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microneedling vs laser therapy: which is better for acne scars?

Acne scars can be a frustrating reminder of past skin issues, impacting your confidence and self-esteem. Fortunately, advancements in aesthetic treatments offer effective solutions for minimizing their appearance. Two popular options are microneedling and laser therapy. Both methods stimulate collagen production and improve skin texture, but they differ in techniques, recovery times, and results. This article will explore the pros and cons of each treatment to help you determine which may be better for your specific needs.


A laser device used for skin treatments in a clinical setting, highlighting its role in rejuvenation and skin care
Laser for skin


Understanding Acne Scars

Types of Acne Scars

Acne scars come in various forms, including:

  • Atrophic Scars: These are indentations in the skin caused by loss of tissue and are the most common type.

  • Hypertrophic Scars: These raised scars form when the body produces too much collagen during the healing process.

  • Post-Inflammatory Hyperpigmentation: Not a true scar, this refers to dark spots that can linger after acne heals.

Understanding the type of scar you have can help tailor your treatment approach.

Microneedling: An Overview

What Is Microneedling?

Microneedling, also known as collagen induction therapy, involves using a device equipped with fine needles to create micro-injuries in the skin. This process stimulates the body’s natural healing response, leading to increased collagen and elastin production.

Benefits of Microneedling for Acne Scars

  • Minimal Downtime: Most patients can return to their normal activities within a day or two.

  • Less Pain: Microneedling typically causes less discomfort compared to laser therapy, as it primarily affects the epidermis.

  • Versatility: Suitable for all skin types and tones, microneedling can treat various skin concerns, including wrinkles, enlarged pores, and uneven skin tone.

Ideal Candidates for Microneedling

Microneedling is particularly effective for individuals with mild to moderate acne scars. It’s also a good option for those looking for a less invasive treatment with minimal recovery time.

Laser Therapy: An Overview

What Is Laser Therapy?

Laser therapy uses focused light energy to target specific areas of the skin. Different types of lasers (ablative and non-ablative) are used depending on the severity and type of scars.

  • Ablative Lasers: These remove the outer layer of skin, promoting significant collagen production. They require longer recovery times.

  • Non-Ablative Lasers: These penetrate the skin without damaging the surface, resulting in less downtime but may require multiple sessions for optimal results.

Benefits of Laser Therapy for Acne Scars

  • Significant Results: Many patients see marked improvements after just one or two sessions, especially with ablative lasers.

  • Precision: Laser therapy can target specific areas more accurately than microneedling.

  • Long-Lasting Effects: The collagen produced can continue to improve skin texture for months after treatment.

Ideal Candidates for Laser Therapy

Laser therapy is often recommended for individuals with moderate to severe acne scars. It can be particularly effective for atrophic scars, as the deeper penetration helps to remodel the underlying tissue.

Comparing Microneedling and Laser Therapy

Efficacy

While both treatments stimulate collagen production, laser therapy often provides more immediate and dramatic results, especially for more severe scarring. However, microneedling can still offer significant improvements over time.

Recovery Time

Microneedling generally requires less downtime compared to laser therapy. Patients can expect slight redness and swelling with microneedling, similar to a mild sunburn, which typically subsides in a day or two. Laser therapy, particularly ablative treatments, may require a week or more for complete healing.

Pain and Discomfort

Microneedling tends to be less painful, as it primarily targets the upper layers of skin. Laser therapy may involve more discomfort, especially with ablative options, although topical anesthetics can help mitigate this.

Treatment Cost

Costs can vary widely based on geographic location, practitioner experience, and the specific technology used. Generally, laser therapy tends to be more expensive due to its advanced technology.

Additional Treatment Options

For those dealing with acne scars, combining treatments can be beneficial. For example, following microneedling with a PRP (Platelet-Rich Plasma) treatment can enhance results by providing additional growth factors to stimulate healing. Similarly, pairing laser therapy with a hydrafacial can help cleanse and prep the skin for better outcomes.

Other aesthetic treatments like chemical peels or dermal fillers can also be explored based on individual needs. Packages can be tailored to address concerns such as wrinkles, dark circles, or uneven skin tone.

Conclusion

When deciding between microneedling and laser therapy for acne scars, consider factors such as the severity of your scars, your pain tolerance, and your desired recovery time. Both treatments offer distinct advantages and can lead to significant improvements in skin texture and tone.

For personalized advice tailored to your skin concerns, book a free consultation at Carisma Aesthetics. Additionally, don’t forget to explore spa treatments at Carisma Spa for a comprehensive approach to skincare and relaxation.


 
 

real people, real reviews

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dr. giovanni scornavacca

Dr. Giovanni is an Italian aesthetic doctor at Carisma Aesthetics, trained and practiced for years in Italy with continued advanced education across leading universities in Rome, Bologna and other centres. He specialises in aesthetic medicine with a particular interest in regenerative approaches such as PRP, stem cells, pairing medical rigour with a calm, human manner.

His philosophy is restoration, not change: every consultation begins with listening to your story and how you want to feel in your skin, then shaping a conservative, precisely paced plan that prioritises safety, clarity and natural balance. From softening expression lines and refining contour to improving tone, texture and early laxity, his results are subtle and harmonious—refreshed, never overdone.

At our St Julian’s clinic, Dr. Giovanni offers evidence-based treatments including botulinum toxin, dermal fillers, collagen stimulators, skin boosters, microneedling with mesotherapy, PRP and medical-grade laser therapies, guiding you thoughtfully through each step so you can glow with confidence.

dr. francesca CHIRCOP

Dr. Francesca is a London-trained aesthetic doctor with eight years in medical aesthetics and a foundation in orthopaedic surgery, bringing precise anatomical insight to subtle, balanced results. Her philosophy is restoration, not change: every consultation begins with listening to your story and how you want to feel in your skin before shaping a conservative, personalised plan that prioritises safety, clarity, and natural harmony.

 

She leads our Lip Flip (botulinum toxin) enhancements and oversees the majority of our medical-grade laser hair removal care, pairing meticulous technique with advanced protocols for smooth, long-term results. Across anti-wrinkle injections, dermal fillers, skin boosters, PRP/regenerative techniques, microneedling with mesotherapy, and medical-grade lasers, she guides you thoughtfully through each step so the outcome feels authentically you—refreshed, never overdone.

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#1 Voted Med-Aesthetics Clinic in Malta 2025

At Carisma Aesthetics, we bring over 30 years of expertise in wellness and aesthetics. Guided by medical excellence and a passion for confidence, our treatments are designed to help you look and feel your best.”

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