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Realistic Improvement Timelines for Different Acne Scar Treatments

“How long until I see results?” is the first thing most people ask when considering acne scar treatments. 

The timeline for acne scar treatment results isn’t the same for everyone — some procedures deliver noticeable changes within weeks, while others take months as collagen rebuilds beneath the skin. 

Knowing what to expect helps avoid disappointment and keeps you motivated as your skin gradually improves. 

This guide explains how long different treatments typically take to show visible, lasting results.

Timelines by Treatment Type

Every acne scar treatment works in its own way. Some stimulate collagen slowly, while others lift scars more quickly. 

Here’s an overview of what patients may typically experience with different acne scar treatments available at Sozo Aesthetic Clinic in Singapore.

 

TreatmentPriceEarly ResultsPeak Results
Pico LaserS$150/sessionBrighter skin, smoother texture (2–4 weeks)3–4 months
Fractional CO₂ (EdgeOne)S$450/sessionTexture smoothing (2–4 weeks)3–6 months
INFINI Fractional RFS$850/sessionPore tightening (4–6 weeks)4–6 months
EndyMed Nano-Fractional RFS$500/sessionSmoother texture (4–8 weeks)3–6 months
SubcisionS$400/sessionEarly lifting once swelling fades3–4 months
TCA CROSSS$300/sessionShallower pits (4–6 weeks)3–6 months
EnerJet 2.0S$800/sessionEarly scar softening (4–6 weeks)4–6 months
Polynucleotide (PN) TherapyS$500/sessionHydration, smoother skin (4–6 weeks)3–4 months

 

Pico Laser – S$150/session

What to Expect / Timeline

  • Day 1–2: Mild redness and swelling 
  • Day 2–3: Pigmented areas may darken slightly 
  • Day 4–7: Flaking or peeling; skin begins to look clearer 
  • Weeks 2–4: Gradual improvements in texture and tone 
  • Months 2–3: Collagen remodelling may contribute to scar softening over time 
  • Months 3–4+: Maximum visible changes in scar contour and firmness may be observed 

Fractional CO₂ (EdgeOne) – S$450/session

What to Expect / Timeline

  • Days 1–3: Redness, swelling, and crusting 
  • Days 4–7: Skin heals with new surface layer 
  • Weeks 2–4: Texture smoothing becomes visible 
  • Months 2–3: Collagen reorganisation reduces scar depth 
  • Months 3–6: Peak improvements in scar contour and firmness 

INFINI Fractional RF – S$850/session

What to Expect / Timeline

  • Day 1–2: Temporary redness and pinpoint marks 
  • Weeks 4–6: Pore tightening and early scar improvement 
  • Months 2–4: Collagen build-up smoothens texture 
  • Months 4–6: Peak refinement with balanced results 

EndyMed Nano-Fractional RF – S$500/session

What to Expect / Timeline

  • Day 1–2: Mild redness that resolves quickly 
  • Weeks 4–8: Gradual refinement of surface texture 
  • Months 2–4: Collagen stimulation improves scars 
  • Months 3–6: Peak effect with smoother, firmer skin 

Subcision – S$400/session

What to Expect / Timeline

  • Days 1–3: Bruising and swelling are common 
  • Weeks 4–6: Visible lifting of depressed scars 
  • Months 2–3: Collagen deposition reinforces the lift 
  • Months 3–4+: Peak contour improvement 

TCA CROSS – S$300/session

What to Expect / Timeline

  • Days 1–10: Frosting followed by crusting and shedding 
  • Weeks 4–6: Gradual shallowing of pits 
  • Months 2–4: Collagen fill elevates scar depth 
  • Months 3–6: Noticeable reduction in scar severity 

EnerJet 2.0 Jet Pressure – S$800/session

What to Expect / Timeline

  • Days 1–3: Mild swelling and redness 
  • Weeks 4–6: Early scar softening and improved elasticity 
  • Months 2–4: Ongoing collagen stimulation enhances texture 
  • Months 4–6: Peak improvement in scar smoothness

Polynucleotide (PN) Therapy – S$500/session

What to Expect / Timeline

  • Days 1–2: Mild swelling or redness at injection sites 
  • Weeks 4–6: Noticeable hydration and smoother skin texture 
  • Months 2–3: Collagen and elastin production enhances scar softness 
  • Months 3–4: Peak result with improved elasticity and scar blending
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Doctor’s Note:These timelines are averages. Some patients respond faster, while others may need longer due to skin biology or scar severity.

Key Factors That Influence Timelines

No two patients heal in exactly the same way. 

While treatments follow a general recovery pattern, your personal acne scar treatment improvement timeline can vary depending on factors.

Skin Type & PIH Risk

  • Fairer skin (Fitzpatrick I–III): quicker redness recovery, earlier visible gains 
  • Darker skin (Fitzpatrick IV–VI): higher risk of post-inflammatory hyperpigmentation (PIH), which can delay visible clarity

Scar Type & Severity

  • Ice-pick scars: usually need TCA CROSS or Fractional CO₂ 
  • Boxcar scars: improve with Fractional CO₂ or Subcision 
  • Rolling scars: respond to Subcision and RF-based treatments 
  • Mixed scars: require combinations, extending total timelines 

Age, Healing Capacity & Lifestyle

  • Younger patients remodel collagen more effectively 
  • Ageing slows fibroblast activity 
  • Habits like smoking, stress, poor sleep delay recovery; hydration and sun care accelerate it


Singapore’s Climate Impact

  • High UV index: increases PIH risk during recovery 
  • Heat and humidity: worsen redness and swelling, prolong downtime 
  • Daily SPF 50+, hats, umbrellas, and cooling routines protect results

Immediate vs Long-Term Results

When it comes to acne scar treatments, patients often want to know how soon they will see changes and how long those results will last. 

The answer depends on the type of treatment and the natural timeline of collagen production in the skin.

Quick Visible Changes (Days to Weeks)

Some treatments provide early improvements that can be seen within days or weeks:

  • Subcision: some patients notice visible lifting of tethered scars once swelling subsides.. 
  • Fillers (if used as an adjunct): offer instant volume restoration. 
  • Pico Laser and EndyMed RF: give early brightening and smoother texture within 2–4 weeks.

Collagen Remodelling & Peak Improvement (Months 2–6)

The majority of long-lasting improvement comes from collagen stimulation and remodelling, which takes time:

  • Fractional CO₂ and INFINI RF: collagen regeneration continues for months, with the most visible results between 3–6 months. 
  • TCA CROSS: collagen gradually fills pits, with results becoming clearer at 3–6 months. 
  • EnerJet 2.0 and Polynucleotides (PN): regenerative effects peak after 2–4 months of ongoing tissue repair.
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Doctor’s Note:Patience is key — collagen takes months to mature, and expecting instant results can lead to unnecessary frustration.

Maintenance Timelines

Even after a successful course of acne scar treatments, scars and skin texture continue to evolve over time. 

Maintenance treatments are important to preserve results and prevent relapse. 

When to Expect a Plateau

Most patients notice that improvement continues for several months after their last session before stabilising. 

This plateau phase typically occurs between 3–6 months post-treatment, when collagen remodelling has matured.

Maintenance Intervals (6–12 Months)

The frequency of maintenance depends on the treatment type and scar severity:

  • Energy-based treatments (Pico Laser, INFINI, EndyMed, Fractional CO₂): maintenance every 6–12 months helps sustain collagen stimulation and texture refinement. 
  • Subcision or TCA CROSS: improvements are usually permanent, but patients may choose touch-ups if new scars form or if additional lifting is needed. 
  • Regenerative therapies (PN injections, EnerJet): often performed every 6–9 months to maintain hydration and collagen support.

Long-Term Durability of Results

With consistent aftercare and protection from the sun, many improvements last for years. 

However, factors such as natural ageing, environmental stress, and hormonal changes can gradually affect skin quality. 

Periodic reassessment ensures that treatment plans evolve with your skin’s needs, keeping results stable in the long run.

FAQs

Which treatment gives the fastest visible improvement?

Subcision often shows quicker lifting once swelling subsides. Fillers provide immediate volume correction, but lasers and regenerative options sustain longer-term collagen-driven results.

How long do results usually last?

Scar improvements may last for years as collagen remodelling effects are generally long-lasting. Maintenance treatments every 6–12 months help preserve smoother skin and sustain treatment benefits effectively.

Do timelines differ for different skin types?

Yes. Darker skin types are more prone to PIH, which may delay visible clarity, even though collagen remodelling beneath occurs at the same rate.

What if I don’t see improvement after the first session?

Multiple sessions are usually needed. Results accumulate over time, and treatment plans may be adjusted for better outcomes if progress appears slower.

Conclusion

Acne scar treatments are a journey, not a quick fix. 

With patience, proper aftercare, and realistic expectations, many patients may notice smoother-looking skin over time.

If you are considering acne scar treatments, a consultation with a qualified medical professional — such as those at Sozo Aesthetic Clinic in Singapore — can help assess your skin and recommend suitable treatment options.

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.