Acne Scar Reduction

Acne scar reduction at SKIN CARE Liberec uses a combination protocol of microneedling with autologous PRP, CO2 fractional laser resurfacing, and polynucleotide biostimulation to address the different scar types that acne leaves behind. Atrophic (icepick, boxcar, rolling) scars respond best to a combination of fractional laser — which resurfaces the depressed surface and stimulates dermal fill — and microneedling with PRP, which delivers growth factors precisely into the scar base to promote fibroblast activity. The recommended protocol combines three CO2 laser sessions with three biostimulation sessions over six months. Microneedling with PRP is available from 3,200 Kč per session; CO2 full face 5,300 Kč. Three months of evaluation time is needed after the final session to assess the full collagen remodelling result.

Acne scarring represents the visible aftermath of the inflammatory response to deep acne lesions, where the normal dermal matrix is either destroyed (atrophic scars) or overstimulated (hypertrophic scars). Effective treatment requires understanding which scar type is being addressed, because different morphologies respond differently to different interventions. Atrophic scars (the most common post-acne type) fall into three subtypes: icepick scars (narrow, deep channels going vertically into the dermis), boxcar scars (broad, flat-bottomed craters with sharply defined edges), and rolling scars (broad undulations from subcutaneous fibrotic bands tethering the skin). Each subtype has a different optimal approach. At SKIN CARE Liberec, the available modalities are selected and sequenced based on the predominant scar type. CO2 fractional laser resurfacing is the anchor of the protocol for boxcar and rolling scars: the ablative fractional columns remove the scar's irregular surface and trigger the deep collagen remodelling that fills the depression over three months. Three sessions spaced four weeks apart are planned as the core course. Microneedling with autologous PRP adds to the protocol by delivering concentrated growth factors directly into the scar base. The microneedle channels reach the fibrous scar floor and deliver PRP containing PDGF, TGF-β, and VEGF — proteins that signal fibroblasts to switch from scar (type III collagen) to normal (type I collagen) synthesis, and that stimulate new vasculature to re-supply the previously avascular scar tissue. Available from 3,200 Kč per session. For a full combination protocol — recommended for moderate to severe post-acne scarring — the clinic designs a six-month schedule of three CO2 sessions alternating with three biostimulation (PRP or polynucleotide) sessions. Final evaluation at three months after the last session captures the full collagen maturation cycle. Post-treatment: SPF 50+ is mandatory; makeup is allowed from day four. Redness and mild swelling are expected for one to two days after each session.