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Acne Scars: Needle RF or CO2 Laser? Two Tools, One Decision Tree CLIFF CLINIC · Gangnam, Seoul · September 2026 Most people who come in for acne scars have already read that “laser” fixes them, and they are surprised when the first thing we do is look at the scar under angled light instead of booking a device. The honest answer is that no single machine is the right answer for every scar, and picking the wrong tool is the most common reason people spend money and see little change. What actually decides the outcome is which scar you have and how much downtime your life can absorb — and that is the part most articles skip. Before any device, the scar type matters more than the brand name on the handpiece. “Acne scars” is not one problem. Rolling scars sit as soft, wide dips with sloping edges. Boxcar scars have sharper vertical walls. Ice-pick scars are narrow and deep, like a pinhole that goes down. Each responds differently, and the tool that suits a rolling scar can underperform on an ice-pick one. As the American Academy of Dermatology notes, atrophic acne scars often respond best to a combination of treatments matched to the scar rather than a single fix — which is exactly why identifying the scar type comes first.
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