The Best Treatment for Acne Scars and Rough Texture (If You Can Handle a Few Days of Downtime)

By Maddie, Master Esthetician and Owner, Bocaba Medspa

If you can handle a few days of downtime, you can do far more for acne scars and rough texture than a facial ever will. The right choice depends on how deep your scarring is and how many days you can take off. Here's how I match clients to treatments.

1–2 days of downtime: RF microneedling

RF microneedling sends radiofrequency energy into the deeper layers of skin to rebuild collagen under scars. You'll look pink for a day or two. It works best as a series. $699 per session, or $1,799 for a series of 3.

3–5 days: Mini CoolPeel

Our lightest CO2 laser treatment smooths surface texture and softens shallow scarring with a few days of light flaking. $425, or 3 for $1,150.

5–7 days: CoolPeel or the Ultimate Duo

For most clients who can take about a week, this is the sweet spot. CoolPeel CO2 resurfacing ($950 full face) renews the surface for smoother texture and tone. The Ultimate Duo combines CoolPeel with RF microneedling in one visit, so you resurface the surface and rebuild collagen underneath with one recovery. It's our signature treatment for acne scars and texture. $1,400.

7–10 days: the DEKA Peel

For pronounced or pitted scarring, the DEKA Peel is our deepest fractional CO2 treatment. It has the most downtime and the most dramatic results. $1,800 full face, and a consultation is required.

So which one is best?

If "a few days" means about a week, I usually recommend the Ultimate Duo for scars plus rough texture. If you can only spare a day or two, start an RF microneedling series. If your scars are deep, we'll talk about the DEKA Peel. Most acne scarring improves over a series, and results keep building for months as collagen forms.

See real client results on our before and after page, compare every option on our resurfacing page, or text us at (801) 203-0253 and I'll help you pick.

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