Where
Plot No D13B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
There is no single treatment for acne scars, because there is no single kind of acne scar. Tethered rolling scars, sharp ice-pick pits and brown marks each need a different procedure — and the brown marks, which most people call scars, are not scars at all.
Flat brown or red patches left where a spot used to be are post-inflammatory pigmentation and erythema. They are not scars, they fade — slowly, over months to a couple of years — and they respond to topical treatment, peels and, above all, sun protection. Nobody needs a laser for them.
A true scar is a change in the contour of the skin. Run a finger over it and there is a dip. Those do not fade, and they are what procedural treatment is for. The distinction is made by examining the skin in raking light, which is also how you find the shallow scarring people have not noticed.
The other rule is absolute and gets ignored constantly: active acne is controlled before scars are treated. Resurfacing skin that is still breaking out produces fresh scars alongside the ones being treated, and any course started under those conditions is being sold rather than planned.
| Scar type | What it responds to | Notes |
|---|---|---|
| Rolling — broad, tethered dips | Subcision, releasing the tether | Little else works until the tether is cut |
| Boxcar — sharp-edged, wide | Microneedling RF or fractional resurfacing | Depth of the edge decides which |
| Ice-pick — narrow, deep pits | TCA CROSS, applied point by point | Resurfacing passes over these without touching them |
| Shallow, diffuse irregularity | Microneedling, peels | Often the most improvable group |
| Brown marks with no dip | Topicals, peels, sunscreen | Not a scar; do not laser it |
| Raised or keloid scarring | Injection-based treatment | The opposite problem — see keloid treatment |
Most faces carry more than one type, which is why single-modality courses underperform. A plan usually combines two or three procedures in a deliberate order.
Non-negotiable. Treating scars while lesions are still appearing creates new ones. Where oral retinoid treatment is involved, timing of procedures is planned around it.
Rolling scars are held down from beneath. Subcision frees them, and it is done before resurfacing rather than after — resurfacing a tethered scar smooths a dip that is still being pulled.
Ice-pick scars are addressed point by point with focal TCA rather than by a resurfacing pass, which cannot reach the base of a narrow deep scar.
Remodelling continues for months after a session. Sessions are spaced accordingly and the result is judged late, not at two weeks.
Skin that pigments readily responds to thermal injury by darkening, and ablative fractional resurfacing carries a meaningfully higher risk of post-inflammatory pigmentation in darker skin than the alternatives. That is not a reason to rule it out — it is a reason for the choice to be deliberate.
Subcision, microneedling and focal TCA involve little or no thermal damage, which is much of why they carry a lower pigmentation risk and why combination approaches built around them suit Indian skin well. Where resurfacing is used, settings are conservative, the course is longer, and sun protection is treated as part of the treatment rather than advice.
If the acne is still activeMore sessions at conservative settings usually beats fewer aggressive ones on skin that pigments.
Daily, throughout the course and for weeks after each session. It is the step that separates a good result from a brown one.
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad — the practice formerly known as BNR Skin & Vitiligo Hospital.
Plot No D13B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
On WhatsApp — one number, answered by the clinic team, who confirm a time and say what to bring.
Substantial improvement is realistic; flat, unmarked skin generally is not. A well-planned combination course typically produces a face where the scarring is no longer the first thing you see, which is a different promise from erasure — and the honest one.
It depends on the scar types present and how deep they are. Combination plans usually run across several months with sessions spaced by weeks, because remodelling continues long after each one. The number is reviewed against photographs rather than fixed in advance.
Used appropriately, yes — but the choice matters. Ablative fractional resurfacing carries a higher risk of post-inflammatory pigmentation in darker skin than microneedling RF, subcision or focal TCA. The device and the settings are chosen for your skin, and conservative courses are preferred.
Probably not a procedure. Flat brown marks are post-inflammatory pigmentation, which fades over months and responds to topical treatment, peels and rigorous sun protection. Save the procedural treatment for scars with a contour change.
Yes. Treating scars while acne is still active produces new scars alongside the old ones. If you are on or recently finished oral retinoid treatment, tell the clinic — it changes when procedures can be done.
It is quoted after assessment, because the plan depends on which scar types you have and how many sessions each needs. A per-session price without a plan behind it is not a comparison worth making.
Not a treatment plan sold on the spot. Message the clinic and bring your history.