Can Hydrodermabrasion Remove Acne Scars?
2026-02-24 15:30
Acne scars are a long-standing problem for many, affecting skin smoothness, skin tone evenness, and overall facial texture. With the development of cosmetic technology, hydrodermabrasion has gradually become a widely discussed skin management method, the core of which involves using a hydrodermabrasion facial machine for gentle exfoliation and deep cleansing.
Therefore, many people have a key question: Can hydrodermabrasion remove acne scars?
This article will provide a professional, in-depth, and structured analysis of this question, allowing readers to clearly understand the effects of hydrodermabrasion on acne scar improvement.

What exactly is hydrodermabrasion?
Hydrodermabrasion, also known as water-based microdermabrasion or liquid microdermabrasion, is a deep skin management method that combines water jets, negative pressure suction, and a gentle abrasive effect, usually performed using a specialized hydrodermabrasion facial machine.
Its principles include:
• Water jet: A spiral water jet washes away dirt from the skin's surface.
• Negative pressure suction: Removes dead skin cells, oil, blackheads, and impurities.
• Gentle abrasion: Gentle friction between the abrasive head and the skin accelerates skin cell turnover.
• Simultaneous infusion of nutrient solution: Improves the skin's ability to absorb moisture and nutrients.
It is popular for its gentleness, non-invasiveness, and lack of downtime (no significant recovery period).
As a surface treatment method, the hydrodermabrasion facial machine can effectively improve:
• Blackheads and whiteheads
• Excessive oil secretion
• Rough skin texture
• Fine lines and wrinkles
• Mild uneven pigmentation
• Superficial acne marks (not deep scars)
However, whether it can truly remove acne scars requires more precise differentiation.

What are the different types of acne scars? Why do different scars require different treatment methods?
To determine "Can hydrodermabrasion facials remove acne scars?", it is essential to first understand the classification of acne scars. Different types of scars have varying depths and require vastly different treatments.
1. Superficial Red Marks (Post-inflammatory Erythema)
• Characteristics: Localized redness, a temporary reaction following capillary dilation.
• Depth: Very superficial.
• Improvement Potential: Usually improves with a water-based facial treatment to alleviate surface roughness and promote renewal.
2. Superficial Brown Acne Scars (Post-inflammatory Hyperpigmentation)
• Characteristics: Flat but darker in color.
• Depth: Located in the epidermis or superficial dermis.
• Improvement Potential: Water-based facial treatments help exfoliate and can lighten the scar to some extent.
3. Atrophic Acne Scars (Ice Pick, Rolling, Box Scars)
• Characteristics: Noticeable depression in the skin.
• Depth: Deep into the dermis.
• Improvement Potential: Surface treatments like water-based facial treatments cannot "remove" them, but can slightly improve skin texture, making the appearance smoother.
4. Hypertrophic Scars (Raised Type)
• Characteristics: Raised, hard, often accompanied by hypertrophic tissue.
• Depth: Deeper and more complex.
• Improvement Potential: No significant effect from hydrodermabrasion treatment.
Therefore, the hydrodermabrasion facial machine primarily works on the epidermis, helping with superficial acne marks, but has limited effect on deep, atrophic scars.

How does the hydrodermabrasion facial machine work on acne scars?
Understanding the mechanism of action of the hydrodermabrasion facial machine helps determine its suitability for different problems.
Its core functions include:
1. Gently removing surface dead skin cells
Helping to accelerate skin metabolism, which is beneficial for fading superficial pigmentation marks.
2. Promoting blood circulation and surface renewal
Improving the healing speed of redness marks, making the skin more prone to self-repair.
3. Clearing pore impurities, reducing blackheads and blockages
Preventing acne recurrence and creating a more stable skin environment.
4. Improves skin roughness and unevenness
While it cannot truly "lift" pitted scars, it can make skin feel smoother.
5. Promotes absorption of active ingredients
After hydrodermabrasion, the skin's channels are more open, which can enhance the effects of ingredients such as Vitamin C and niacinamide, helping to fade marks.
Therefore, the hydrodermabrasion facial machine can indeed help improve certain types of acne scars, but to a limited extent, and its capabilities need to be understood correctly.
Can hydrodermabrasion facial treatments fundamentally "remove" acne scars?
Short answer: It cannot fundamentally remove deep acne scars, but it can improve superficial acne marks and optimize skin texture.
If the scar belongs to:
✔ Types that can be improved
• Superficial red marks
• Light brown pigmentation
• Mild unevenness of acne marks due to rough epidermis
The hydrodermabrasion facial machine helps to fade and smooth scars by improving keratin metabolism, but the process requires multiple treatments and consistent application.
✘ Types of Scars That Cannot Be Removed
• Atrophic scars (dermal layer defects)
• Hypertrophic scars
• Deep pigmentation
These problems involve structural changes and require deeper treatments such as lasers, microneedling, and radiofrequency. The hydrodermabrasion facial machine has limited effectiveness in these cases.
How Often Should You Have a Hydrodermabrasion Facial to Improve Acne Scars?
While not discussing future trends, the importance of frequency can be explained scientifically.
General Recommendations:
• Every 2–4 weeks
• For sensitive skin, once every 4–6 weeks
Overuse may damage the skin barrier, causing recurring redness or sensitivity.
If the goal is to fade acne marks, regular but not excessive treatments are more effective than intensive treatments.

Why is the hydrodermabrasion facial machine particularly effective for superficial scars?
The main reasons for its effectiveness include:
1. Exfoliation → Accelerates mark fading
Acne marks are actually post-inflammatory hyperpigmentation or residual erythema.
Improved surface keratinocyte metabolism increases the rate at which pigment is excreted.
2. Improved skin radiance → Less noticeable scars
With increased overall skin brightness, the contrast of marks decreases, making them appear lighter.
3. Enhanced skin absorption → Helps auxiliary ingredients work more effectively
After hydrodermabrasion, the skin absorbs brightening and whitening ingredients more easily, resulting in a synergistic effect.
Who should not use a hydrodermabrasion facial machine?
Although hydrodermabrasion is gentle, some groups should use it with caution or avoid it altogether:
• People experiencing severe acne breakouts
• People with visibly damaged skin barriers
• People with active pimples that are red, swollen, and inflamed
• People prone to allergies to the friction of the exfoliating head
• People with rosacea or facial sensitivity syndrome
• People who have recently used strong acidic medications
Using a hydrodermabrasion facial machine in these cases may cause irritation and adverse effects.
What are the advantages of hydrodermabrasion facial treatments compared to other methods?
While it cannot remove deep scars, the hydrodermabrasion facial machine still offers the following advantages:
• Gentle operation: Compared to traditional dermabrasion, it does not cause severe irritation.
• No significant recovery period: Normal activities can be resumed immediately after the treatment.
• Strong cleansing power: Effectively removes blackheads, whiteheads, oil, and impurities.
• Improves skin absorption: Helps subsequent skincare ingredients work better.
• Suitable for minor skin problems such as dullness and roughness: Enhances skin smoothness and texture.
These characteristics make hydrodermabrasion a good choice for fading acne scars and basic skin maintenance.
What are some ways to combine hydrodermabrasion with scar treatment?
Without predicting future trends, common and well-established supplementary methods can be described, such as:
• Topical application of ingredients like Vitamin C and niacinamide
• Daily sun protection to prevent pigmentation darkening
• Use of gentle acids under professional guidance
• Doctor-prescribed spot-fading creams
These methods, combined with hydrodermabrasion, can help accelerate the fading of acne scars.
Can the Hydrodermabrasion Facial Machine really remove acne scars?
✔ Areas it can improve:
• Superficial redness
• Superficial pigmentation
• Mild enlarged and uneven pores
• Dull, rough skin
• Rough skin texture caused by blackheads and oil blockage
✘ Areas it cannot remove:
• Atrophic acne scars
• Deep pigmentation
• Hypertrophic scars
• Structural damage to the dermis
Therefore: The Hydrodermabrasion Facial Machine can help reduce mild acne scars, blackheads, and other impurities, leaving skin clearer and more balanced. It can improve rough skin, fine lines, and wrinkles, while promoting the absorption of active ingredients in serums and skincare products.
However, it cannot fundamentally remove deep or atrophic acne scars.
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