Acne can be persistent and difficult to manage, especially when it leads to scarring, inflammation, and deep breakouts. Medium to deep chemical peels offer an advanced treatment option that targets severe acne, clogged pores, and post-inflammatory hyperpigmentation. These peels penetrate deeper into the skin layers, effectively removing damaged skin cells, regulating oil production, and stimulating skin renewal for a clearer, smoother complexion. Medium to deep peels use stronger exfoliating agents such as trichloroacetic acid (TCA), phenol, or high-strength salicylic acid to reach the mid to lower dermis, making them effective for stubborn acne, deep scars, and long-term skin rejuvenation.

Scar revision surgery at Claire Derma addresses scars that have not responded adequately to non-surgical treatments or that were left by previous surgeries, trauma, or burns. The goal is not to erase the scar entirely — no procedure can do that — but to refine its texture, width, height, and colour so that it blends more naturally with the surrounding skin.

These peels work by deeply penetrating the skin to:

Deep Exfoliation – Exfoliate dead skin layers and remove acne-causing debris.

Bacteria & Inflammation Control – Destroy acne-causing bacteria, reducing inflammation.

Pore Unclogging & Oil Regulation – Unclog pores and regulate oil production, preventing future breakouts.

Collagen Boost for Scar Reduction – Stimulate collagen production, helping to heal acne scars.

Scar Maturity Assessment – We evaluate colour, pliability, and height to determine whether the scar has fully matured.

Functional Impact Evaluation – Scars crossing joints or facial expression lines are tested for restriction of movement. A scar that limits elbow extension or pulls down a corner of the mouth has functional consequences.

Photographic Documentation – High-resolution images are captured under consistent lighting and angle conditions. These serve as the baseline against which post-revision results are measured.

Scar assessment at Claire Derma goes well beyond measuring length and width. Our dermatologists evaluate the scar's maturity — most scars continue to remodel for twelve to eighteen months after the original injury, and revising too early can produce a result no better than natural maturation would have achieved.

Deep Skin Cleansing – Intense exfoliation, clearing out deep-rooted impurities.

Cystic Acne Reduction – Reduction in cystic and nodular acne, decreasing painful breakouts.

Sebum & Oil Control – Oil regulation, balancing sebum production to prevent acne recurrence.

Skin Smoothing & Scar Healing – Smoother skin texture, reducing roughness and acne scars.

Elliptical Re-Excision – The old scar tissue is removed in a fusiform shape and the wound is closed in layers with absorbable deep sutures and fine surface sutures.

Z-Plasty Revision – Two triangular flaps are created on either side of the scar and transposed. This lengthens the scar by up to seventy-five percent while breaking its linear path.

W-Plasty and Geometric Closure – Multiple small triangular excisions along the scar's length create an irregular wound edge that heals as a series of tiny zigzags rather than a single line.

Surgical technique selection at Claire Derma depends on the scar type and its relationship to surrounding skin tension lines. A wide, stretched scar aligned with Langer's lines may only need re-excision with meticulous layered closure using deep dermal sutures to reduce surface tension.

Clears Severe Acne – Effective for cystic, hormonal, and treatment-resistant acne.

Prevents Future Breakouts – Regulates sebum and bacteria growth, preventing future breakouts.

Reduces Acne Scars – Stimulates collagen production, helping to heal acne scars.

Benefit – A scar revised under controlled surgical conditions heals with a refined contour that silicone, steroids, and laser cannot replicate on their own.

Benefit – Contracture release through Z-plasty or flap techniques restores range of motion across joints and natural movement of facial features.

Benefit – The psychological impact of scar refinement is documented across dermatology literature. Patients report improved self-confidence, reduced avoidance of social situations, and a greater willingness to wear clothing that previously exposed.

Professional scar revision at Claire Derma delivers improvements that non-surgical treatments alone cannot achieve. While silicone sheets, steroid injections, and laser resurfacing play important supporting roles, they cannot correct a scar that was closed under excessive tension, oriented against relaxed skin tension lines, or left with a depressed or elevated contour.

This treatment is ideal for individuals who:

Struggle with moderate to severe acne or deep acne scars.

Experience frequent cystic or nodular breakouts.

The post-operative period is critical to the success of scar revision surgery. At Claire Derma, patients receive detailed wound care instructions covering suture site cleaning, activity restrictions, and the timeline for starting scar management therapy. Deep dermal sutures dissolve over four to six weeks and do not need removal, while surface sutures on the face are removed at five to seven days and on the body at ten to fourteen days.