Acne should be inactive prior to surgery for scars. Excision of deep scars may improve the appearance. Chemical peeling is just beginning to be used in the UK and Ireland and few have much experience with the deep chemical peels needed to eliminate acne scarring. The results of a botched chemical peel could be worse than the original problem. A light chemical peel may improve the texture of the skin without completely resolving the problem and is much safer 8 .
Laser ablation followed by intralesional steroid injectlons is helpful sometimes.
Radiotherapy, is reserved for remorseless progressive keloids. Most patients with acne have a straightforward problem which responds well to standard treatment. Recognition of the complexity of acne will lead to more effective treatments, and a better outcome for patients. Awareness of and explanation to patients regarding potential complications of treatment leads to safer therapeutic measures. Explanation of the treatment and its method of action leads to greater patient compliance.