Acne comes and goes but sadly it leaves some annoying hyperpigmented marks or pits and scars. Cystic acne mostly leaves scars that are very deep and stubborn to treat. Timely management of acne is the key to getting rid of the scars.
A proper skincare regime and early intervention are needed for acne scar treatment. Old acne scars also have very good results with our combined laser treatment.
We believe in early treatment of acne scars during the healing phase of the acne. We suggest an early approach — as early as possible — for fewer sessions and complete recovery.
What Are Acne Scars?
Acne scars are the result of inflamed blemishes caused by skin pores engorged with excess oil, dead skin cells, and bacteria. When the pore swells, it causes a break in the follicle wall. Depending on the severity of the inflammation, different types of scars can form:
- Ice Pick Scars — Deep, narrow pits that extend into the dermis.
- Box Scars — Broad, rectangular depressions with sharp edges.
- Rolling Scars — Wide depressions with a wave-like, uneven appearance.
- Hypertrophic Scars — Raised, thickened scars caused by excess collagen during healing.
- Hyperpigmented Marks — Dark spots or post-inflammatory pigmentation left after acne resolves.
Acne Scar Removal Treatments at Akarshan
At Akarshan Skin & Hair Clinic, we use a combined approach of medical dermatology and aesthetic science to treat all types of acne scars — whether deep or superficial, old or new. Our available treatments include:
CO2 Laser (Carbon Dioxide Laser Resurfacing)
Carbon Dioxide (CO2) laser skin resurfacing is a procedure involving the use of a carbon dioxide laser (ablative laser) to remove scars, warts, deep wrinkles, and for overall skin rejuvenation. Physical injury causes controlled trauma, which heals through collagen remodeling — allowing us to treat acne scars, fine lines, moles, stretch marks, and achieve skin rejuvenation. Downtime is more significant with laser treatments, and strict sun protection is required post-procedure.
Microneedling with Meso Solution or PRP
Microneedling is a versatile procedure with multiple benefits. Using a derma pen device to create controlled micro-injuries, it stimulates collagen production with minimal downtime. It can be used to treat acne scars, wrinkles, hyperpigmentation, fine lines, and uneven skin tone. Results are further enhanced by combining microneedling with the patient’s own blood-derived PRP (Platelet-Rich Plasma) or with targeted meso solutions for deeper nourishment and repair.
Chemical Peels
Chemical peels use acids to remove the outer layers of damaged skin, promoting cell turnover and revealing smoother skin underneath. They also stimulate collagen production, improving skin texture and reducing scar depth over time. Types of peels available:
- Superficial Peels — Mild acids such as glycolic acid that target the outer skin layer, suitable for minor scarring and pigmentation.
- Medium Peels — Stronger acids such as trichloroacetic acid (TCA) that penetrate deeper for more pronounced scars.
- Deep Peels — Target deeper skin layers and provide significant improvement, but require more downtime and preparation.
While chemical peels can significantly improve the appearance of acne scars, they may not completely remove them, and results can vary. Multiple sessions are often recommended for optimal results.
TCA Cross Peel
TCA Cross (Chemical Reconstruction of Skin Scars) is a targeted procedure that involves applying high-concentration trichloroacetic acid directly into ice-pick scars using a fine applicator such as a toothpick. This induces a controlled chemical burn that stimulates collagen production deep within the scar, gradually filling and resurfacing it from within. TCA Cross is an easier and more cost-effective mode of treatment for stubborn, deep ice-pick-shaped acne scars.
Subcision
Subcision is a minor surgical procedure used for treating rolling and tethered acne scars. A fine needle is inserted under the skin to break the fibrous bands pulling the scar tissue downward, allowing the skin to lift and the depression to fill naturally with new collagen. It is often combined with other treatments for best results.
Who Is It Best For?
- Active acne with post-inflammatory marks or pigmentation
- Ice pick, box, rolling, or hypertrophic acne scars
- Old, stubborn acne scars that have not responded to topical treatment
- Skin with uneven texture, enlarged pores, or hyperpigmentation from acne
- Anyone seeking a medically supervised, combined treatment approach for clearer skin
Results You Can Expect
Results depend on scar type, severity, skin type, and the combination of treatments used. Most patients notice a visible improvement in skin texture and pigmentation after 2–3 sessions. Deeper scars typically require a course of 4–6 sessions spaced 4–6 weeks apart for optimal results. Early treatment during the active healing phase of acne yields faster recovery with fewer sessions.
What to Expect During Your Session
- Consultation — Our dermatologist assesses your acne and scar type, skin condition, medical history, and suitability for each treatment.
- Preparation — The treatment area is cleansed. A topical numbing cream is applied for comfort where required (approximately 20–30 minutes).
- Treatment — The selected procedure (laser, microneedling, peel, TCA Cross, or subcision) is performed with precision and care.
- Post-care — You receive personalized aftercare guidance including sun protection instructions, topical medications, and skincare recommendations.
Session duration: 30 to 60 minutes depending on the procedure. Downtime: Varies by treatment — minimal for microneedling and peels, more significant for CO2 laser.
Acne Scar Treatment Price in Nepal
The cost of acne scar removal in Nepal generally starts from NRS 2,000 and can go up to NRS 8,000 per session, depending on the type of scar and the treatment method used. A personalized consultation will determine the most suitable combination protocol and number of sessions required.
Treatment | Price (NRS) |
Acne & Acne Scar Removal — per session | NRS 2,000 – 8,000 |
Why Choose Akarshan for Acne Scar Removal in Kathmandu?
Personalized Treatment
Every patient is unique. We develop individualized care plans based on your condition, goals, and preferences.
Advanced Diagnostics
Access to cutting-edge imaging, laboratory, and diagnostic tools ensures accurate assessments.
Ongoing Monitoring
We offer follow-up care, education, and guidance to help you maintain your health over time.
Frequently Asked Questions — Acne Scar Removal Nepal
Discomfort varies by treatment. A topical numbing cream is applied before most procedures to ensure you remain comfortable. CO2 laser treatments may involve more post-procedure discomfort than microneedling or peels, and our team provides appropriate aftercare guidance for each.
The number of sessions depends on your scar type and severity. Most patients require 3–6 sessions spaced 4–6 weeks apart. Superficial pigmentation may respond in fewer sessions, while deeper ice pick or rolling scars may require a longer course of combined treatments.
Improvement in skin texture and pigmentation is often noticeable after 2–3 sessions. Deeper structural scars show more gradual improvement over 3–6 months as collagen remodeling progresses.
Yes, chemical peels can help reduce the appearance of acne scars by exfoliating damaged skin layers and stimulating collagen production. Superficial peels are suitable for mild pigmentation, while medium and deep peels address more pronounced scarring. Multiple sessions are typically needed, and results can vary by skin type and scar severity.
Yes. A combined approach consistently delivers the best results for acne scarring. At Akarshan, we routinely combine CO2 laser, microneedling, chemical peels, TCA Cross, and subcision in customized protocols — along with topical and oral medications — to address multiple scar types simultaneously.
Yes, with the right treatment selection. Our dermatologists carefully assess your skin type before recommending a protocol, as certain treatments (such as CO2 laser) require extra consideration for darker skin tones to avoid post-inflammatory hyperpigmentation.
Acne scar removal at Akarshan Skin & Hair Clinic starts from NRS 2,000 per session and can go up to NRS 8,000 depending on the treatment type and scar complexity. A personalized consultation will provide a detailed cost estimate based on your specific treatment plan.
After treatment, avoid direct sun exposure, harsh skincare products, picking or scratching the treated area, strenuous physical activity for 24–48 hours, and makeup immediately after laser or microneedling sessions. Strict sun protection with SPF 30+ is essential throughout the treatment course.
Take the first step toward better health by scheduling your appointment today. Whether you’re a new patient or returning, our quick and secure booking form makes it easy to find a time that works for you.
If you have general questions about our services, doctors, or clinic policies, feel free to reach out via email and Call us directly.
akarshanskin@gmail.com
Patient & Appointment Enquiries
+977-9813994443