Clear It, Then Repair It

Acne and Acne Scar Treatment

Active acne and the scarring left behind are two different problems and they are treated in that order. Resurfacing scars while acne is still active is a poor use of your money, because new lesions will leave new scars. The plan is to settle the acne first, then repair what it left.
Acne and Acne Scar Treatment
Acne and Acne Scar Treatment

Two Problems, One Sequence

Acne forms when follicles block, oil accumulates behind the blockage, and bacteria colonise it. Inflammation follows, and when that inflammation is deep enough or lasts long enough it damages the collagen structure beneath, leaving a depression that does not fill back in. Some marks left by acne are not scars at all but post-inflammatory pigment — flat brown or red discoloration that fades on its own over months and responds well to pigment and vascular treatment. Telling the two apart matters, because one needs resurfacing and the other does not.
Sun Damage
Pigmented Lesions
Texture & Pores
Acne Scars
Vascular Concerns
Fine Lines & Wrinkles
Skin Laxity
Redness & Rosacea
The Central Business District

Southern Skin and Wellness is located directly in the heart of the New Orleans CBD.

How We

Treat It

For active acne — a regimen built for your skin, with clinical facials and chemical peels to clear congestion, and treatment of the inflammation itself. Body acne on the back, chest and shoulders is treated the same way, adjusted for thicker skin.

For scarring — fractional erbium resurfacing is the main tool, creating controlled columns of injury that the skin repairs with new collagen, lifting the floor of the scar over the months after treatment. Full-field resurfacing is used where the surface is broadly uneven. Microneedling is an option for milder rolling scars and for patients who want less downtime.

For discoloration left behind — pigment responds to broadband light, and persistent redness to a vascular laser.

Scars Are Not All The Same

Different scar shapes respond differently, and a single approach handles them unevenly:

  • Rolling scars — broad, shallow undulations. Respond well to fractional resurfacing and to microneedling.
  • Boxcar scars — wider depressions with defined edges. Respond to fractional and full-field resurfacing.
  • Ice pick scars — narrow and deep. The hardest of the three. Often need a combination approach and rarely clear completely.
  • Post-inflammatory pigment and redness — not scars. Treated with pigment and vascular light, and often much of it fades without treatment at all.

Most patients have more than one type, which is why the honest answer to what will this take is usually a combination across a series.

Acne and Acne Scar Treatment

Before & After

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Expect

What To

Scar improvement is measured in percentages, not in clearance. A realistic outcome across a series of resurfacing treatments is substantial improvement in depth and shadow, not skin that looks as though the acne never happened. Anyone promising the second thing is selling you something.

Results also arrive slowly. Collagen remodels for months after a resurfacing treatment, so the result at three months is better than the result at three weeks, and the result at six months is better again.

Downtime is real and depends on how aggressively we treat — a few days of social downtime for lighter fractional treatment, longer for deeper work. Dr. Lindley will tell you exactly what to plan around before you book.

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Settled First.

Then Repaired.

Acne scarring is one of the few cosmetic concerns that genuinely affects how people carry themselves, often for decades after the acne itself resolved. It is treatable. It is not erasable. Both of those are worth hearing from a physician before you start.
HOURS OF OPERATION

Hours

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MONDAY
10AM - 6PM
TUESDAY
10AM – 6PM
WEDNESDAY
10AM – 6PM
THURSDAY
10AM – 6PM
FRIDAY
10AM – 6PM
SATURDAY
By appointment
SUNDAY
by appointment