Treatment for Long-standing Pitted Scars: What Are the Safe and Effective Options?
20/06/25
Lượt xem : 7
Long-standing pitted scars are a persistent concern for many people, especially those who have experienced severe acne. While these scars don’t pose health risks, they significantly impact appearance, self-confidence, and daily social interactions. In this article, HBIO Clinic provides a complete overview of treatment for long-standing pitted scars, from the underlying causes to the most effective modern solutions.
Pitted scars, also called atrophic or depressed scars, are indentations on the skin caused by deep tissue damage in the dermis or subcutaneous layers. They often result from inflammatory acne, chickenpox, injuries, or improper skin treatments. When the skin fails to regenerate enough collagen, it leaves behind permanent depressions.
What Are Long-standing Pitted Scars?
Long-standing pitted scars refer to scars that have remained on the skin for more than three years. These scars are often hardened, with deep scar tissue that makes them difficult to treat with home remedies.
Can long-term pitted scars be treated? This is a common question for many people when faced with uneven skin due to scars left over a long period of time. With the remarkable progress of modern medicine, the treatment of pitted scars today is no longer a big obsession. Even pitted scars that have existed for many years can be significantly improved.
However, according to dermatologists, long-term pitted scar treatment cannot be completely cured, and the maximum improvement effect currently only reaches about 90%. Up to now, there has not been any research confirming that pitted scars can be 100% restored.
Can long-term pitted scars be treated?
Why can old pitted scars only improve up to 90% and not reach absolute perfection? The reason is that when pitted scars form, that is when the skin has suffered serious damage, the structure of the epidermis has changed. The longer it is left, the deeper the damage becomes and the more difficult it is to recover. When collagen fibers are broken, the skin loses its ability to support, causing the skin surface to sink.
If the skin is only sagging, it can regenerate and become smooth again, but once the collagen is broken, “healing” is extremely difficult.
Therefore, treating pitted scars as soon as possible will bring about more optimal results. Don’t let pitted scars fade the beauty of your skin.
Causes of long-term pitted scars
Are you struggling with rough, uneven skin due to pitted scars? Before starting treatment, let’s explore the underlying causes of long-term pitted scars. Because when you understand the root of the problem, you can choose the right method to improve your skin effectively and permanently.
Severe inflammatory acne
This is the most common cause of pitted scars. When acne is inflamed, hair follicles rupture, causing deep damage to the dermis and hypodermis of the skin. If not treated properly or you squeeze acne incorrectly, with dirty hands, the risk of leaving pitted scars is very high.
Chickenpox often leaves deep depressions if you scratch or break the blisters.
Sudden tissue loss leads to the skin not being able to regenerate enough collagen, forming pitted scars.
Accident, surgery
Deep wounds, infections after surgery or accidents, if not treated promptly, can also easily leave pitted scars, especially when the skin has lost a lot of tissue. Often found on the face, forehead, or areas with a lot of muscle movement.
Using inappropriate cosmetics or acne treatment products
Some products containing corticosteroids or skin-abrasive substances can cause skin atrophy, thinning of the epidermis and increase the risk of pitted scars if the skin is damaged
Pitted scars due to choosing the wrong cosmetics
Genetics and constitution
Some people have weak skin, poor collagen regeneration ability, so even minor injuries can easily leave pitted scars. Genetic pitted scar constitution can also be the reason why you are more prone to scarring than others.
Current classification of pitted scars
In skin treatment and care, classifying pitted scars is very important to choose the appropriate treatment regimen. Below are the common types of pitted scars today, classified based on the shape and characteristics of skin damage:
Square-bottom pitted scars
They have the shape of square pits with shallow and relatively flat scar bases. They are usually 2 – 4 mm in diameter and about 1.5 mm deep, often concentrated in the cheeks and temples, with a shape quite similar to chickenpox scars.
Round-bottom pitted scars
Characterized by a rough, wavy skin surface, creating a feeling of uneven skin tone and lack of vitality. The main cause is prolonged skin inflammation or deep damage that causes the collagen and elastin structure to deteriorate.
Puncturing scars
These scars are narrow, deep, and sharp, like being punctured by a sharp object. They form after severe acne or pustules, causing deep damage to the dermis of the skin.
Common Mistakes When Treating Old Depressed Scars at Home
Many people attempt DIY treatments using natural ingredients like turmeric, aloe vera, or honey. Unfortunately, such methods are largely ineffective for treatment for old depressed scars. Common mistakes include:
Using products incorrectly (e.g., retinoids or acids without guidance).
Trusting home remedies like garlic or lemon, which can burn or darken skin.
Performing microneedling at home with non-sterile tools, risking infection.
Should treat long-term pitted scars at a reputable cosmetic facility
In general, these methods can only support healthier skin on the surface, and cannot completely fill in scar tissue that has penetrated deep under the skin. For optimal results, you should consider intensive treatment at cosmetic or dermatological facilities.
Treating old pitted scars with modern technology
For old pitted scars, high technology at specialized facilities is a comprehensive and effective solution. Currently, advanced scar treatment methods are often applied including:
Fractional CO2 Laser
The method uses fractional CO2 laser to deeply affect the epidermis and dermis of the skin, breaking down the old scar structure and stimulating the production of new collagen. This is an advanced technology that helps to fade old pitted scars, significantly improve the skin surface, while reducing dark spots and tightening pores.
This method uses a specialized needle to cut the fibrous tissue fibers at the bottom of the scar, helping to release the skin that is pulled down and causing the scar to be concave. Subcision is effective for deep pitted scars, combined well with other methods such as PRP or laser.
Chemical Peeling
Peeling is a method that uses a chemical solution to act on the epidermis, helping to remove dead cells and stimulate new skin regeneration. For long-standing pitted scars, it is necessary to use a high concentration peeling and combine it with other therapies to achieve effectiveness.
Treat pitted scars with chemical peels
Microneedling
Microneedling is a technique that uses a device with a super small needle tip to create micro-injuries on the skin’s surface to stimulate the natural regeneration of collagen and elastin. This method is suitable for mild to moderate pitted scars, helping to improve skin texture, even out skin tone and increase elasticity.
Filler injections
For square pitted scars, specialized fillers can be injected to fill in the indentations, making the skin smoother. However, this method is only a temporary solution and requires periodic injections.
Filler injection to fill pitted scars
Seaweed microneedling
Using needles extracted from seaweed, this method both stimulates collagen regeneration and cleanses the skin, suitable for sensitive skin and mild scars.
HBIO Clinic – A trusted address for treating long-term pitted scars
At HBIO Clinic, treating long-term pitted scars is not only about removing traces on the skin, but also a journey to restore your confidence. The team of doctors here constantly updates the most advanced methods from the US, Korea, and Japan to build a personalized treatment regimen for each type of scar and specific skin condition.
Pocket scar treatment process at HBIO Clinic
Below is the long-term pitted scar treatment process at HBIO Clinic
In-depth skin examination
Customers have their skin examined with a modern analyzer to determine the type of scar (ice pick, boxcar, rolling…), depth, density, and cause of formation. This is an important basis for developing an accurate treatment regimen.
Create a personalized treatment plan
There is no general formula for all types of scars. At HBIO, the doctor will choose to combine 2-3 technologies to optimize results:
For shallow scars: CO2 laser or PRP microneedling.
For deep scars: TCA CROSS + laser + PRP.
For acne-scarred skin: Combine laser + skin lightening peel.
Examination and consultation
Recovery care process
After each treatment, customers are given detailed instructions on home care: from how to use recovery serum, sun protection, diet to rest time. HBIO also has a post-treatment skin care team that always accompanies the entire regeneration process.
Commitment to effectiveness in each stage
With an intensive treatment regimen and modern technology, HBIO Clinic is committed to bringing clear results in the treatment of pitted scars. Customers will see their skin improve every day, scars fade visibly after just a few sessions. Specifically
After 1 session: Skin shows signs of regeneration, is brighter, smoother.
After 3 – 5 sessions: Scars fade, pitted skin areas are flatter.
After 6 – 8 sessions: Skin improves comprehensively, evens out color, pitted scars disappear by 80 – 90%.
Advantages of scar treatment at HBIO Clinic
Choosing HBIO Clinic to treat pitted scars is the right move if you are looking for a safe, effective and long-term solution. Outstanding with:
A team of highly specialized dermatologists with many years of experience in treating difficult scars.
Medical standard facilities, technology imported from Korea and the United States.
Scientific treatment regimen – safe – non-invasive, does not affect daily life.
Reasonable cost, clear transparency, many attractive incentives according to the treatment course.
Commitment to results with images before and after treatment, helping you clearly monitor the changes.
Choose HBIO Clinic professionally to treat long-term pitted scars
The above is important information to help you better understand the journey of treating long-term pitted scars. A process that requires perseverance but can completely achieve the desired results. If you are looking for a reputable place to treat pitted scars in Hanoi, do not hesitate to contact HBIO Clinic for a free examination and advice on the most suitable treatment for your skin.
Phone / Zalo: 0947 697 795
Address: 24 Truong Han Sieu, Tran Hung Dao, Hoan Kiem, Hanoi
Tiếng Việt
Khuyến mãi
Đặt lịch
Hotline
Zalo
Hbio Clinic - Facial Skincare & Spa
Phone: 0947 697 795
Địa chỉ: 24 Trương Hán Siêu, Trần Hưng Đạo, Hoàn Kiếm, Hà Nội