The first week after an acne scar treatment is a critical phase in the healing process. How you care for your skin during this period can influence not only how well it recovers but also the long-term success of the treatment.
With years of clinical experience treating acne scars, Dr Justin Boey has seen how personalised aftercare directly affects outcomes. Proper skincare, mindful habits, and early awareness of potential complications help prevent unwanted side effects like pigmentation and scarring, especially in sensitive or darker skin types.
In this article, you’ll learn what to do and avoid in the first seven days after your treatment. We’ll cover safe skincare steps, expected recovery signs, and possible complications to look out for.
Why the First Week Matters in Skin Recovery
The first week after acne treatment is critical for skin recovery because it marks the initial phase of wound healing, inflammation reduction, and skin barrier restoration. During this period, the skin experiences redness, swelling, and mild discomfort as part of the normal inflammatory response to treatment.
Without proper aftercare, the skin may develop issues like post-inflammatory hyperpigmentation or delayed healing.
Healing Timeline in Week One
The first seven days after an acne scar treatment involve visible changes as your skin begins to heal. While the exact timeline may vary by treatment type and individual skin response, this guide outlines common reactions and daily care tips.
| Day | Common Skin Reactions | Best Practices |
|---|---|---|
| 1–2 | Redness, swelling, oozing, warmth | Use cool compresses. Apply barrier ointment as directed. Keep your head elevated. |
| 3–4 | Peeling or crusting may begin | Avoid touching or picking. Cleanse gently with mild, non-stripping products. |
| 5–6 | Shedding continues, skin appears pink | Maintain hydration. Avoid active ingredients and makeup. |
| 7 | Redness fades, healthy pink skin appears | Start preparing for the gradual reintroduction of your usual routine. |
What to Avoid During the First Week of Recovery
To support proper healing and reduce irritation, avoid the following during the first seven days:
- Sun exposure even indoors. Use sunscreen (SPF 30–50) and wear protective clothing or hats if going outdoors.
- Use of active skincare products such as retinoids, acids, vitamin C, and exfoliants. These can be too harsh for healing skin. Stick to barrier-supportive products.
- Picking or rubbing of peeling skin. Let it shed on its own to prevent scarring or dark marks.
- Applying makeup too early. Only resume once flaking has stopped, usually between Day 5 and Day 7.
- Use of hot showers, saunas, and intense workouts. Heat and sweating can make redness or swelling worse.
- Exposure to bacteria from unclean surfaces. Change your pillowcase daily and wash your hands before touching your face.
The Essentials of Proper Aftercare
Safe and consistent skincare after treatment supports the skin’s natural repair process. These simple steps can help you manage discomfort, prevent irritation, and reduce the risk of complications.
Cleansing
- Use a gentle, pH-balanced cleanser without fragrance or alcohol.
- Wash with lukewarm water and pat dry with a clean, soft towel.
- Cleanse twice daily unless instructed otherwise.
Moisturising & Occlusives
- Apply a prescribed ointment (such as petroleum jelly) during the first 2–3 days to protect the skin.
- Once the crusting has settled, switch to a ceramide-rich moisturiser that supports skin barrier repair.
- Reapply 2–6 times a day, depending on the level of dryness in your skin.
Cold Compresses
- Cold compresses are helpful during the first 48 hours to reduce swelling and inflammation.
- Apply for 15–20 minutes at a time, several times a day.
- Wrap ice packs in a clean cloth. Never place them directly on the skin.
Sleep & Hydration
- Sleep with your head slightly elevated to help reduce swelling.
- Stay well-hydrated throughout the day.
- Avoid alcohol and limit caffeine, as both may contribute to dehydration.
If you experience unexpected symptoms, such as increasing pain, pus, or signs of infection, consult your provider. Early intervention helps ensure the skin recovers safely and comfortably.
Aftercare Tips for Different Skin Types
Everyone’s skin reacts differently, and factors like skin tone and sensitivity can influence how the skin heals and how likely it is to develop side effects such as pigmentation or irritation. Customising your aftercare based on skin type can support a more seamless healing process.
Darker Skin Tones
Skin types with higher melanin content are more prone to post-inflammatory hyperpigmentation (PIH), particularly after inflammation or injury.
- Avoid sun exposure completely: Sunlight can intensify dark marks during healing.
- Consider targeted care: Your provider may recommend products containing ingredients such as azelaic acid or niacinamide to help prevent pigmentation, but only use these under professional guidance.
Sensitive or Reactive Skin
- Avoid common irritants: Fragrance, essential oils, alcohol-based products, or unfamiliar ingredients may trigger a flare-up.
- Stick to simple routines: Use only what’s necessary, like a gentle cleanser, basic moisturiser, and sun protection.
- Soothe with cold compresses: These can help calm redness, burning, or itching in the early days of recovery.
If you’re unsure how your skin may react or you’ve experienced sensitivity in the past, speak to your provider before reintroducing any skincare products after treatment.
Treatment-Specific Aftercare
Each treatment affects the skin differently, so aftercare requirements can vary. The table below highlights additional care points that may apply depending on your procedure.
| Treatment | Specific Aftercare Notes |
|---|---|
| CO₂ / Fractional Laser (From $450) | Apply an occlusive ointment for the first 2–3 days. Use cold compresses in the first 48 hours. Avoid direct sun strictly. |
| Chemical Peels (From $300) | Do not peel or scrub the skin. Shedding usually starts on Day 2 to 4. Avoid active products and friction until the skin settles. |
| Microneedling | Use a light moisturiser after Day 1. Avoid makeup until redness improves. Mild products can be reintroduced earlier, as advised by your provider. |
| Subcision (From $400) | Mild bruising and tenderness are common. Apply cold compresses in the first 24 hours. Avoid massaging or pressing on the treated area. |
| Radiofrequency Microneedling (From $850) | Redness and swelling may last up to 48 hours. Stick to gentle cleansing and hydration. Delay active skincare until the skin fully calms. |
| TCA CROSS (From $300) | Tiny scabs form at the treated spots. Allow them to fall off naturally. Avoid scratching or picking. Sun protection is essential. |
| Dermal Fillers (From $800/syringe) | Bruising or swelling may occur. Apply cold compresses gently. Do not massage the treated area unless instructed. Avoid strenuous exercise for 24 hours. |
Prices listed are starting estimates and may vary depending on treatment plan and area.
Signs of Complications and When to Contact a Doctor
While mild redness, swelling, and peeling are common during the first week of recovery, it’s important to recognise symptoms that fall outside the expected healing range. Early identification allows timely intervention, which may help prevent long-term side effects.
Watch for these signs:
- Pus, foul smell, or warmth that spreads: These may indicate an infection and should be addressed quickly.
- Pain that worsens after Day 3: Mild discomfort is expected early on. If pain intensifies instead of improving, it may be a sign of a complication.
- New blisters, darkened patches, or severe itching: These may point to irritation, allergic reactions, or early signs of pigmentation changes.
If you notice any of the above, contact your clinic or a general practitioner for assessment. Avoid self-medicating with over-the-counter creams unless advised by a medical professional.
FAQs
Is it normal to feel like my skin is getting worse before it gets better?
Yes. Peeling, redness, or dryness can increase before improving. These are part of the normal healing cycle, especially in treatments that stimulate skin turnover.
Can I resume my regular skincare routine after one week?
It depends on how your skin has responded during the first week. Many people can slowly reintroduce active ingredients after Day 7, but your provider should guide this.
Will missing one day of aftercare affect my results?
While one missed day may not drastically impact outcomes, consistent aftercare gives your skin the best chance to heal well. Try to return to your routine as soon as possible.
What should I do if I accidentally touch or pick at the treated area?
Gently cleanse the area, apply a barrier ointment if needed, and avoid further disturbance. Mention it to your provider at your next review in case follow-up care is needed.
Are there specific foods or supplements that can help my skin heal faster?
A balanced diet rich in antioxidants, zinc, and vitamin C may support healing. Avoid alcohol and overly processed foods, which can trigger inflammation.
Laying the Groundwork for Clearer Skin
The first week after an acne scar treatment is a vital stage of recovery. During this time, your skin is repairing its barrier and beginning the renewal process. The steps you take each day, from gentle cleansing and moisturising to sun protection and avoiding irritants, help create the right conditions for healing.
At Sozo Clinic, aftercare is considered an integral part of your treatment journey. By following expert advice and listening to your skin, you reduce risks and support longer-lasting improvements
