Acne Scarring and Uneven Texture Treatment in Marylebone, London
Acne scarring and uneven texture treatment in Marylebone, London improves the texture of pitted and uneven skin with microneedling, chemical peels and exosome therapy, planned as a course once your acne is settled. The goal is smoother, healthier-looking skin that you feel comfortable in.
Overview
Understanding acne scarring & uneven texture
Acne scarring is the textural change left in the skin after inflamed spots have healed. The most common type is atrophic scarring, where the skin has lost collagen and sits in shallow dips, deeper pits or broader rolling hollows. Less often, scars are raised. Many people also have uneven texture and enlarged pores that make the skin look rough even when the acne itself has gone.
Scars form when inflammation reaches deep enough into the skin to damage collagen and the repair does not fully restore what was lost. Picking and squeezing make this more likely, as does leaving moderate or severe acne untreated for a long time. Scarring is not a sign that you did anything wrong; some skin simply scars more easily.
Active acne needs to be brought under control before scar treatment starts, because treating scars on inflamed skin risks more marks. If your acne is still active, Helena will suggest seeing your GP or a dermatologist first. Once the skin is settled, she uses microneedling, chemical peels and exosomes to encourage the skin to rebuild collagen and smooth its texture over a course of sessions. Skin regeneration takes time, and Helena asks for at least 3 months before judging results. Results vary between individuals.
Why it happens
What causes acne scarring & uneven texture?
- Inflammatory acne that damages collagen deep in the dermis as it heals
- Picking, squeezing or scratching spots, which deepens inflammation
- Moderate or severe acne left untreated for a long period
- A genetic tendency to scar or to form excess pigment after inflammation
- Sun exposure during healing, which darkens and prolongs marks
Treatment approach
How does Helena treat acne scarring and uneven texture in Marylebone?
Microneedling
From £275Fine needles create controlled micro-injuries that prompt the skin to lay down new collagen beneath the scar, gradually lifting shallow and rolling scars and refining texture. Helena usually plans 4 to 6 sessions, 4 weeks apart. From £275.
See treatment detail →Chemical Peels
From £250A peel resurfaces the outer skin and evens tone and texture, and is particularly useful where scarring comes with dark marks or a rough surface. Helena chooses the depth for your skin and may alternate peels with microneedling. From £250.
See treatment detail →Exosomes
From £400Exosomes are applied straight after microneedling, when the skin can absorb them, to support the repair response and calm redness. A course of 3 sessions, 4 weeks apart, with maintenance at 6 to 9 months. From £400.
See treatment detail →FAQ
Common
questions
Can acne scars be treated completely?
Honest answer: most acne scars can be improved noticeably, but not removed. Shallow and rolling scars respond best to collagen-stimulating treatments like microneedling. Deep, narrow ice-pick scars are harder to soften and may need a different approach, which Helena will say at consultation. Improvement varies from person to person, and a course of sessions is always needed.
Do I need my acne under control first?
Yes. Treating scars while spots are still active risks spreading bacteria and creating new marks, and the skin cannot rebuild properly while it is inflamed. If you still have regular breakouts, Helena will suggest seeing your GP or a dermatologist to settle the acne, then welcome you back for scar treatment once the skin is calm.
How many sessions does acne scar treatment take?
Most people need a course rather than a single visit. Helena typically plans 4 to 6 microneedling sessions about 4 weeks apart, with exosomes or peels added where they help. Collagen rebuilds slowly, so improvement continues for months after the last session. She asks for at least 3 months before judging the outcome.
What is the downtime after microneedling?
Expect your skin to look pink or red, a little like mild sunburn, for 24 to 48 hours, with some dryness or light flaking over the following few days. Most people are comfortable at work the next day with mineral makeup. Avoid sun, heat, exercise and active skincare for the first 48 hours, and wear SPF daily.
Is treatment suitable for darker skin?
Yes, with care. Darker skin tones are more prone to post-inflammatory pigmentation, so Helena chooses gentler peel strengths, adjusts needle depth and spaces sessions to keep the skin calm. Strict sun protection between sessions matters even more. She will discuss your skin type openly at consultation and explain how the plan is adapted for you.
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Novaderma Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ
BookAppointments typically available within 1–2 weeks