Microneedling vs laser for acne scars: which treatment is right for you?

Smooth your scars and feel confident in your skin again

When comparing microneedling vs laser for acne scars, it's essential to consider scar type and skin sensitivity.

If acne scars have been holding you back, you’re not alone. Scars can be tough to treat, but advanced non-surgical cosmetic treatment options like microneedling (or skin needling) and laser scar removal therapy make a real difference, significantly reducing the appearance of acne. The tricky part? Figuring out which one is right for your skin.

In this blog, we’ll break it all down for you. From how microneedling and laser work to their key benefits, we’ll cover everything you need to know to make the best choice for your skin:

• Why acne scars happen and why they can be so stubborn
• How microneedling rebuilds collagen to smooth your scars
• How laser therapy resurfaces skin for dramatic results
• A simple comparison of microneedling and laser so you can weigh up your options
• Key factors to consider, like your type of scarring and how much downtime you can manage
• What to expect during and after each treatment
• How we tailor a treatment plan at Victorian Dermal Group to get the best results for your skin

By the end, you’ll have a clearer idea of which treatment can help you achieve smoother, more confident skin.

Understanding acne scars

Acne scars can be a frustrating reminder of breakouts long after they’ve cleared up. But understanding what causes them — and why some treatments work better than others — can help you take the right steps toward smoother skin. Let’s start with the basics.

What causes acne scars?

Acne scars and wrinkles form when inflammation from a pimple damages your skin’s deeper layers. This damage triggers your body’s natural healing response, which doesn’t always repair the skin perfectly. As a result, you’re left with uneven texture and scars that can vary in shape and depth.

There are three main types of acne scars:

• Ice pick scars: These scars are deep and narrow, resembling tiny punctures in the skin. They’re often the most difficult to treat because they reach into the deeper layers of skin.
• Boxcar scars: Broad and shallow, these scars look like small craters with defined edges.
• Rolling scars: These scars create an uneven, wavy texture caused by damage to the skin’s connective tissue.

Each type of scar needs a slightly different approach, which is why choosing the right treatment is so important.

Why professional treatments are often necessary

If you’ve ever tried over-the-counter creams or serums for acne scars, you’ve probably noticed that the results aren’t always dramatic. That’s because acne scars typically form in the deeper layers of skin, where topical products can’t reach. While they may help with pigmentation or surface texture, they’re not designed to rebuild collagen or repair damaged tissue.

Professional treatments like microneedling and laser therapy go deeper, targeting the layers of skin where scars form. By stimulating collagen production, these treatments encourage your skin to repair itself from within — something no at-home product can achieve.

If you’re serious about improving the look of your scars, professional-grade treatments are the way to go. They don’t just fade scars — they help restore smoother, healthier skin. If you’d like to learn more about your treatment options, book a consultation with our expert team today.

What is microneedling?

Microneedling is one of the most effective treatments for improving acne scars. It works by harnessing your skin’s natural ability to repair itself, helping to reduce scar depth and create smoother, more even skin. If you’re looking for a treatment that tackles texture and boosts overall skin health, microneedling is a fantastic option.

How microneedling works for acne scars

Microneedling treatments use a device fitted with fine needles to create controlled micro-injuries in your skin. While it might sound a little intense, these micro injuries are incredibly precise and only penetrate the surface layers of skin. The goal? To trigger your body’s natural healing process.

When your skin repairs these tiny injuries, it produces fresh collagen and elastin — the two proteins that keep your skin firm and smooth. This process helps reduce the depth of acne scars and improves the overall texture of your skin, leaving it looking healthier and more refined.

Microneedling is especially effective for scars like rolling and boxcar scars because it targets the uneven texture they create, encouraging your skin to rebuild itself from the inside out.

Our preferred tool is the SkinPen, which is exceptionally safe and effective — its makers boast that 80% of clients notice a visible reduction in the severity of their acne scarring within a month of treatment.

Benefits of microneedling for acne scars

Microneedling isn’t just great for reducing acne scars — it’s a versatile treatment with benefits that extend to a wide range of skin concerns. Here’s why it’s such a popular choice:

• Microneedling for acne scars: Stimulates new collagen production to reduce scar depth and smooth uneven skin texture.
• Microneedling for fine lines: Helps minimise the appearance of fine lines by boosting skin’s elasticity.
• Microneedling for facial rejuvenation: Brightens and evens out skin tone, leaving your complexion looking refreshed.
• Microneedling for hyperpigmentation: Fades dark spots and evens out skin tone caused by acne or sun damage.
• Microneedling for stretch marks: Improves the texture and appearance of stretch marks on the body.

Microneedling offers a gentle yet powerful way to treat acne scars while improving your skin’s overall health and appearance. It’s a win-win for anyone looking for noticeable results with minimal downtime.

What is laser treatment?

Laser therapy is a cutting-edge treatment that targets acne scars by using light energy to resurface the skin and promote healing from within. It’s an excellent option for deeper scars and can deliver faster, more dramatic results compared to microneedling. If you’re looking to transform your skin, laser therapy is a powerful tool in the fight against acne scars.

How laser therapy works for acne scars

Laser treatments work by using focused light energy to target damaged areas of skin. This laser energy can be used to precisely remove the outer layer of skin (the epidermis) or to penetrate deeper into the skin to stimulate collagen production and encourage the growth of fresh new skin cells. The result? Smoother skin and a significant reduction in the appearance of scars.

There are two main types of laser treatments for acne scars:

• Ablative lasers: These lasers remove the top layer of skin, allowing fresh, healthy skin to grow in its place. They’re highly effective for deeper scars but do require more downtime to heal.
• Non-ablative lasers: Instead of removing skin, these lasers stimulate collagen production beneath the surface. They’re a gentler option with less downtime, making them suitable for those with busier schedules.

At Victorian Dermal Group, we use advanced non-ablative laser technology to deliver safe, effective, and personalised treatments for acne scars. Here’s a closer look at the innovative tools we use and how they work:

• Fraxel Dual Laser: This patented fractional laser technology works by creating tiny, controlled zones of heat that penetrate the superficial layers of your skin. By stimulating collagen production in these areas, the Fraxel Dual laser helps to repair damaged tissue, smooth out scars, and improve your overall skin texture. It’s a powerful option for targeting both surface and deeper scars while maintaining the health of the surrounding skin.
• Vbeam Prima: This advanced laser uses two alternating wavelengths (595nm and 1064nm)to target blood vessels and improve skin healing. It’s a minimally invasive, virtually pain-free treatment with minimal downtime, making it a great choice for clients looking for a gentler approach to scar reduction. The Vbeam Prima is particularly effective at reducing redness associated with acne scars, leaving your skin looking brighter and more even.

Your skin type and the severity of the scarring will determine which laser option is best for you.

Benefits of laser therapy for acne scars

Laser therapy is one of the most effective skin treatments for reducing acne scars, particularly when dealing with deeper types of scarring. Its benefits include:

• Highly effective for deeper scars: Laser therapy excels at treating ice pick scars and other deeper forms of scarring that are harder to address with surface-level treatments.
• Faster, dramatic results: While most treatments take time to show results, laser therapy often delivers visible improvements after just 1–3 sessions.
• Additional benefits: Beyond reducing scars, laser therapy helps to even out pigmentation, brighten your skin tone, and leave your complexion looking more radiant.

With the right laser treatment, you can achieve a smoother, more even complexion and finally take control of stubborn acne scars.

Let’s compare microneedling and laser treatment for acne scars

Microneedling and laser therapy are both excellent options for treating acne scars, but they work in different ways and suit different skin concerns. Here’s a quick side-by-side comparison to help you figure out which one might be the best fit for your skin.

Microneedling is a great option if you’re after gentle, gradual improvement with minimal downtime, while laser therapy delivers faster, more dramatic results for deeper scars and pigmentation. The best option for you depends on your type of scarring, skin tone, and goals, which is why we always recommend a personalised consultation.

Laser vs microneedling: which treatment is better for acne scars?

So, what’s best? When it comes to deciding between microneedling and laser therapy, the best treatment really depends on your skin and the type of scars you’re dealing with. Both treatments for scarring have their strengths, and for some clients, combining the two can deliver even better results. Let’s break it down.

Consider your type of acne scars

The type of scars you have plays a big role in determining which treatment will work best:

Microneedling is better for:‍

• Rolling scars and boxcar scars: These scars respond particularly well to microneedling because it stimulates collagen and smooths uneven skin texture over time.
• Clients who want gradual improvement with minimal downtime: If you’re after a treatment that fits into a busy schedule, microneedling’s shorter recovery period is a huge plus.

Laser treatment is better for:‍

• Ice pick scars or very deep scars: Laser therapy can penetrate deeper layers of the skin, making it more effective for scars that are harder to reach with other treatments.
• Those looking for faster, more dramatic results: Laser treatments often deliver visible improvements in fewer sessions, which is great if you’re keen to see results quickly.

Consider your skin type

Your skin type also matters when choosing between microneedling and laser:

• Microneedling is generally safer for darker skin tones because it carries a lower risk of triggering pigmentation changes. It’s also a gentler option for those with sensitive skin.
• Laser treatments require more caution for darker or highly sensitive skin types, as there’s a slightly higher chance of pigmentation changes or irritation. That’s why it’s so important to have a professional consultation before starting laser therapy.

Why you may benefit from a combination of both

For many clients, combining microneedling and laser therapy can offer the best of both worlds. Microneedling stimulates collagen production and improves texture, while laser therapy resurfaces the skin and targets deeper scarring or pigmentation. Together, they can address multiple layers of skin damage for even better results.

A tailored treatment plan is key to balancing safety with effectiveness, especially for complex scarring. At Victorian Dermal Group, we assess your skin carefully and design a personalised approach that targets your unique concerns while keeping your skin healthy and protected.

What to expect during and after treatment

Knowing what happens during and after your treatment can help you feel more prepared and confident. Here’s what to expect when you undergo microneedling or laser therapy.

Microneedling process and recovery

Microneedling is a straightforward treatment that prioritises your comfort:

• During the treatment: A numbing cream is applied to minimise discomfort. Once it’s taken effect, the microneedling device is gently passed over your skin to create tiny, controlled micro-injuries. You may feel a slight prickling sensation, but most clients find it very manageable.
• Recovery: After your session, your skin may appear red and feel sensitive, similar to a mild sunburn. This typically lasts 24–48 hours. To support your skin’s recovery, stick to gentle skincare products, avoid active ingredients, and always use SPF to protect your skin while it heals.

Laser process and recovery

Laser therapy can vary depending on the type of laser used, but it’s designed to be as comfortable as possible:

During the treatment: Cooling methods are often used to reduce discomfort, and you might feel a sensation of heat or tingling as the laser targets the skin.

Recovery:

• Non-ablative lasers (like Vbeam Prima): These are gentler, with minimal redness and occasional mild flaking that resolves within a few days.
• Ablative lasers (like fractional lasers): These target deeper layers of skin, so recovery is more intense. You can expect peeling, swelling, and redness that may last up to 2 weeks.

To aid recovery, we recommend applying Hydra Factor K cream to soothe, hydrate, and protect your skin. This specialised moisturiser helps to speed up healing and keep your skin feeling comfortable while it recovers. Combining this with SPF and avoiding harsh or active skincare products will ensure the best results.

Why Victorian Dermal Group is the best choice for acne scar treatment

Treating acne scars is as much about trust as it is about technology. At Victorian Dermal Group, we don’t believe in cookie-cutter solutions. Every scar tells a story, and we’re here to help rewrite yours with expert care, personalised acne scar treatment plans, and cutting-edge treatments that truly deliver. Book your consultation today.

Your journey starts with a one-on-one consultation

No two skins are the same, and acne scars can vary just as much. That’s why we begin with a thorough one-on-one consultation to understand your unique concerns. From the type of acne scarring to your skin tone, sensitivity, and lifestyle, we take everything into account.

This isn’t just about choosing between microneedling and laser — it’s about tailoring a treatment plan that fits your skin, your goals, and your schedule. Expert advice at this stage means you can feel confident you’re on the right path from the start.

Expertise and technology that make the difference

When it comes to treating acne scars, results are everything — and that’s where we shine. At Victorian Dermal Group, we combine years of hands-on experience with advanced technology to create real, visible change.

• Clinician expertise: Our team specialises in both microneedling and laser therapy, so we can recommend the right treatment or combination for your skin.
• State-of-the-art tools: From the Fraxel Dual Laser for precise laser resurfacing to the Vbeam Prima for targeting redness and pigmentation, our advanced equipment ensures every treatment is as effective and safe as possible.
• Personalised care: We work closely with you throughout your journey, adjusting your plan as your skin evolves to achieve the best possible results.

When you choose Victorian Dermal Group, you’re not just choosing a clinic — you’re choosing a team committed to helping you feel confident in your skin again.

FAQs about microneedling and laser for acne scars

If you’re considering microneedling or laser therapy for your acne scars, you probably have a few questions. Here are the answers to some of the most common ones we hear.

Can microneedling and laser be combined?

Yes, microneedling and laser therapy can absolutely complement each other, but they should never be done at the same time. These treatments work differently — microneedling and fractional laser are often used in combination to target both deeper and surface-level scars.

When scheduled strategically, the combination can deliver outstanding results by targeting multiple layers of your skin. At Victorian Dermal Group, we create tailored treatment plans to ensure the two treatments are spaced appropriately for your skin to heal and get the full benefit of each session.

How many sessions will I need?

The number of treatments you’ll need depends on the severity of your scars and the treatment type:

• Microneedling: Most clients require 3-6 sessions, spaced about 4-6 weeks apart, to see noticeable improvement.
• Laser therapy: For non-ablative lasers, 1-3 treatments are usually enough to achieve visible results. Ablative lasers may require fewer sessions but involve a longer recovery time.

Each treatment can also be adjusted depending on how your skin responds, ensuring the best possible results for your individual needs. Read more about acne treatments offered by Victorian Dermal Group.

Are there risks with microneedling or laser?

Both microneedling and laser treatments are safe when performed by trained professionals, but like any procedure, there are some potential side effects to be aware of:

• Microneedling: You may experience temporary redness and mild sensitivity after treatment, similar to a light sunburn. These effects typically resolve within 24-48 hours, and many clients notice added benefits like subtle skin rejuvenation over time.
• Laser therapy: Non-ablative lasers generally have minimal risks, but ablative lasers may cause redness, peeling, and swelling during the recovery period. For darker or sensitive skin tones, there’s a small risk of pigmentation changes, which is why it’s essential to consult with experts who understand how to treat your skin safely.

At Victorian Dermal Group, we prioritise your safety and use advanced techniques and tools to minimise risks while delivering outstanding results. Meet with one of our Melbourne Clinicians today to discuss your options.

Can I do microneedling and laser together?

Yes, microneedling and laser therapy can absolutely complement each other, but they should never be done at the same time. These treatments work differently — microneedling targets deeper layers of the skin to stimulate collagen, while laser therapy addresses surface damage, pigmentation, and redness.

When scheduled strategically, the combination can deliver outstanding results by targeting both the surface and deeper layers of your skin. At Victorian Dermal Group, we create tailored treatment plans to ensure the two treatments are spaced appropriately for your skin to heal and get the full benefit of each session.

Should I do laser or microneedling first?

The order depends on your skin’s needs and the type of scars you’re treating.

• If you’re dealing with deep scars (like ice pick scars), starting with laser skin treatments can help resurface the skin before moving on to microneedling for collagen stimulation.
• For rolling or boxcar scars, microneedling is often a great first step to smooth uneven texture before laser therapy is introduced to refine the surface and even out pigmentation.

A consultation is key to determining the right order for your skin, as the decision will depend on your scarring, skin type, and goals.

What hurts more, microneedling or laser?

Pain levels are always subjective, but here’s what you can expect:

• Microneedling: With numbing cream applied beforehand, most clients describe the sensation as mild discomfort, like a prickling or scratching feeling. For enhanced results, some clients opt for microneedling with PRP. PRP (platelet-rich plasma) involves using your own blood’s healing factors, extracted and applied during the microneedling process, to amplify collagen production and speed up skin repair.
• Laser therapy: Non-ablative lasers, like the Vbeam Prima, are virtually pain-free, with most clients feeling a slight warmth or tingling. Ablative lasers, however, can feel more intense as they resurface the skin, but cooling methods are used to minimise discomfort.