Acne Scar Treatment in Korea: Complete Guide to Laser, Subcision & More 2025

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Acne scar treatments are medical procedures that should only be performed by licensed dermatologists or plastic surgeons. Results vary by individual, and all procedures carry potential risks and side effects. Always consult with a qualified medical professional before undergoing any treatment. The information provided reflects general pricing and practices as of 2025 but may vary by clinic and individual circumstances.

Korea has become a global leader in advanced acne scar treatments, offering cutting-edge technologies and combination therapies that deliver remarkable results. Whether you're dealing with ice pick, boxcar, or rolling scars, Korean dermatology clinics provide comprehensive treatment options at competitive prices. This guide covers everything international visitors need to know about treating acne scars in Korea.

Understanding Acne Scar Types

Before selecting a treatment, it's crucial to understand what type of acne scars you have. Korean dermatologists typically categorize atrophic (depressed) scars into three main types:

Ice Pick Scars

Ice pick scars are the most challenging type to treat. These narrow, deep scars look as if the skin has been punctured with a sharp instrument. They typically measure less than 2mm in diameter but extend deep into the dermis. Ice pick scars are most commonly found on the cheeks and are the result of severe inflammatory acne or cystic acne.

Characteristics:

• Narrow opening (less than 2mm)
• Deep penetration into dermis
• Sharp, pointed appearance
• Hardest to treat

Boxcar Scars

Boxcar scars have defined, angular edges and resemble chicken pox scars. They're wider than ice pick scars (1.5-4mm) and have a box-like, rectangular appearance when viewed from the side. These scars can be shallow or deep and are commonly found around the cheekbones and temples.

Characteristics:

• Angular, well-defined edges
• Box-like shape
• Can be shallow or deep
• Width of 1.5-4mm
• Medium difficulty to treat

Rolling Scars

Rolling scars create a wave-like, undulating appearance on the skin surface. They're caused by fibrous bands of tissue that develop between the skin and underlying subcutaneous tissue, pulling the epidermis down and creating a rolling or uneven surface. These scars are typically wider (4-5mm) and have sloping edges.

Characteristics:

• Wide, shallow depressions
• Sloping edges
• Wave-like appearance
• Caused by dermal tethering
• Respond well to treatment

Primary Treatment Options in Korea

Korean dermatology clinics excel at creating customized treatment plans that combine multiple modalities. Here are the most effective treatments available:

1. Subcision (서브시전)

Subcision, also known as subcutaneous incision, is a minor surgical procedure that's particularly effective for rolling scars and some boxcar scars. The procedure involves inserting a specialized needle beneath the scar to break up the fibrous tissue bands that tether the skin down.

How It Works:

• Local anesthesia is applied
• A small needle or specialized device breaks fibrous bands
• Creates space for new collagen formation
• Skin naturally elevates as healing occurs

Best For: Rolling scars, deep boxcar scars

Price Range: ₩200,000-₩650,000 ($154-$500) per session

Treatment Course: 2-4 sessions spaced 4-6 weeks apart

Recovery: Bruising and swelling for 5-10 days; avoid strenuous activity for 1 week

2. Fractional CO2 Laser

CO2 fractional laser is one of the most popular treatments for acne scars in Korea. This ablative laser creates microscopic columns of thermal damage in the skin, stimulating collagen remodeling and skin resurfacing. Korean clinics use advanced CO2 laser systems that minimize downtime while maximizing results.

How It Works:

• Laser creates thousands of micro-injuries
• Removes old, damaged tissue
• Stimulates new collagen production
• Smooths skin texture over time

Best For: Boxcar scars, rolling scars, overall skin texture improvement

Price Range: ₩50,000-₩300,000 ($38-$231) per session

Treatment Course: 3-5 sessions at 4-6 week intervals

Recovery: 5-7 days of redness and peeling; up to 2 weeks for complete healing

3. Fraxel Laser (Non-Ablative Fractional Laser)

Fraxel laser is a non-ablative fractional laser treatment that's gentler than CO2 but still highly effective for acne scars. The average price for Fraxel treatments in Korea is ₩147,661 ($114) per session, though prices range from ₩16,100 to ₩500,000 ($12-$385) depending on the treatment area and clinic.

How It Works:

• Creates microscopic treatment zones
• Preserves surrounding tissue for faster healing
• Stimulates collagen production
• Improves overall skin texture and tone

Best For: Mild to moderate boxcar and rolling scars, post-inflammatory hyperpigmentation

Price Range: ₩100,000-₩350,000 ($77-$269) per session; average ₩147,661 ($114)

Treatment Course: 3-5 sessions at monthly intervals

Recovery: 2-3 days of mild redness; minimal downtime

4. Microneedling with RF (Radiofrequency)

Microneedling, especially when combined with radiofrequency energy, has gained popularity in Korea for treating acne scars. The procedure uses fine needles to create controlled micro-injuries while delivering RF energy to deeper skin layers, stimulating collagen and elastin production.

How It Works:

• Fine needles penetrate skin at controlled depths
• RF energy heats tissue to stimulate remodeling
• Promotes collagen and elastin formation
• Improves skin texture and firmness

Best For: Shallow boxcar scars, rolling scars, general skin texture improvement

Price Range: ₩150,000-₩400,000 ($115-$308) per session

Treatment Course: 3-4 sessions at 4-6 week intervals

Recovery: 2-3 days of redness and mild swelling

5. TCA CROSS (Chemical Reconstruction of Skin Scars)

TCA CROSS is a chemical treatment specifically designed for ice pick and deep boxcar scars. High-concentration trichloroacetic acid (TCA) is applied directly into the scar, causing controlled damage that stimulates collagen production and scar elevation.

How It Works:

• Concentrated TCA (70-100%) applied to individual scars
• Chemical causes controlled injury
• Stimulates intense collagen formation
• Gradually elevates depressed scars

Best For: Ice pick scars, narrow deep boxcar scars

Price Range: ₩100,000-₩300,000 ($77-$231) per session

Treatment Course: 3-6 sessions at 4-8 week intervals

Recovery: Scabs form and fall off in 5-7 days; temporary hyperpigmentation possible

6. Filler Injections for Acne Scars

Korean clinics have pioneered the use of dermal fillers specifically formulated for acne scar correction. Hyaluronic acid fillers or semi-permanent fillers can be injected directly into deep scars to immediately elevate them and stimulate collagen production.

How It Works:

• Filler injected directly into depressed scar
• Provides immediate volume and elevation
• Stimulates natural collagen over time
• Can be combined with other treatments

Best For: Deep rolling scars, deep boxcar scars

Price Range: ₩200,000-₩600,000 ($154-$462) per session, depending on amount used

Duration: HA fillers last 6-12 months; semi-permanent options available

Recovery: Minimal; possible minor bruising or swelling for 2-3 days

Combination Therapy: The Korean Approach

Most Korean dermatologists recommend combination therapy rather than relying on a single treatment. A typical comprehensive acne scar treatment plan might include:

Example Treatment Protocol:

1. Session 1: Subcision for rolling scars + TCA CROSS for ice pick scars
2. Session 2 (4 weeks later): Fractional CO2 laser for overall texture
3. Session 3 (4 weeks later): Subcision + Dermal filler for persistent deep scars
4. Session 4 (4 weeks later): Fraxel laser for refinement
5. Session 5 (4 weeks later): Microneedling RF for final texture improvement

This approach addresses different scar types with the most appropriate treatment, leading to better results with fewer total sessions. Korean clinics excel at creating these customized combination protocols based on individual scar patterns.

Cost Breakdown: What to Budget

Acne scar treatment costs in Korea vary significantly based on the treatment type, treatment area, clinic location, and number of sessions required. Here's a comprehensive breakdown:

Individual Treatment Costs

Complete Treatment Packages

Many clinics offer package deals for multiple sessions:

• 3-Session Package: ₩400,000-₩800,000 ($308-$615)
• 5-Session Package: ₩600,000-₩1,200,000 ($462-$923)
• Comprehensive 6-Month Program: ₩1,500,000-₩3,000,000 ($1,154-$2,308)

Factors Affecting Cost

Clinic Location: Gangnam and Apgujeong clinics typically charge 20-30% more than clinics in other areas.

Scar Severity: More severe or extensive scarring requires more treatments and higher-concentration procedures.

Technology Used: Clinics with the latest laser systems (e.g., newest Fraxel models) may charge premium prices.

Doctor Experience: Renowned dermatologists and specialized acne scar experts command higher fees.

Combination Treatments: Bundling multiple treatments in one session often provides cost savings.

Best Areas in Seoul for Acne Scar Treatment

Gangnam District

Gangnam is the epicenter of Korean medical aesthetics and home to numerous top-tier dermatology clinics. The area is known for:

• Latest technology and equipment
• Highly experienced specialists
• International patient services
• Premium pricing

Notable Clinics: Stations near Gangnam Station, Sinnonhyeon Station, and Apgujeong Rodeo

Apgujeong District

Adjacent to Gangnam, Apgujeong is famous for luxury beauty treatments and celebrity dermatologists. Expect:

• High-end, boutique clinics
• Personalized treatment plans
• Premium service and facilities
• English-speaking staff

Myeongdong & Jung-gu

More affordable options with good quality:

• Tourist-friendly locations
• Competitive pricing
• Mix of traditional and modern treatments
• Easy accessibility via subway

Hongdae & Sinchon

Popular with younger demographics:

• Modern, trendy clinics
• Moderate pricing
• Focus on newer technologies
• University area atmosphere

What to Expect: Treatment Timeline

Acne scar treatment is a journey, not a quick fix. Here's a realistic timeline:

Initial Consultation (Week 1)

• Scar analysis and classification
• Skin assessment
• Treatment plan development
• Before photos
• Cost estimate

Treatment Phase (Months 2-6)

• 3-6 treatment sessions
• Sessions spaced 4-6 weeks apart
• Progressive improvement visible
• Possible adjustment of treatment plan
• Ongoing before/after documentation

Results Timeline

• Weeks 1-4: Initial healing, minimal visible change
• Weeks 4-8: Early collagen remodeling begins
• Months 2-3: Noticeable texture improvement
• Months 3-6: Continued improvement as collagen matures
• Months 6-12: Final results stabilize

Maintenance Phase (Ongoing)

• Annual touch-up treatments may be recommended
• Continued skincare routine
• Sun protection critical for maintaining results

Booking Your Treatment

International patients should follow these steps:

1. Research clinics through platforms like Gangnam Unni or Medical Korea
2. Contact 2-3 clinics via email or international phone lines
3. Submit photos of your scarring for preliminary assessment
4. Schedule consultation for your first day in Korea
5. Plan adequate stay - minimum 1-2 weeks for initial treatments
6. Arrange follow-up if multiple sessions needed

Frequently Asked Questions

How many sessions will I need?

Most patients require 3-6 sessions for significant improvement. Ice pick scars may need 6-8 sessions with TCA CROSS. Your dermatologist will provide a personalized estimate after examining your scars.

Can acne scars be completely removed?

While complete removal is challenging, Korean treatments can achieve 50-80% improvement for most patients. Results depend on scar type, depth, and individual healing capacity. Realistic expectations are important.

Is the treatment painful?

Most procedures involve topical anesthetic cream or local anesthesia. Subcision and TCA CROSS may cause moderate discomfort during treatment. Post-procedure discomfort is generally manageable with over-the-counter pain relievers.

What's the downtime?

Downtime varies by treatment:

• Fraxel laser: 2-3 days
• CO2 fractional laser: 5-7 days
• Subcision: 5-10 days (bruising)
• TCA CROSS: 5-7 days (scabbing)
• Microneedling RF: 2-3 days

When will I see results?

Initial results appear at 4-6 weeks as collagen remodeling begins. Optimal results develop over 3-6 months after completing the treatment series. Patience is essential.

Are there risks or side effects?

Potential side effects include:

• Temporary redness and swelling
• Post-inflammatory hyperpigmentation (more common in darker skin tones)
• Prolonged erythema
• Infection (rare with proper care)
• Scarring (very rare when performed correctly)

Choosing an experienced, board-certified dermatologist minimizes risks.

Can I combine scar treatment with other procedures?

Yes, many patients combine acne scar treatments with other procedures like Botox, facial fillers, or skin brightening treatments. Discuss your goals during consultation to create a comprehensive treatment plan.

What should I do to prepare?

Before treatment:

• Discontinue retinoids 1 week prior
• Avoid sun exposure
• Stop blood-thinning medications if possible (consult your doctor)
• Arrive with clean, makeup-free skin
• Inform your doctor of any skin conditions or medications

What's the aftercare like?

Post-treatment care typically includes:

• Gentle cleansing with mild products
• Prescribed healing ointments or serums
• Strict sun protection (SPF 50+)
• Avoid makeup for 24-48 hours
• No swimming, saunas, or intense exercise for 1 week
• Attend all follow-up appointments

Will insurance cover acne scar treatment?

Acne scar treatment is considered cosmetic in most cases and is not covered by insurance. However, Korean prices are generally more affordable than Western countries, even when paying out-of-pocket.

Final Thoughts

Korea's advanced acne scar treatments offer hope for those who have struggled with scarring. The combination of cutting-edge technology, experienced specialists, and competitive pricing makes Korea an excellent destination for scar treatment. While results take time and patience, the comprehensive approach used by Korean dermatologists can achieve remarkable improvements in skin texture and appearance.

Remember that acne scar treatment is a medical procedure requiring proper consultation, realistic expectations, and commitment to the treatment plan. Choose a reputable clinic with experienced dermatologists, follow all pre- and post-care instructions, and be patient as your skin undergoes the healing and remodeling process.

With the right treatment plan and proper care, you can achieve smoother, more even skin texture and renewed confidence in your appearance.

Ready to start your acne scar treatment journey in Korea? Research clinics in your preferred area, prepare your questions for the consultation, and take the first step toward clearer, smoother skin.