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Downtime Expectations for Common Acne Scar Treatments

The biggest question after acne scar treatment is often: “How much time will I need to recover before I can go back to work?”

It’s a common worry — no one wants to show up at the office with redness, swelling, or scabs that draw attention. 

Acne scar downtime can range from a quick day of recovery to several days before you feel comfortable facing colleagues again.

This guide breaks down what to expect from each treatment, what affects healing speed, and how to make recovery smoother and less stressful.

Downtime by Acne Scar Treatment

Here’s a detailed guide to the downtime commonly associated with acne scar treatments available in medical aesthetics clinics, including those offered at Sozo Aesthetic Clinic.

Treatment Typical Downtime Key Recovery Signs
Pico Laser Minimal (1–2 days) Mild redness, flaking
Fractional CO₂ Laser 3–5 days (longer if deeper settings) Redness, swelling, scabbing
INFINI Fractional RF 1–3 days Mild swelling, redness
EndyMed RF 1–2 days Redness, occasional micro-crusts
Subcision 2–5 days Bruising, swelling, tenderness
TCA CROSS 3–5 days Frosting, pinpoint scabs
Enerjet 2.0 Similar to or less than subcision Swelling, pressure marks
Polynucleotide (PN) Minimal to modest Redness, injection-site bumps

 

Pico Laser – S$150/session

  • Typical downtime: Minimal (1–2 days)

     

  • What patients experience: Mild redness, flaking, or dryness, which typically improves within a few days.

Fractional CO₂ (EdgeOne) – S$450/session

  • Typical downtime: 3–5 days (longer if deeper settings are used)

     

  • What patients experience: Redness, swelling, and scabbing that gradually improves; residual pinkness may linger but can be covered with makeup

INFINI Fractional RF – S$850/session

  • Typical downtime: 1–3 days (mild swelling, redness)

     

  • What patients experience: Pinpoint redness and swelling that subside within days

EndyMed Nano-Fractional RF – S$500/session

  • Typical downtime: 1–2 days

     

  • What patients experience: Mild redness that settles quickly; occasional micro-crusting may appear

Subcision – S$400/session

  • Typical downtime: 2–5 days (bruising, swelling)

     

  • What patients experience: Localised bruising, tenderness, and swelling that gradually fade

TCA CROSS – S$300/session

  • Typical downtime: 3–5 days (redness, frosting)

     

  • What patients experience: Frosting at treated spots, followed by pinpoint scabs that shed naturally within a week

Enerjet 2.0 Jet Pressure – S$800/session

  • Typical downtime: Similar to or less than subcision

     

  • What patients experience: Local swelling and pressure marks that fade within days

Polynucleotide (PN) – S$500/session

  • Typical downtime: Minimal to modest downtime

     

  • What patients experience: Small bumps or redness at injection sites, resolving within 24–48 hours

Key Factors That Influence Downtime

Not every patient experiences downtime after acne scar treatment the same way. Even with the same treatment, recovery varies depending on skin type, scar severity, and environmental factors. 

Here are some factors that can influence downtime:

Factor Impact on Downtime
Skin type (Fitzpatrick) Darker tones more prone to prolonged redness and PIH
Scar severity Deeper scars need stronger treatments → longer downtime
Treatment intensity Higher energy or combined procedures extend recovery
Climate (Singapore) UV, humidity, and mask use can slow healing

Skin Type and Pigmentation Risk

Fitzpatrick skin types III–V, common in Singapore, are more prone to post-inflammatory hyperpigmentation (PIH). Lighter skin tones often recover redness faster but show scabbing more visibly.

Type and Severity of Acne Scars

Deep rolling scars often need Subcision or Fractional CO₂, which extend downtime. Shallow scars usually recover quicker with Pico or EndyMed RF.

Treatment Intensity and Technique

Higher energy settings or combined treatments lengthen downtime but can deliver better results. Gentler protocols may reduce downtime but often require more sessions to achieve comparable improvements.

Singapore’s Climate and Environment

High UV exposure, humidity, and even mask-wearing can worsen redness, swelling, and pigmentation risk.

Typical Recovery Timeline Benchmarks

Timeline Stage What Typically Happens
0–24 hours Redness, warmth, swelling; skin feels sensitive
1–3 days Redness fades; mild peeling or bruising may appear
4–7 days Crusting or scabs shed; swelling and bruising improve
2 weeks+ Pinkness or pigmentation risk gradually fades

 

0–24 Hours – Immediate Post-Treatment Effects

  • Mild to moderate redness, swelling, or warmth depending on treatment type

     

  • Tingling, tightness, or sensitivity are common, especially after lasers or RF

     

  • For injectables (e.g., Polynucleotides), small bumps at injection sites may be visible

1–3 Days – Early Healing Phase

  • Redness starts to fade

     

  • Mild peeling, flaking, or bronzing may occur with Pico or CO₂ Laser

     

  • Subcision bruising and swelling become more noticeable

     

  • Many patients may feel comfortable resuming light social or work activities around this stage, though recovery varies

4–7 Days – Visible Recovery

  • Crusting or pinpoint scabs (from CO₂ or TCA CROSS) naturally fall off

     

  • Bruising from Subcision gradually improves

     

  • Swelling from Enerjet or RF microneedling fades significantly

     

  • Makeup can usually conceal residual redness

     

2 Weeks and Beyond – Long-Term Settling

  • Mild pinkness or pigmentation may persist, especially in darker skin types

     

  • Skin texture continues to improve as new collagen forms

     

  • Proper sun protection and aftercare reduce the risk of post-inflammatory hyperpigmentation (PIH)
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Doctor’s Insights: Recovery can range from 2 days to 7 days. Key factors include post-recovery care, severity of scars, type of treatments done, and patient’s genetics. – Dr. Justin Boey, Medical Director at Sozo Aesthetic Clinic

Tips to Shorten and Manage Recovery

Downtime is part of the healing process, but how you care for your skin after treatment can significantly affect recovery speed and comfort. 

Simple steps may help reduce redness, swelling, and scabbing, and support safer recovery.

Tip Why It Matters
Gentle cleansing & hydration Supports skin barrier and prevents irritation
Daily sun protection Reduces risk of pigmentation and prolongs results
Soothing creams & serums Calm redness, speed up healing
Follow professional advice Ensures safe recovery tailored to your skin

 

Proper Cleansing and Hydration

  • Wash with a mild, pH-balanced cleanser free from alcohol or fragrance

     

  • Rinse with lukewarm water, not hot water

     

  • Apply a hydrating moisturiser regularly to maintain barrier function and reduce dryness

     

Sun Protection and Avoiding Triggers

  • Use a broad-spectrum SPF 50+ sunscreen daily

     

  • Avoid prolonged UV exposure, steam rooms, saunas, or strenuous exercise during the first few days

     

  • Sun care is especially important in hot, humid climates with high UV levels

Soothing Products and Barrier Repair

  • Apply soothing serums or creams such as hyaluronic acid, aloe vera, or ceramides

     

  • Cold compresses may ease swelling after treatments that involve needles or radiofrequency

     

  • Avoid harsh scrubs, exfoliants, or active ingredients until the skin has fully healed

Importance of Professional Aftercare

  • Follow the aftercare instructions provided by your doctor or practitioner

     

  • Avoid unverified home remedies that may irritate sensitive skin

     

  • Attend scheduled reviews to ensure your skin is healing as expected
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Doctor’s Tip: The key tip to speed up recovery is to follow the aftercare instructions and avoid going under the sun.

When to Seek Professional Help

Mild redness, swelling, or scabbing is expected, but some symptoms may indicate complications. Seek medical advice if you notice:

  • Downtime lasting longer than expected — Redness or scabbing beyond the normal recovery window (e.g., >3 days for Pico, >5 days for CO₂).

     

  • Increasing pain or swelling — Worsening discomfort after the first few days may signal infection or inflammation.

     

  • Pus, oozing, or spreading redness — these may indicate an infection and should be reviewed promptly by a healthcare professional.

     

  • New or worsening pigmentation — Dark patches (PIH) can be treated but are best managed early.

     

  • Unusual scarring — Raised or thickened scars may suggest abnormal healing and require evaluation.

FAQ’s

Can I exercise after an acne scar treatment?

Avoid strenuous workouts for at least 48 hours. Sweat, heat, and friction can worsen redness, swelling, and delay recovery.

Is showering safe right after treatment?

Yes, but use lukewarm water. Avoid hot showers, steam rooms, and scrubbing during the first few days to protect healing skin.

Will downtime affect my ability to work from home?

Most treatments allow desk work within a day, though visible redness or bruising may remain. Virtual meetings are usually manageable.

How long before I can attend a special event?

Plan at least one week after Subcision, CO₂, or TCA CROSS. For Pico or RF, 2–3 days is usually enough.

Conclusion

Downtime looks different for every patient. Treatments like lasers, Subcision, RF microneedling, and TCA CROSS each have their own recovery window. 

Good skincare and sun protection support healing, while a personalised plan ensures smoother skin with downtime that fits your lifestyle.

If you are considering acne scar treatments, a consultation with a qualified medical professional — such as those at Sozo Aesthetic Clinic — can help determine the most suitable approach for your needs.

Author

Medical Director

After graduating from the National University of Singapore, Dr Boey’s journey in aesthetics brought him to esteemed institutions such as Harvard Medical School, American Academy of Aesthetic Medicine and Queen Mary University of London in diverse cities like Seoul, London, Boston and New York.