Where
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
Hyderabad
Acne scar treatment in Hyderabad
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.
45 years in dermatologyDermatologist & dermatosurgeonKarkhana, SecunderabadBooking on WhatsApp
At a glance
- Treats
- Rolling, boxcar and ice-pick scarring
- First, always
- Active acne controlled medically
- Usual approach
- Combination, staged across months
- Indian skin
- Device and depth chosen for pigment risk
- Realistic result
- Substantial improvement, not flat skin
- Where
- Secunderabad clinic
First, the distinction
Most people asking about scars have marks.
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.
Before you decide
Who is treating you, and what his patients said.
Dr. (Lt Col) Khagendra Varada
- 45 years in dermatology and dermatosurgery
- 25 of them in the Indian Army Medical Corps
- MBBS, Osmania Medical College
- Dip. Practical Dermatology, Cardiff · Dip. Dermatology, AAAM
Reg. No. 10461, Hyderabad State Medical Council
Full background →“Explains the entire condition faced by the patient really well and is actively involved in the progress. Always open to answering all queries and the treatment was extremely effective. Went from horrible acne condition to having a smooth face. Even the support staff working with the doc are kind and take care of the patient well.”
“Very friendly at the same time very professional. Explained the issues in very simple terms. I liked the way the support staff helped”
The distinction
A mark is not a scar.
Most people who ask about acne scars have marks: flat brown patches left where a spot healed. A scar is a change in the skin’s shape. The two need completely different treatment, and only one of them fades on its own.
- 1
- 2
- 1Extra pigment, surface still level
- 2Collagen lost, surface dented
Marks fade with time, sun protection and pigment-directed treatment. Scars do not — they need the collagen rebuilt. Telling them apart is most of the first consultation.
- Extra pigment, surface still level
- Collagen lost, surface dented
Illustration, not a photograph.
Matching procedure to scar
Different scars, different tools
| 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.
The shapes
Three scars, three different problems.
Scars are classified by shape because shape decides the tool. A narrow deep tract, a sharp-walled crater and a broad tethered dip do not respond to the same treatment, and most faces carry more than one kind.
- 1Narrow and deep
- 2Sharp-walled crater
- 3Tethered from below
This is why a single device rarely clears a face, and why a plan usually combines methods in a deliberate order.
- Narrow and deep
- Sharp-walled crater
- Tethered from below
Illustration, not a photograph.
How a plan is built
Order matters more than intensity.
Control the acne first
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.
Release what is tethered
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.
Treat the pits individually
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.
Resurface, then wait
Remodelling continues for months after a session. Sessions are spaced accordingly and the result is judged late, not at two weeks.
Indian skin
The device is chosen for your pigment, not for its brochure.
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 activeLonger course, lower risk
More sessions at conservative settings usually beats fewer aggressive ones on skin that pigments.
Sunscreen decides the outcome
Daily, throughout the course and for weeks after each session. It is the step that separates a good result from a brown one.
Where to book
One clinic, in Secunderabad
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad. The practice was formerly known as BNR Skin & Vitiligo Hospital.
How to book
On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.
- Photographs welcome before you travel
- Video consultation arranged the same way
Questions patients actually ask
Acne scar questions
Can acne scars be removed completely?
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.
How many sessions will I need?
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.
Are lasers safe for Indian skin?
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.
My marks are brown, not indented. What do I need?
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.
Do I have to finish acne treatment first?
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.
What does acne scar treatment cost?
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.
References
The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.
- Acne scarringDermNet (New Zealand Dermatological Society)
- Skin needlingDermNet (New Zealand Dermatological Society)
- Chemical peelsDermNet (New Zealand Dermatological Society)
- Skin phototypeDermNet (New Zealand Dermatological Society)
Keep reading
Related on this site
The first appointment is a diagnosis.
Not a treatment plan sold on the spot. Message the clinic and bring your history.