Acne scars are structural changes in the dermis that require targeted collagen remodeling to improve. Treatment is matched to scar type — rolling, boxcar, and icepick scars each respond to different approaches.
get startedAcne scars are permanent structural changes in the dermis resulting from the inflammatory damage of active acne. They're not surface marks — they're physical alterations to the architecture of the skin that require collagen remodeling to improve. They range from shallow textural irregularities to deep, pitted icepick scars, and their appearance can be significantly improved with the right combination of treatments, though complete elimination is rarely achievable without surgical intervention.
Most patients with significant acne scarring have had it for years before seeking treatment. Many assumed nothing could be done. Significant improvement is consistently achievable with the right protocol.
Acne scars form when the inflammation of active acne is severe enough to damage the dermis.
Collagen destruction: Inflammatory acne — particularly nodules and cysts — triggers an immune response that destroys collagen in the surrounding dermis. When the wound heals with a collagen deficit, an atrophic (depressed) scar forms.
Fibrous tethering: In rolling scars, fibrous bands form between the dermis and the tissue beneath, pulling the surface down in a wave-like pattern.
Excess collagen production: In some patients, particularly those with darker skin tones, the healing response produces excess collagen, resulting in raised (hypertrophic or keloid) scars rather than depressed ones.
Patients with acne scarring typically present with:
Acne scars don't improve significantly on their own over time. The structural deficit in the dermis is permanent without active intervention. However, surrounding skin quality changes — continued UV exposure, collagen loss with age — can make scars appear more prominent over the years as the surrounding tissue loses the structure that made scars less noticeable.
Treatment at any age produces meaningful improvement. Starting earlier means treating scars when surrounding skin quality is still strong, which generally produces better visual outcomes.
Effective acne scar treatment is protocol-matched to scar type.
At CAMI, acne scar treatment starts with a thorough assessment of scar type and distribution. Most patients have a combination of scar types that requires a layered protocol. We build the plan around what will produce the most significant improvement for the specific scar pattern present, sequence treatments to maximize collagen remodeling, and set realistic expectations for the timeline and degree of improvement.
We also have a direct conversation about active acne. If breakouts are still occurring, treating scars is premature — new lesions will create new injury that undermines the remodeling in progress.
Care guided by experience, precision, and a deep understanding of natural beauty.
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I'm blown away with my Dysport experience with Madison. She is very knowledgeable, professional and meticulous.
Meredith is the absolutely best!! She is so sweet and her work is perfection! Always an amazing experience at CAMI! Highly recommend.
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I have been coming to CAMI for 5 to 6 years now and their service is bar none! I’m always exceptionally pleased with my results, as I rotate Botox and Xenomin. The staff are very friendly and I always make me feel right at home!
I can’t say enough about the entire team at CAMI and overall experience as a new patient. My concerns were addressed and at no point did I feel rushed or pressured to make a decision. Katie and the entire staff put me at ease. My results are amazing and have made me feel so much more confident. Thank you CAMI! Highly recommend!
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Ashley at CAMI has been amazing. She made me feel comfortable before, during and after my treatments and helped me feel more confident in my appearance
I saw Madison for my Botox appointment and she was the best! She listened to my concerns and I’m very pleased with the results. She also recommended some great skincare products! Can’t recommend this office enough!
I had a wonderful experience with Madison Mikolajczyk,. From the very beginning, she explained everything about my face in detail and with such professionalism that I immediately felt comfortable. I truly appreciated her honesty in telling me exactly what I needed and what would work best for my features. She performed my filler injections using the cannula method and normal injections which left me with beautiful, natural-looking results—and no bruising at all. No one can do that using that method with no bruising. The entire process was completely painless, as she took her time and worked so gently.I couldn’t be happier with the outcome. My results are subtle, natural, and exactly what I hoped for. I’m truly in love with the way my face looks now and would highly recommend her to anyone seeking safe, professional, and natural enhancements. I did Sculptra, Botox and Radiesse filler looking forward for more.
I’ve had nothing but a great experience at CAMI! Ashley is amazing at what she does, as someone who has never gotten any kind of injections before, she was very knowledgeable explaining everything to you beforehand, and will make you feel as comfortable and confident as possible!
I have been very happy with my services over the past few months. Meredith is so sweet and always makes my time there very comfortable. She is patient with me and never pushes me into anything I’m not comfortable with regarding my skin.
I love visiting the CAMI location in Huntersville! They treat everyone special and I left feeling refreshed and uplifted. It was my first time meeting Katie, and she was spectacular! She spent time addressing my needs and concerns and I will definitely request an appointment with Katie again. Thank you CAMI!!
Very personable fun atmosphere and relaxing. Normally I go to California for my facials but I feel very good going to CAMI in Huntersville for my beauty needs.
Easy to schedule consult and treatments! Wonderful welcoming staff at CAMI who make you feel relaxed and excited to be there. Will continue to choose CAMI for all cosmetic needs and recommend to everyone!
This is a great place to come for any facial treatments, fillers, etc. The staff is excellent and I felt totally pampered.
The team is awesome. The staff takes great care of me. I would highly recommend CAMI.
The team was amazing. This was my 1st time getting Botox. They were very thorough and informative. They made the experience easy.
Their team is highly skilled and very good at what they do. I have never had any type of facial treatments before and decided it was time for a little pick-me-up. They took the time to listen to my concerns and recommended the procedure that was best suited for the outcome I was wanting.
Ashley is fantastic! Professional, friendly, and extremely knowledgeable. She’s my go-to for all my skincare maintenance needs. I always leave feeling confident and refreshed!
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I was honestly skeptical about trying CAMI since I hadn’t had the best experiences with Botox and other treatments elsewhere. But choosing CAMI turned out to be one of the best decisions I’ve made. Madison, in particular, is the best nurse and injector I’ve ever worked with—she’s honest, genuinely cares about your results, and makes you feel like her top priority. While the treatments are an investment, as we age a little extra care and attention truly go a long way.
I Love CAMI, and all there staff! Katie Wilson is the absolute Beauty Making Queen!!! 👑 She is very particular when she was doing what I asked of and the results are perfection. I have recommended CAMI to multiple people and they are just as please. Thank you CAMI
I’m so glad I gave this med spa another chance. Everything feels completely different now in the best way. I had a hydrafacial and hydr with Meredith and noticed an immediate improvement in my skin. I went back and purchased a microneedling package, and the results have been good so far. Meredith truly made my experience there so much better. She made me feel comfortable, welcomed, and kept me laughing the entire time. She is also very honest, which I really appreciate. I’ve finally found my person, and I won’t let anyone else touch my face. Highly recommend!
