If you've struggled with acne scars that just won't fade, you're not alone. Those persistent marks can linger long after your breakouts have cleared, affecting how you feel about your skin. At PureSKIN in Franklin, Tennessee, we've helped countless patients transform their skin through microneedling—a treatment that's proven remarkably effective for reducing the appearance of acne scars while improving overall skin texture.
Let's explore what microneedling actually is, how it works to heal acne scars, and what you can expect from this powerful regenerative treatment.
Understanding Microneedling
Microneedling is a minimally invasive cosmetic procedure that uses fine needles to create thousands of tiny, controlled punctures in your skin's surface. These microscopic injuries might sound concerning, but they're actually the key to the treatment's effectiveness. Your body responds to these micro-injuries by kickstarting its natural healing process, producing fresh collagen and elastin—the essential proteins that keep your skin smooth, firm, and youthful.
The procedure goes by several names, including collagen induction therapy, because of how powerfully it stimulates your body's natural collagen production. This makes it particularly effective for addressing multiple skin concerns at once, from acne scars to fine lines and uneven texture.
How Microneedling Works on Your Skin
The science behind microneedling is straightforward and elegant. When your skin detects these controlled micro-injuries, it immediately shifts into repair mode. Blood flow to the treated area increases, and your body begins generating new collagen fibers. Over the following weeks and months, this fresh collagen works to smooth out irregularities, fill in depressed areas, and create a more even complexion.
At PureSKIN, we use advanced microneedling devices that allow us to customize the depth of needle penetration based on your specific concerns. Deeper penetration can address more significant scarring, while shallower treatments work beautifully for fine lines and texture issues. Most patients describe the sensation as tolerable—similar to light sandpaper moving across the skin. We apply a numbing cream before treatment to ensure you're comfortable throughout the entire process.
A typical session takes 30 to 60 minutes depending on the size of the treatment area. Many of our Franklin patients schedule appointments during their lunch break and return to their normal activities the same day, though you'll want to skip heavy makeup and avoid direct sun exposure immediately afterward.
Why Acne Scars Are So Stubborn
Before diving into how microneedling helps with acne scars, it's worth understanding why these marks are so difficult to treat. When inflammatory acne heals, it can damage the skin's structure in ways that leave permanent changes. Some scars appear as depressed areas where tissue has been lost, while others show up as dark marks or raised tissue.
The most common type—atrophic scars—are those sunken spots where the skin appears to be pulled down. These form when there isn't enough collagen produced during the healing process after a breakout. Traditional skincare products can't penetrate deeply enough to address this underlying structural issue, which is why acne scars often remain visible for years or even decades without intervention.
How Microneedling Targets Acne Scars
This is where microneedling shines. By creating controlled micro-injuries in scarred areas, the treatment prompts your body to flood those spots with healing resources. New collagen production begins almost immediately, and over time, this fresh collagen gradually fills in depressed scar tissue from beneath the surface.
Think of it like renovating a house from the foundation up. Instead of just painting over damage, microneedling addresses the underlying structural issues that make acne scars visible in the first place. As your skin produces new collagen over several weeks, those sunken areas begin to rise closer to the surrounding skin level. The texture becomes smoother, and the overall appearance of scarring diminishes significantly.
For patients with darker skin tones, microneedling offers an additional benefit: it can help fade post-inflammatory hyperpigmentation—those dark spots that linger after acne heals. The treatment encourages cell turnover and more even melanin distribution, resulting in a more uniform skin tone.
What Results to Expect
One of the most common questions we hear at our Franklin clinic is about timing: when will you see results, and how dramatic will they be? While everyone's skin responds differently, most patients notice visible improvements within a few weeks of their first treatment.
Immediately after your session, your skin will look slightly pink or flushed, similar to a mild sunburn. This typically fades within a day or two. The real transformation happens beneath the surface over the following weeks as your body produces new collagen. You might notice your skin looking fresher and more even within two to three weeks, with continued improvement over several months.
For acne scars specifically, we typically recommend a series of three to six treatments spaced about four to six weeks apart. This gives your skin time to complete its healing response between sessions while building on the improvements from previous treatments. The natural, gradual approach means your results continue to develop long after your final appointment.
Patients often report that their acne scars become significantly less noticeable after a full treatment series. Some shallow scars nearly disappear, while deeper scars show marked improvement in depth and texture. Beyond scar reduction, many people are thrilled by the overall improvement in their skin's appearance—it looks healthier, more radiant, and feels smoother to the touch.
Enhanced Microneedling With PRF
At PureSKIN, we offer an advanced version of traditional microneedling by incorporating Platelet Rich Fibrin (PRF). This technique takes your body's natural healing abilities even further by using your own blood's healing components.
Here's how it works: we draw a small amount of your blood and process it to concentrate the growth factors and healing proteins naturally present in your platelets. These concentrated healing factors are then applied to your skin during the microneedling treatment. Think of it as supercharging your body's repair response.
The combination—sometimes called PRP microneedling or PRF microneedling—helps accelerate healing, boost collagen production, and often leads to more dramatic improvements. For patients dealing with significant acne scarring, this enhanced approach can be particularly beneficial. The growth factors provide additional signals that tell your skin to repair and regenerate, complementing the collagen induction from the microneedling itself.
Many of our Franklin patients choose PRF enhancement when they want to address more stubborn scarring or simply maximize their results from each session.
Caring for Your Skin After Treatment
Proper aftercare plays a crucial role in achieving optimal results. Your skin will be more sensitive than usual for several days following treatment, so gentle care is essential. Here's what we recommend:
Keep your skin clean using a gentle, fragrance-free cleanser and apply a simple moisturizer to support the healing process. Avoid any harsh products, exfoliating treatments, or active ingredients like retinol for at least a week. Your skin needs this time to heal without interference.
Sun protection is absolutely critical. Your newly treated skin will be more vulnerable to sun damage, so stay out of direct sunlight when possible and wear broad-spectrum SPF 30 or higher whenever you're outside. We can't stress this enough—sun exposure can lead to hyperpigmentation and may compromise your results.
Skip makeup for at least 24 hours after treatment, and avoid strenuous exercise for a day or two since sweating can irritate your healing skin. You'll also want to stay away from swimming pools and hot tubs for about a week, as chlorine and bacteria could cause problems.
Most importantly, be patient. The improvements you're looking for are happening beneath the surface and take time to become visible. Stay hydrated, follow your aftercare instructions carefully, and trust the process.
Is Microneedling Right for Your Acne Scars?
Microneedling works well for most people and can address various types of acne scarring. You might be an ideal candidate if you're dealing with atrophic (depressed) acne scars, uneven skin texture from past breakouts, post-inflammatory hyperpigmentation, or a combination of scarring and other skin concerns like fine lines or large pores.
However, this treatment isn't appropriate for everyone. If you currently have active acne breakouts, we'll need to address those first before treating the scars. Certain skin conditions, tendencies toward keloid scarring, or if you're pregnant or nursing would also require us to explore alternative approaches.
This is why we begin every patient relationship at PureSKIN with a thorough consultation. We'll examine your skin closely, discuss your concerns and goals, and create a personalized treatment plan designed specifically for you. This ensures that microneedling is both safe and effective for your unique situation.
Beyond Acne Scars: Additional Benefits
While we're focusing on acne scars in this article, it's worth mentioning that microneedling addresses multiple skin concerns simultaneously. As your skin produces new collagen in response to treatment, you'll likely notice improvements in other areas as well.
Fine lines and wrinkles become less noticeable as skin firms and plumps. Overall skin texture smooths out, giving you that healthy glow that comes from genuinely rejuvenated skin. Pores often appear smaller, and your complexion takes on a more even tone. Many patients tell us their skin simply looks and feels healthier after completing their treatment series.
This comprehensive improvement is one reason microneedling has become such a popular choice for people looking to refresh their appearance without surgery or lengthy downtime.
Your Path to Clearer Skin
Living with acne scars can be frustrating, especially when you've tried countless products that promised improvement but didn't deliver. Microneedling offers a different approach—one that works with your body's natural healing abilities to create real, lasting change in your skin's appearance.
At PureSKIN in Franklin, we're passionate about helping people feel confident in their skin. Located in the heart of Cool Springs, our clinic serves patients throughout Middle Tennessee who are ready to address their acne scars once and for all. Our board-certified providers and experienced team bring both expertise and genuine care to every treatment, creating a comfortable environment where your concerns are heard and your goals become our priority.
We believe in honest consultations, safe practices, and natural-looking results that enhance your unique features. Every treatment plan is customized because we understand that your skin—and your story—is different from anyone else's.
Ready to take the first step toward clearer, healthier skin? Schedule your consultation online today. We'll take the time to examine your skin, answer all your questions, and create a personalized treatment plan designed to help you achieve the results you deserve. Your journey to more confident skin starts with a simple conversation—and we're here to guide you every step of the way.