural irregularity.Widespread roughness and dilated pores from long-standing acne.Resurfacing
Diagnostics-first
We classify the scar first.
The pathway depends entirely on whether the change is colour, structure or both. Classification takes minutes and saves months.
- i.Clinical consultation25 min
- ii.Differentiate pigmentation from scarring10 min
- iii.Classify scar type — atrophic, hypertrophic15 min
- iv.VISIA imaging and surface analysis20 min
- v.Assess overall skin condition and safety10 min
Treatment pathways
How we treat it.
Colour changes respond to peels and topicals; structural scars need resurfacing or collagen stimulation. Most cases combine both.
Lead pathway · Structural scars
Fractional laser + microneedling.
Fractional resurfacing and RF microneedling stimulate collagen in the scar bed — the pathway of choice for atrophic scarring that doesn't respond to topicals.
Course3–5 sessions
Interval4–6 weeks
Downtime3–7 days
Morpheus InMode.
RF microneedling for deeper atrophic scarring and long-standing texture.
Supportive · ResurfacingAlma Hybrid CO₂.
Fractional CO₂ resurfacing for widespread, mixed textural scarring.
Supportive · HydrationBiorevitalization
Hyaluronic acid to support skin quality alongside scar-focused work.
Supportive · Colour marksChemical peels and topicals.
Salicylic and TCA peels with vitamin C, niacinamide and retinoids for pigmentation.
Book a diagnostic consultation
Begin with a classification.
A specialist reviews your acne history, classifies the scar type, and lays out a course that combines the right depth of intervention for your skin.
Tumanyan St. 11 · Yerevan·
Sayat-Nova Ave. 35 · Yerevan·
Daily 10:00 — 20:00