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How Many Acne Scar Treatment Sessions Will You Need?

Acne scars can linger long after breakouts fade. 

In photos, under bright light, or in humid Singapore weather, they often appear more visible—prompting one big question: “How many acne scar treatment sessions will I need to see real results?”

The answer depends on scar type, severity, and how your skin heals. 

With the right treatment plan, sessions spaced over time may help improve skin texture, reduce the appearance of discoloration, and support clearer-looking skin.

Session Overview by Treatment Type

Below is a quick comparison table of acne scar treatment options offered at Sozo Aesthetic Clinic—covering how they work, average sessions, downtime, and best indications.

Treatment Sessions Interval Timeline Price (per session) Best For
Pico Laser (Non-ablative) 4–6 3–4 weeks 2–5 months From S$150 Brown scars, shallow rolling scars
Fractional CO₂ Laser 5–10 4–8 weeks 4–8+ months From S$450 Boxcar, rolling scars
Subcision 2–4 4 weeks 2–4 months From S$400 All scars
TCA CROSS 2–4 4 weeks 3–6 months From S$300 Ice pick scars
INFINI RF Microneedling 3–6 4–6 weeks 4–9 months From S$850 Deep rolling scars
EndyMed FSR 3–5 4–6 weeks 3–7 months From S$500 Shallow rolling scars
Polynucleotide (PN) Injections 3–4 (plus maintenance) 2–3 weeks (initial) 2–4 months From S$500 All scars
EnerJet 2.0 (AirJet Subcision) 1–3 4–6 weeks 2–4 months From S$800 All scars

Pico Laser (Non-ablative)

  • Sessions: Usually 4–6 treatments

     

  • Interval: Spaced ~3–4 weeks apart

     

  • Timeline: Improvements often visible over 2–5 months

     

  • Price: From S$150 per session

     

  • Best For: Brown scars, shallow rolling scars

Fractional CO₂ Laser (EdgeOne / ECO2 Plus)

  • Sessions: Often 5–10 treatments (depending on severity)

     

  • Interval: Every 4–8 weeks

     

  • Timeline: Gradual resurfacing over 4–8+ months

     

  • Price: From S$450 per session

     

  • Best For: Boxcar scars, rolling scars

     

Subcision

  • Sessions: Usually 2–4 treatments (more for extensive scarring)

     

  • Interval: Every 4 weeks

     

  • Timeline: Noticeable improvements often within 2–4 months

     

  • Price: From S$400 per session

     

  • Best For: All scar types

     

TCA CROSS

  • Sessions: Typically 2–4 treatments

     

  • Interval: Every 4 weeks

     

  • Timeline: Scar remodeling over 3–6 months

     

  • Price: From S$300 per session

     

  • Best For: Ice-pick scars

     

INFINI Fractional RF Microneedling

  • Sessions: Usually 3–6 treatments

     

  • Interval: Every 4–6 weeks

     

  • Timeline: Progressive improvements over 4–9 months

     

  • Price: From S$850 per session

     

  • Best For: Deep rolling scars

     

EndyMed FSR (Fractional Skin Resurfacing)

  • Sessions: Around 3–5 treatments

     

  • Interval: Every 4–6 weeks

     

  • Timeline: Results build steadily over 3–7 months

     

  • Price: From S$500 per session

     

  • Best For: Shallow rolling scars

     

Polynucleotide (PN) Injections

  • Sessions: 3–4 initial treatments, followed by maintenance every 6–12 months

     

  • Interval: Spaced 2–3 weeks apart for the initial course

     

  • Timeline: Noticeable skin quality improvement within 2–4 months

     

  • Price: From S$500 per session

     

  • Best For: All scars

     

EnerJet 2.0 (AirJet Subcision)

  • Sessions: Typically 1–3 treatments (depending on scar severity)

     

  • Interval: Every 4–6 weeks

     

  • Timeline: Results often appear within 2–4 months

     

  • Price: From S$800 per session

     

  • Best For: All scars

     

Why Are Multiple Sessions Needed?

Scar revision is a gradual repair process. The skin requires time to remodel collagen, recover between treatments, and adapt safely—particularly for individuals prone to pigmentation.

Why Sessions Are Spaced Out

  • Layered repair: Different scar depths are treated step by step, allowing collagen to rebuild gradually.

     

  • Recovery cycles: The skin needs 4–8 weeks between procedures to heal and regenerate.

     

  • Safety: Staging treatments lowers the risk of irritation or pigmentation changes.
Doctor’s Insight: Why Patients Should Expect Multiple Sessions One treatment session usually yields 5 to 10% improvement in the appearance of acne scars. For more significant and visible improvements, at least 5 sessions should be considered.

What Affects the Number of Sessions

The number of acne scar treatment sessions varies from person to person. It depends on scar type, severity, skin response, and treatment choice.

  1. Type of scar – Ice-pick scars need more targeted work, rolling scars often need subcision, and boxcar scars respond to resurfacing.

     

  2. Severity and density – Mild scarring may improve quickly; severe or widespread scarring takes longer.

     

  3. Skin type – Darker skin types need gentler, spaced-out sessions to reduce pigmentation risk.

     

  4. Treatment modality – Lasers and RF require multiple sessions, while subcision may show results faster.

     

  5. Healing response – Some patients recover quickly, others need more time between sessions.

     

  6. Lifestyle – Sun exposure, stress, and aftercare affect healing and results.

Tracking Progress and Adjusting Sessions

Acne scar treatment is not a rigid process. Because every person’s skin heals differently and scars remodel at different rates, progress needs to be reviewed after each stage of treatment. 

Careful monitoring ensures that sessions remain effective and safe, while avoiding unnecessary procedures.

Methods Used to Monitor Improvement

  1. Clinical photography – Photos are taken at consistent angles and lighting to document even subtle changes.

     

  2. Scar grading tools – Systems such as Goodman & Baron or ECCA provide a structured way to measure improvement.

     

  3. Patient feedback – Insights about healing, comfort, and visible results help guide how treatments are adjusted.

     

  4. Treatment response review – If scars are improving well, settings can be fine-tuned; if not, additional modalities can be introduced.

     

When Adjustments Are Needed

  • Good response: Treatment intensity may be reduced to avoid overtreatment.

     

  • Slow response: Additional techniques such as combining subcision with laser may be introduced.

     

  • Side effects: If pigmentation, redness, or irritation appear, intervals can be extended and gentler approaches used.

     

Why Maintenance Still Matters

Even after initial improvements, maintenance may be recommended as skin naturally changes with age, sun exposure, and collagen breakdown.

Recommended Maintenance Schedule:

  • Every 6–12 months: Lasers or RF
  • As needed: Subcision or fillers
  • Yearly: Pico for pigmentation control

Why Personalised Planning Matters

No two people have identical acne scars. 

Some may struggle with deep ice-pick scars, while others have broad rolling scars or a mix of different types. 

Skin tone, thickness, sensitivity, and healing capacity also vary greatly from person to person.

This is why personalized planning is critical in acne scar treatment.

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Personalised Planning: An Insight From Our Doctor I highly recommend that patients follow a customised treatment plan that is developed by an experienced doctor who focuses on acne scar treatments. This is to maximise the patient’s budget, optimise the treatment outcomes, and minimise post-treatment downtime. – Dr. Justin Boey, Medical Director at Sozo Aesthetic Clinic

Frequently Asked Questions (FAQs)

Can I see results after just one acne scar treatment session?

You may notice smoother texture after one treatment, but true scar remodeling needs multiple sessions. Collagen builds gradually, so significant improvements take time and consistency.

What happens if I skip or delay a session?

Missing a session won’t erase progress but may slow improvement. Longer gaps between treatments reduce cumulative benefits. Your doctor can adjust your plan accordingly.

Do more sessions always mean better results?

Not always. More treatments don’t guarantee better results. The goal is to improve scars while minimizing potential side effects. Once scars stabilize, extra sessions may add minimal changes.

How do I know if I need maintenance treatment?

You may need maintenance if scars reappear, pigmentation darkens, or texture declines. Most patients benefit from maintenance every 6–12 months, depending on skin condition.

Conclusion

Acne scar treatment usually requires more than one session, with the exact number of acne scar treatment sessions depending on your scar type, skin response, and chosen procedures. With the right plan and ongoing assessment, results can be long-lasting and natural-looking.

Learn more about acne scar treatments at Sozo Aesthetic Clinic and book a consultation to find out how many sessions may be right for your skin.

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.