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What it is, and why it happens
Smooth skin is mostly a matter of an even collagen scaffold underneath. When that scaffold is disrupted — by inflammatory acne, by years of ultraviolet exposure, or simply by time — the surface above it reads as rough, porous or pitted. Topical products can improve the top layer of that picture. Changing the scaffold itself means reaching the dermis.
Every treatment we use for texture works on the same principle: a controlled healing injury, deep enough to trigger collagen remodelling and shallow enough that the skin repairs cleanly. What differs is how that injury is delivered.
Microneedling creates thousands of microscopic channels with fine needles. It suits generalised roughness, enlarged pores and early acne scarring, and because nothing is heated and no pigment is targeted, it is dependable across all skin tones. Radiofrequency microneedling adds controlled heat at depth, which contracts existing collagen as well as stimulating new growth — our usual choice for deeper rolling and boxcar scars, and for texture accompanied by laxity. Fractional resurfacing treats a percentage of the surface at a time, leaving untreated skin between the columns to speed healing.
Not everything that looks like a scar is one. Ice-pick scars are narrow and deep and often need a different approach entirely, and the brown marks left behind by acne are frequently post-inflammatory pigmentation rather than scarring — they fade with time and sun protection. Telling these apart at the consultation saves people money.
Texture work is a course, not an appointment. Three or four sessions four to six weeks apart is typical, and the result is judged at three to six months because collagen keeps remodelling long after the redness has settled.
Downtime is real but manageable: redness like a sunburn for one to three days, occasional pinpoint bruising, and strict sun protection for two weeks. Tell us if you have a history of keloid scarring or cold sores, or if you have taken isotretinoin in the last six months — each of those changes the plan.
A realistic expectation is meaningful softening, honestly assessed against your baseline photographs, rather than erasure.
How we treat it
Treatments that address this
Each of these is performed here under physician supervision. Which one is right depends on the assessment, and more than one may be combined over a course.
Microneedling
Collagen induction therapy for texture, scars and pores.
What to expect
How a course usually runs
The shape of a course is the same whichever treatment your plan settles on. What changes is how many appointments sit inside it and how long the result takes to appear.
Consultation and photographs
About 45 minutesWe take a medical history, assess the concern in good light — at rest and in animation where that matters — and take standardised photographs. You leave with a written plan carrying prices and timelines. Nothing is treated on the day unless you ask, you are medically suitable, and you have had time to read the consent form.
The treatment
45 min–1 h 15 minThe appointment itself is usually the shortest part. Treatments for this concern run between 45 min and 1 h 15 min. Consent is confirmed again before anything begins, and you can stop at any point.
Who it is for
What we check before treating
Suitability is decided at the consultation, not at booking. These are the things that most often change a plan — or postpone it — and every one of them is asked about before anything is treated.
In their words
From clients treated for this
Quotes are published with permission and shown with a first name and initial only.
Related
Other concerns people ask about
Fine Lines & Wrinkles
The first lines to appear are usually the ones you make on purpose. Softening them is a question of movement, not erasure.
Volume Loss & Facial Contour
Faces do not only sag; they deflate. Working out where volume has actually gone is what separates a refreshed result from an overfilled one.
