If you’ve been struggling with acne scars – especially boxcar, rolling, or ice-pick scars, you’ve probably heard about microneedling combined with PRP (Platelet-Rich Plasma). It’s one of the most talked-about treatments today because it uses your body’s own healing power to improve skin texture.
Let’s know – how effective is it really? Does PRP truly boost the results? And how long does it take to see visible improvement?
What Are Acne Scars and Why Are They Hard to Treat?
Acne scars form when inflammation from acne damages collagen in the deeper layers of skin.
The result is:
- Boxcar scars (sharp depressions)
- Rolling scars (wavy indentations)
- Ice-pick scars (deep narrow pits)
These scars lie in the dermis, which is why surface-level creams or facials don’t usually improve them.
They require treatments that stimulate collagen regeneration at deeper levels, this is where microneedling + PRP makes sense.
What Is Microneedling?
Microneedling (a.k.a. collagen induction therapy) involves creating controlled micro-injuries on the skin using fine needles.
These micro-injuries trigger:
- Increased collagen production
- Improved skin remodeling
- Better penetration of topical serums
- Smoother, more even texture over time
It’s gentle compared to lasers but still highly effective for mild to moderate acne scars.
What Is PRP and Why Is It Added to Microneedling?
PRP (Platelet-Rich Plasma) is extracted from your own blood.
It contains:
- Growth factors
- Cytokines
- Platelet-derived healing proteins
When PRP is applied during/after microneedling, it accelerates:
- Collagen production
- Tissue healing
- Scar remodeling
- Inflammation reduction
In simple terms:
Microneedling creates the channels → PRP boosts the repair.
This combination is often called the Vampire Facial when done for glow, but for acne scars it’s used in a more medical, targeted way.
Should you prefer doing Microneedling + PRP?
This treatment is ideal if you have:
- Mild to moderate acne scars
- Textured, uneven skin
- Enlarged pores
- Pigmentation marks from past acne
- Dull skin lacking collagen
Also suitable for:
- Sensitive skin
- People who cannot undergo thermal laser treatments
- Those preferring a more natural healing-based treatment
The Treatment Process: What Happens During a Session?
A typical session includes:
1. Consultation & Skin Mapping
The practitioner identifies scar types, depth, and the number of sessions needed.
2. Numbing
A topical anesthetic is applied so the procedure feels comfortable.
3. Microneedling
A device with tiny sterile needles creates controlled micro-injuries.
4. PRP Application
Freshly prepared PRP is dripped or stamped into the skin to penetrate deep into the microchannels.
5. Cooling/Soothing
A calming mask or serum reduces irritation post-treatment.
Duration: 45–60 minutes
Pain level: Mild (due to numbing)
Downtime: Redness for 24–48 hours
Peeling: Mild flaking for a few days (varies)
Before & Aftercare Treatment Guide
Before Treatment
- Avoid retinoids for 3–5 days
- Stop AHAs/BHAs temporarily
- Avoid active acne flare-ups
- Do not consume alcohol 24 hours prior
- Inform your practitioner of any medication use
After Treatment
- Avoid sun exposure for 48–72 hours
- Use only gentle cleansers
- Do not touch or pick at the skin
- Avoid makeup for 24 hours
- Keep skin well moisturized
- Use sunscreen daily
- Avoid gym/steam/sauna for 48 hours
Proper aftercare always help you get better results.
Is Microneedling + PRP Worth It for Acne Scars?
For most people with mild to moderate acne scars, yes – it’s one of the most effective non-laser options available today.
It’s safe, natural, and improves texture with consistent sessions. For deep ice-pick scars, combination treatments yield the best results.
This treatment shines when you want:
- A natural collagen boost
- Minimal downtime
- Gradual but real textural improvement
- Safe treatment for Indian/darker skin tones
Frequently Asked Question
We’ve got the answers you need
This is a long-term collagen treatment, so results appear gradually:
After 1 session:
Skin feels smoother, brighter, with mild improvement.
After 3 sessions:
Visible reduction in scar depth and improved texture.
After 6 sessions:
Significant improvement in rolling and boxcar scars.
(Deeper scars may still need combination treatments.)
Full results:
Up to 3–6 months after the final session — collagen takes time to remodel.
.
For acne scars, dermatologists generally recommend:
3–6 sessions
Spaced 4–6 weeks apart
Deep scars may require additional treatments like:
TCA CROSS
Subcision
Fractional laser
RF microneedling
Microneedling + PRP works best as part of a combination therapy plan for severe scarring.
Yes. PRP contains growth factors that accelerate healing, increase collagen production, and improve scar remodeling compared to microneedling alone.
Mild discomfort is normal, but numbing cream makes the procedure tolerable for most people.
Usually 24–48 hours. Some may experience mild peeling for 2–3 days
It improves them significantly, but deep ice-pick scars usually require combination treatments.
Yes, when performed by trained professionals using correct depth and protocols.