What Causes Acne and Acne Scarring?

Acne is one of the most frustrating skin concerns to live with, and one of the most misunderstood. It’s not a hygiene issue, and it’s not just a teenage problem — a large share of our acne clinic visits in Surrey BC are adults dealing with hormonal acne or cystic acne that started or worsened well into their 20s, 30s, and 40s.

Active breakouts are driven by a mix of hormonal activity (which is why hormonal acne often flares around menstrual cycles, stress, or certain medications), excess oil production, clogged pores, bacteria, and inflammation. Cystic acne specifically forms deep under the skin, which is why it’s harder to treat with topical products alone and more prone to leaving lasting marks.

The scars left behind — whether shallow discoloration, pitted acne scars, or deeper textural damage — can stay long after the breakouts stop without the right acne scar removal approach in Surrey. At Uptown Skin & Laser Clinic, we treat both the active acne and what it leaves behind, using clinically proven technology calibrated to your specific skin type and tone, because the wrong laser acne treatment on the wrong skin tone can actually make discoloration worse.

Acne & Acne Scar Treatments We Recommend

Treatment Why We Recommend It For This Concern
Micro Needling Our go-to for acne scar texture and pitted acne scars. Collagen induction rebuilds the structural tissue beneath scarring without laser energy — a strong option across all skin tones.
CO2 Laser The most powerful single option for deep, pitted acne scarring on lighter-to-medium skin tones, resurfacing the scar tissue directly for dramatic textural change.
Morpheus8 Combines microneedling with RF energy for deeper scar remodelling, and is our preferred acne scar laser alternative for medium and deeper skin tones where ablative laser carries more risk.
Fractional Laser A gentler resurfacing option for shallower scarring and overall texture improvement, with less downtime than full CO2 resurfacing.
Picosure Pro Used for both acne scar texture and dark marks (post-inflammatory hyperpigmentation) acne often leaves behind, especially on deeper skin tones.
Lase MD Ultra A lower-downtime laser that supports overall skin clarity and tone evenness while also infusing acne-clearing actives directly into the skin via its drug-delivery capability.

Benefits of Acne & Acne Scar Treatment

  • Fewer and less severe breakouts over time
  • Visibly smoother texture, with reduced scar depth
  • More even tone where acne has left dark or red marks behind
  • Cleaner, less congested pores
  • Renewed confidence in bare skin
  • Safe, effective treatment across all skin tones

Results You Can See

Lighter marks usually respond within 3 to 4 sessions. Deeper, pitted scars may need 4 to 6 sessions. Most patients see real improvement within 3 months, with results continuing to build over 6 to 12 months.

Frequently Asked Questions

Is laser treatment safe for acne scars on darker skin?
Yes, with the right device and settings. We treat acne scarring across all Fitzpatrick skin types, including deeper skin tones where the risk of dark marks after treatment needs careful management. Morpheus8 and PicoSure Pro are two of our most reliable options for diverse skin tones.
How many sessions will I need for acne scarring?
It depends on how deep the scarring is. Lighter marks usually respond within 3 to 4 sessions. Deeper, pitted scars may need 4 to 6 sessions. You will receive a realistic estimate at your first visit rather than a fixed sales number.
Can active acne and acne scars be treated in the same plan?
Often, yes. Many patients manage active breakouts and older scarring together. Treatment is sequenced so inflammation is controlled first, followed by scar-focused treatments like Morpheus8 or CO2 Laser once breakouts are stable.
What's the difference between hormonal acne and regular acne treatment?
Hormonal acne often appears along the jawline and chin and follows cyclical patterns. It usually requires a combined approach with medical evaluation plus skin treatments. We focus on skin-level care while coordinating with a physician when hormonal triggers are suspected.
Will treating acne scars make active acne worse?
Not when properly sequenced. We avoid aggressive resurfacing on active inflammation. Your practitioner will first control breakouts before introducing scar-focused treatments to prevent irritation or worsening.
Ready to Address Your Acne & Acne Scars?
Book a consultation at Uptown Skin & Laser Clinic in Surrey, South Surrey & White Rock. Every plan starts with a thorough skin assessment — built around you.
Book Your Skin Consultation
Personalized treatment plans designed for real results