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Acne Scar Treatments and Medications

Medically reviewed by Anis Rehman, MD
Physician
Updated Apr. 22, 2024  •  Published Jul. 9, 2020
Fact Checked
In this article:

It’s estimated that 50 million people experience acne every year, which means that just as many people might have some form of acne scarring. Research shows that acne and acne scars cause emotional distress for people, and doctors and researchers are always looking for new treatment options.

What causes acne scars?

Living with acne scars can be physically and emotionally difficult for people of all ages. Acne occurs when pores in the skin become clogged with oil, dirt, and bacteria. This results in inflammation, or blemishes, that manifest as blackheads, whiteheads, or pimples. These blemishes often leave behind scars and discoloration. Understanding what causes acne scars and how to treat them is a great first step toward management and healing.

Acne can leave dark spots, discoloration, pits in the skin, or raised scars. Some milder scars may go away on their own, but severe scarring often requires topical medication, oral medication, or the use of certain therapies like dermabrasion.

What does an acne scar look like?

There are many different types of acne scars that vary in appearance. Acne scars typically fall into five categories: atrophic scars, hypertrophic (keloid) scars, boxcar scars, rolling scars, and icepick scars. Treatment varies depending on the type of scar, and it’s possible for someone to have multiple types of scarring at one time.

Icepick and boxcar scars are depressions on the surface of the skin. Boxcar scars are depressed and wide, whereas icepick scars are small, deep, and narrow.

Atrophic and rolling scars are also depressions in the skin. Rolling scars are broad with sloped edges, and atrophic scars tend to be flat and thin.

Hypertrophic, or keloid scars, are characterized by a thickening of the skin and aren’t as common as other types of scars. A doctor or dermatologist will be able to determine what type of scars are present and prescribe a treatment plan from there.

A doctor may ask the following questions to help determine the best treatment option:

  • When did you first start experiencing acne?
  • How long have you been experiencing acne?
  • What have you tried to treat your acne scars with so far?
  • Are you currently taking any medications?

Acne scar removal treatment options

There are many different treatment options for people living with acne scars. According to the University of Rochester Medical Center, treatments can vary in length and intensity depending on the type of scar. Most treatments can reduce the appearance of scars and redness, but scars almost never go away completely. A combination of therapies and oral or topical medications may be required to help reduce acne scars.

Here’s a list of popular acne scar treatment options:

  • Laser resurfacing/Laser treatments: Lasers produce monochromatic light which stimulates the growth of new collagen and elastin. This type of therapy can greatly reduce the appearance of scars, but multiple sessions are often needed.
  • Dermabrasion: This treatment option removes the top layer of the skin to reveal smoother and fresher skin, and is often used on smaller scars. Microneedling is a type of dermabrasion that uses tiny needles to resurface the skin. Recovery time is required after any dermabrasion or microdermabrasion session.
  • Chemical peels: Skincare specialists can apply a chemical peel that removes the top layer of the skin. This is an effective treatment for superficial scars, discoloration, and dark spots.
  • Dermal filler injections: A skincare professional may inject a medicine like a steroid into a scar to help reduce its appearance. Multiple sessions are needed, especially if the scar is large and keloided.
  • Topical medications: Dermatological agents can be applied to the skin to reduce the appearance of scars, redness, and discoloration. They may also help prevent further breakouts and scarring.
  • Oral medications: Medications prescribed by a healthcare professional work by targeting how much oil the skin produces. If the skin produces less oil, then acne and the scars that come from it aren’t as likely to develop.

Acne scar removal medications

Acne scar removal medications can be applied topically or taken orally. Sometimes, a combination of topical and oral medications may be necessary. A skin care specialist will determine the proper dosage and form of medication on a case-by-case basis.

Topical medications

Dermatological agents may help get rid of dark marks, discoloration, and small scars that come from having acne. Mild acne scars can potentially be treated with over the counter creams, washes, or gels that contain benzoyl peroxide or salicylic acid. More severe acne scars may need to be treated with prescribed topical medications.

Topical retinoids (retinols) are commonly used to treat dark spots and acne scarring and work as keratolytic treatments that dissolve dead skin layers. Tazorac (tazarotene), Differin (adapalene), and Retin-A (tretinoin) are popular examples of topical retinoids. These medications have a negative impact on pregnancy, hence contraception is mandatory.

Epiduo Forte contains both adapalene and benzoyl peroxide and is used to treat blemishes and acne scars.Tretinoin also treats acne and may reduce scarring. One of the most important things to consider when treating acne scars is preventing further damage to the skin. Many topical medications such as topical antibiotics work well at reducing breakouts. The fewer breakouts someone experiences, the less likely they are to develop new acne scars.

The most common side effects of topical medications include dryness, itching, or allergic reaction. Those with sensitive skin should take extra care to ensure their skin doesn’t dry out too much from these products. Using oil-free moisturizers after application may help symptoms of dryness.

Oral medications

Oral medications are sometimes prescribed by doctors and dermatologists for more severe cases of acne scarring. Oral medications work by reducing the amount of oil (sebum) that the skin produces. If the skin produces less sebum, then pores aren’t as likely to get clogged and turn into acne.

Many of the medications that are used to treat acne can also treat acne scars. Some examples of these include antibiotics, contraceptives, anti-androgen agents, salicylic acid, azelaic acid, and retinoids.

Isotretinoin (Absorica) is an oral retinoid used to treat cases of severe cystic acne. Retinoids and retinols are derivatives or relatives of vitamin A and work by targeting oil production and stimulating cell turnover. Pregnant women should not use isotretinoin, as it may cause birth defects. Contraception should be used while taking this medication. Other common side effects of retinoids include mood changes, sensitivity to light, and dryness of the skin. This article talks about isotretinoin in more detail.

Talking with a healthcare professional is the best way to determine if oral medications are the right treatment choice for you.

What are the best acne scar removal medications?

There is no one universal medication to help remove acne scars that’s best for everyone. Skin types, conditions, and responses to treatment vary. A doctor can determine the best medication based on an individual’s symptoms, medical history, and response to treatments. Here’s an overview of popular acne scar medications that a doctor may prescribe.

Best acne scar removal medications
Drug Name Drug Class Administration Route Standard Dosage Side Effects
Absorica (isotretinoin) Retinoid Oral 0.5-1 mg taken as a divided dose as instructed by a healthcare professional Hearing loss, vision changes, changes in mood or depression, flu-like symptoms
Epiduo Forte Retinoid Topical Apply a pea-sized amount to affected area once per day Blistering, swelling, dryness of the skin, allergic reaction
Atralin (tretinoin) Retinoid Topical Apply a thin layer before bed every night Allergic reaction, skin blistering, skin peeling, burning sensations on the skin

Dosage is determined by your doctor based on your medical conditions, response to treatment, age, and weight. Other possible side effects exist. This is not a complete list.

What are common side effects of acne scar medications?

As with any medication, there are always potential side effects. Many topically applied acne medications may result in itchy, red, or burning skin. Oral medications may result in nausea, vomiting, diarrhea, mood changes, or changes to vision. These side effects may occur upon beginning treatment, but they should subside. Contact your doctor or pharmacist if your side effects persist or worsen.

Acne scar medications may also cause allergic reactions that result in hives, difficulty breathing, or dry eyes, throat, and mouth. You should seek immediate medical care if you believe you are experiencing an allergic reaction.

This list of side effects is not comprehensive. Ask a healthcare professional for more details regarding the possible side effects of a particular medication.

Home remedies for acne scars

Many people rely on home remedies and natural treatments to help minimize acne scars. Certain lifestyle changes may help prevent acne from worsening or recurring. Home remedies, natural treatment options, and lifestyle changes are all ways that people who live with acne can try to reduce their symptoms. Many natural supplements taken by people to help with their acne are not approved by the FDA. Here are some popular home and natural remedies to help remove acne scars:

  • Getting regular facials. Many people who suffer from acne often pick at their blackheads, whiteheads, and pustules. This can actually irritate and damage the skin, causing more acne scars. Seeing a professional who can safely perform extractions, help keep pores clean, and not cause scarring, could be very beneficial for those with acne and acne scars.
  • Using essential oils. Certain essential oils like lemon, tea tree, and helichrysum are well known for their antiseptic, antibacterial, and antiviral properties. Helichrysum is an antioxidant and can even help repair damaged skin. Essential oils are very strong and often cause skin irritation if applied directly to the skin. Diluting essential oils in a carrier oil and then applying to the skin can help with potential skin irritation. Many natural care products also contain essential oils and can be found in health food stores.
  • Using a silicone gel. Applying a silicone gel to newer acne scars could help them heal faster and appear less red. A silicone gel would have to be applied multiple times a day but is a good option for those able to do this.
  • Using apple cider vinegar. Apple cider vinegar is a known astringent and disinfectant. It can even help get rid of dead skin cells. Make a paste out of honey and apple cider vinegar, let it sit for about ten minutes, and then rinse off may help get rid of acne scars.

Frequently asked questions about acne scars

How do you get rid of acne scars?

Getting rid of acne scars will most likely require a combination of treatment methods. To reduce the appearance of mild scars, home remedies and OTC medications may work. Some acne scars will go away on their own within several months. More severe cases of scarring may require oral or topical prescription medications and treatments like chemical peels, microdermabrasion, or laser resurfacing.

What would a dermatologist prescribe for acne scars?

Dermatologists are skin care specialists and can determine the best treatment option for every individual based on their medical history and type of acne scarring. A dermatologist might prescribe a topical cream such as Epiduo Forte, Tretinoin, or maybe something containing glycolic, hyaluronic, or salicylic acid. They might also prescribe an oral medication such as Absorica to help the skin renew itself and produce less oil. A dermatologist might also recommend therapies like dermabrasion, dermal fillers, laser therapy, or micro-needling.

What is the best cream for acne scars?

There is no single cream that’s best for treating acne scars. Products containing glycolic acid, hyaluronic acid, salicylic acid, or a retinoid cream have proven very effective at reducing the appearance of acne scars. A healthcare professional can help determine the right cream to use.

How long does it take to clear up acne scars?

Mild acne scars will typically clear up on their own or with some additional help within three to six months. Severe acne scars may never completely go away. Taking preventative measures like not picking at the skin and seeking appropriate medical attention can help scars heal faster. The amount of time it will take to clear up acne scars depends on the individual, their symptoms, and response to treatment.

Can acne scars heal on their own?

Mild acne scars may go away on their own within several months. More severe scars may require intense treatment and lifestyle changes to completely disappear. Many people find that mild acne scars will fade with the help of natural treatment options, changes to personal care routines, and some medications. Though some scars may be impossible to heal completely, it’s almost always possible to reduce the appearance of them with treatments like laser therapy or microdermabrasion.

Does laser acne scar treatment work?

Laser treatments are sometimes given to treat acne scars and work by resurfacing the top layer of the skin. Lasers produce monochromatic light, which stimulates new elastin and collagen production. Laser resurfacing can reduce the appearance of scars, but not get rid of them completely. It’s very important to apply sunscreen before and after a laser treatment to prevent further damage and scarring to the skin. Most people need several treatments to see results, and laser therapy may require some lifestyle changes in order to be completely effective. Talking with a healthcare professional can help determine whether or not laser and resurfacing therapies are right for you.

Medically reviewed by Anis Rehman, MD
Physician

Dr. Anis Rehman is an American Board of Internal Medicine (ABIM) certified physician in Internal Medicine as well as Endocrinology, Diabetes, and Metabolism who practices in Illinois. He completed his residency at Cleveland Clinic Akron General and fellowship training at University of Cincinnati in Ohio. Dr. Rehman has several dozen research publications in reputable journals and conferences. He also enjoys traveling and landscape photography. Dr. Rehman frequently writes medical blogs for District Endocrine (districtendocrine.com) and hosts an endocrine YouTube channel, District Endocrine.

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