Rolling Acne Scars in Edmonton: Classification, Treatments, Aftercare and More
Rolling acne scars form as your skin heals from inflammatory acne. Unlike sharp, narrow “ice‑pick” scars or the box‑shaped depressions of boxcar scars, rolling scars create shallow pits with sloping edges that give the skin a wavy texture. They often arise on thicker skin, such as the lower cheeks and jawline, and can span four to five millimetres in width. While they aren’t dangerous, rolling scars may affect self‑confidence and become more noticeable as you age. Thankfully, a variety of professional treatments can smooth these indentations, stimulate collagen and restore an even complexion.
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What Are Rolling Acne Scars?
Rolling scars are part of the atrophic family of acne scars—indentations caused by the loss of collagen during healing. These scars are characterized by gentle, sloping edges that give the skin surface a wavy or undulating appearance. Because they are tethered to deeper structures by fibrous bands, the skin appears to roll when facial muscles move. A dermatologist may classify the severity of rolling scars based on their visibility: mild scars are hard to see from 50 centimetres away or can be covered with makeup; moderate scars are noticeable at that distance but flatten when you stretch the skin; and severe scars remain visible even when you stretch the skin.
Why Do Rolling Scars Form?
Rolling scars typically develop after bouts of severe or long‑standing acne. When inflamed blemishes destroy collagen and fat in the dermis, the skin heals inward, forming a depression. If the inflammation persists for weeks or months, fibrous bands form between the skin and the underlying tissue, tethering the scar and causing a rolling appearance. Picking or squeezing pimples slows the healing process and increases the likelihood of scarring, while smoking and certain hormonal factors may also play a role. Although rolling scars can soften with time, they rarely disappear on their own without targeted treatment.
Treatments for Rolling Scars
Improving the appearance of rolling scars often requires professional procedures that stimulate collagen production, break down tethering bands, or fill in the indentations. Common options include:
- Microdermabrasion: A clinician uses a handheld device to exfoliate the top layer of skin and encourage healthy regeneration. At‑home devices exist, but medical‑grade treatments penetrate deeper and yield better results.
- Microneedling: Also known as collagen induction therapy, tiny needles create controlled injuries that trigger the body’s healing response and new collagen formation. Radiofrequency microneedling combines heat with mechanical needling to achieve enhanced skin tightening.
- Chemical peels: Mild to medium‑depth peels remove the outer layers of skin and stimulate collagen. Over a series of sessions, the skin surface becomes smoother, and pigmentation can lighten.
- Dermal fillers: Hyaluronic acid or other fillers can be injected beneath the scar to lift the depression. Fillers provide immediate improvement and can be combined with subcision for longer‑lasting results.
- Subcision and minor surgery: A thin needle or blade releases the fibrous bands tethering the scar. This surgical technique lifts the depression, creating space for new collagen to form. Punch excision or grafting may be used for isolated deep scars.
- Chemical reconstruction: High‑concentration trichloroacetic acid (TCA) is applied to individual scars to trigger collagen production and gradual elevation of the scar floor.
- Laser resurfacing: Fractional lasers deliver heat to stimulate collagen and, in some cases, remove the top layer of skin. Multiple sessions are usually required.
Topical creams, vitamins, and home remedies have not been shown to improve rolling scars significantly. Consultation with a qualified provider ensures an appropriate treatment plan and reduces the risk of complications.
Rolling Scar Treatment Summary
Cost And Pricing
Procedure Duration
Treatment benefits
Expected Results
Side Effects And Downtime
Discomfort and Pain Level
Benefits of Rolling Scar Treatment
Smoother Skin Texture
By breaking up tethering bands, lifting depressions and stimulating new collagen, rolling scar treatments create a flatter, more even complexion. As the skin remodels, it reflects light more uniformly and looks healthier.
Boosted Collagen and Elasticity
Microneedling, chemical peels and lasers all trigger the production of collagen and elastin. This not only fills in scars but also improves the overall firmness and resilience of your skin.
Minimal Downtime
Most treatments are performed in our clinic and require little to no downtime. You can return to work or social activities right away, following simple aftercare instructions to protect your skin.
Customised, Long‑Lasting Results
Because rolling scars vary in depth and width, we tailor your treatment plan to your unique scarring pattern. Combination therapy often yields the most significant improvements. Results last as long as you protect your skin and maintain a healthy lifestyle.
Why Choose Albany Cosmetic & Laser Centre for Rolling Scar Treatment?
At Albany Cosmetic & Laser Centre, our multidisciplinary team brings advanced training in dermatology, laser therapy, and facial aesthetics. We use state-of-the-art equipment and evidence-based techniques to minimize scarring and enhance skin quality. Here’s what sets us apart:
- Expertise: Our providers have extensive experience treating acne scarring with a range of modalities, from microneedling to fractional lasers and subcision.
- Personalised Plans: We assess your skin type, scar severity, and lifestyle to design a bespoke treatment program.
- Safety and Comfort: All procedures are performed in a medical setting with strict infection control and pain‑management protocols.
- Transparent Pricing: We provide clear estimates and discuss package pricing and membership plans so you can make informed decisions.
Transparent Pricing
The cost of rolling scar treatment depends on the recommended procedures and the number of sessions required. For example, a package combining microneedling and subcision may cost $500–$1,000 per treatment, while a series of fractional laser sessions can range from $800 to $1,200 each. During your consultation, we’ll give you an exact quote and discuss financing or membership options.
The Rolling Scar Treatment Procedure at Albany
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Preparing for Your Treatment
Before your appointment, avoid direct sun exposure and tanning beds for at least a week, and discontinue retinoids or exfoliating products that may irritate your skin. Don’t pick at any active blemishes, and come to the clinic with a clean face free of makeup. If you take medications that affect bleeding, let your provider know.
What to Expect During the Procedure
Your experience will depend on the chosen treatment. For microneedling, a numbing cream is applied and a device glides across the skin, creating micro‑channels. Subcision involves a small needle inserted under the scar to release fibrous bands; this may be followed by a dermal filler injection. Chemical peels and laser treatments are carefully timed and controlled to ensure even results. Each session typically lasts 30–60 minutes, and you can relax comfortably during the process.
Aftercare and Recovery
Proper aftercare maximises results and minimises complications:
- Keep the area clean: Gently cleanse with a mild, fragrance‑free cleanser twice daily. Avoid scrubbing or using harsh exfoliants.
- Sun protection: Apply broad‑spectrum sunscreen (SPF 30 or higher) and wear a hat when outdoors. Sun exposure can worsen scarring and cause pigmentation changes.
- Moisturise: Use a gentle moisturiser to keep the skin hydrated and support healing. Avoid products containing acids or retinol until your provider advises.
- No picking or peeling: Do not pick at scabs or peeling skin, as this can lead to infection and further scarring.
- Avoid heat and exercise: Skip saunas, hot tubs and strenuous workouts for the first 48 hours. Excessive heat and sweating can irritate the skin.
- Delay makeup: Wait at least 24 hours before applying makeup, and choose non‑comedogenic products to prevent clogged pores.
- Stay hydrated and eat well: Drinking plenty of water and consuming nutrient‑rich foods support the body’s healing processes.
- Follow your provider’s instructions: We may recommend topical medications or serums to enhance results. If you experience unusual swelling, pain, discharge or fever, contact us immediately.
Who Is a Good Candidate for Rolling Scar Treatment?
Rolling scar treatments are suitable for adults who:
- Have mild to moderate rolling scars from acne.
- Are in good overall health and free of active skin infections or uncontrolled acne.
- Are not pregnant or breastfeeding.
- Have realistic expectations and are committed to multiple sessions if needed.
- Can protect their skin from the sun and follow aftercare instructions.
Individuals with severe scarring or underlying medical conditions may require surgical interventions or specialist referral. We’ll help you determine the best approach during your consultation.
Combining Rolling Scar Treatment with Other Procedures
For optimal results, rolling scar treatments are often combined with complementary procedures:
- Subcision plus fillers: Releasing the scar and immediately lifting it with a filler provides both immediate and long‑term improvements.
- Microneedling with platelet‑rich plasma (PRP): Adding PRP enhances collagen production and speeds healing.
- Laser resurfacing and chemical peels: Alternating these treatments can smooth texture and improve pigmentation.
- Topical skincare: Medical‑grade serums, retinoids and antioxidants support ongoing skin health between procedures.
During your consultation, we’ll design a combination plan tailored to your skin type, scar severity and lifestyle.