Acne & Acne Scar Treatment Richmond, BC
Calm the breakouts. Improve the marks and texture.
Acne comes from excess oil, clogged pores, bacteria and hormones; scars form when inflammation damages deeper skin. At RAAC in Richmond, BC, treatment depends on what you have: flat red or brown marks often respond to Sylfirm X or PicoWay, while pitted scars need several collagen-stimulating sessions. Active or severe acne is assessed by a physician first.
- 3–6
- Typical Sylfirm X sessions for acne scars, about 4–6 weeks apart
- 1–3 Days
- Typical redness or pinpoint marks after RF microneedling
- Months
- Collagen remodeling continues after a course; results vary
- 3–6
- Typical Sylfirm X sessions for acne scars, about 4–6 weeks apart
- 1–3 Days
- Typical redness or pinpoint marks after RF microneedling
- Months
- Collagen remodeling continues after a course; results vary
What Do You See?
Effective treatment starts with identifying the specific type of acne or aftermath you are dealing with. Select all that apply:
Most people have a mix of these. After assessment, your physician will suggest a plan that addresses each concern in a sensible order.
Why Does Acne Keep Coming Back?
Acne is a dysfunction of the pilosebaceous unit (hair follicle + oil gland). Understanding the causes helps us target the right treatment.
Excess Sebum Production
Hormones trigger oil glands to produce sticky sebum, which traps dead skin cells inside the pore.
Clogged Pores
Dead skin cells accumulate and mix with sebum, blocking the follicle opening and creating a breeding ground for bacteria.
Bacterial Overgrowth
Cutibacterium acnes (C. acnes) bacteria thrive in this oxygen-free, oily environment, causing inflammation and pus.
Hormonal Fluctuations
Androgens, stress hormones, and menstrual cycles can intensify oil production and trigger flare-ups.
Genetic Factors
Pore size, oil production rates, and healing response are largely hereditary. It's not your fault.
Delayed Treatment
Prolonged, inflamed acne raises the risk of lasting scarring. Seeing a family doctor or physician early can help limit this.
How Are Acne and Acne Scars Treated at RAAC?
Control the active breakouts first, then repair texture and marks once the skin is calmer.
Physician assessment first, then device-based repair for marks and scars once breakouts are under control.
1Energy-Based Repair (Scars & Marks)
Sylfirm X
For Oil, Redness and Scars
Dual-wave RF microneedling that targets abnormal blood vessels and pigment while stimulating collagen. Some people also notice less oiliness, though results vary.
PicoWay
For Brown Marks
Picosecond laser that breaks up pigment with ultra-short pulses and minimal heat. Used for PIH and some PIE marks; improvement is gradual.
Medical Facials
Customized clinical facials that cleanse pores, exfoliate dead skin and support calmer skin. Suitable for many skin types after assessment.
2Medical Assessment
Physician Assessment
A physician can assess whether medical acne treatment suits you and, for severe, nodular or scarring acne, may recommend working with your family doctor or a dermatologist.
Filler for Depressed Scars
For some rolling scars, a physician may consider dermal filler to lift the depression, often alongside collagen-building treatments.
Physician-Led Approach
Physician-Led Assessment
Acne is a medical condition. Dr. Jiang assesses your skin and history, and may suggest your family doctor or a dermatologist when medication is the better route.
Layered Scar Approach
Scars differ in depth and shape. We combine RF microneedling for collagen, laser for color, and filler for some depressions.
PIH-Aware Laser Choices
We avoid overly aggressive ablative approaches when PIH risk is higher, and we choose settings and modalities that protect tone and support recovery.
Long-Term Management
Skin care between visits matters as much as treatment, so we explain how to maintain results with a medical-grade skincare routine.
Clear Skin Q&A
Ready to Plan Your Acne and Scar Care?
Book a consultation with Dr. Jiang's team to build a personalized plan for your acne and scars.
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Sylfirm X RF microneedling is also used on the body: stretch marks, body acne scars and loose skin on the abdomen, thighs and arms. How treatment works, downtime and how many sessions are usual.
- Sylfirm X RF Microneedling in Richmond, BC: Melasma, Rosacea and Acne Scars
Sylfirm X RF microneedling in Richmond BC has two modes: pulsed wave for melasma and rosacea redness, continuous wave for acne scars and pores. How each works and how many sessions are usual.
- Sylfirm X vs Microneedling: CW vs PW, Depth, and Who Benefits
How deep does Sylfirm X go, and what does the RF actually change? A physician-authored look at CW vs PW modes, collagen building, and who benefits for melasma, redness and indented acne scars.
- Sylfirm X Body: Step by Step, Realistic Results and Alternatives
What a Sylfirm X Body session involves from numbing to follow-up, what results are realistic for stretch marks, laxity and pigment, and how it compares with other body skin treatments.


