Acne Scar Treatments in Los Angeles and Santa Monica
If you’ve experienced severe cystic acne as a teenager or young adult, chances are that you have long-term scarring on the face known as acne scars. There are many different types of acne scars that are characterized by color, texture, and contour. Dr. Raffy Karamanoukian has expertise in the management of acne scars and has treated countless patients who have atrophic and long-term scarring from acne.
Our office is a comprehensive plastic surgery and cosmetic dermatology practice in Los Angeles, and we approach each acne scar regimen with an individualized and tailored approach. Dr. Karamanoukian practices in Beverly Hills and Santa Monica and optimizes combination HIDEF protocols for acne scars that use cutting-edge lasers and treatments to improve your complexion and skin tone.
Treat Ice Pick Acne Scars with TCA Cross in Santa Monica
Ice pick scars are one of the most challenging forms of acne scarring to treat. These deep, narrow depressions extend into the dermis, giving the skin a pitted appearance that topical treatments and standard resurfacing procedures cannot adequately address. Effective treatment requires advanced expertise and precision—qualities that define our practice in Santa Monica. We offer a board-certified dermatologist and a board-certified plastic surgeon.
Dr. Karamanoukian is widely recognized for his comprehensive approach to acne scar management, with particular expertise in treating deep acne scars using the TCA CROSS technique. TCA CROSS (Chemical Reconstruction of Skin Scars) is a specialized procedure that applies high-concentration trichloroacetic acid (TCA) directly into ice pick scars. This controlled chemical peel stimulates collagen production from within the scar, gradually lifting and smoothing the skin’s surface over time.
Unlike superficial chemical peels, TCA CROSS for ice pick scars requires advanced knowledge of skin anatomy, acid concentration, and precise application. Dr. Karamanoukian’s extensive background in plastic surgery and deep chemical peels allows him to safely and effectively treat even severe, long-standing scars. Each treatment plan in our office is customized based on scar depth, skin type, and overall skin health to achieve optimal, natural-looking results.
Patients searching for ice pick scar treatment, TCA CROSS expert, or acne scar treatment in Santa Monica consistently turn to Dr. Raffy Karamanoukian for his experience, meticulous technique, and proven outcomes. By combining advanced scar reconstruction methods with personalized care, KARE Plastic Surgery offers patients renewed confidence and smoother, healthier-looking skin.
For those seeking authoritative, results-driven solutions for deep acne scars, TCA CROSS treatment by Dr. Karamanoukian remains a gold standard in modern acne scar correction.
One of the more common combination platforms used for acne scars includes the use of radio frequency and dermal fillers. Our office utilizes microfractional radiofrequency and several different types of hyaluronic acid fillers to improve the contour of the skin.

Microneedling RF with Exosomes for Acne Scars
Our first approach for any acne scar patient is to assess the characteristics of the acne scar including hyperpigmentation, hypopigmentation, keloid or hypertrophic scarring, and scar indentation. Most patients are candidates for a microfractional radiofrequency treatment that can stimulate new collagen and elastin production in order to raise atrophic acne scars. This treatment is highly effective but requires multiple sessions to achieve optimal results.
Microfractional RF delivers high intensity thermal energy deep into the dermis to initiate collagen and elastin production and promote healing in atrophic scars. Dr. Karamanoukian will titrate the intensity of the microfractional laser in order to promote skin remodeling and reduce scarring. Patients will note an increase in collagen and elastin with improved complexion and skin tone. Thw microfractional laser also reduces pore size on the nose and cheeks.
Dermal Fillers can reduce acne scars
Acne scars can also be treated with dermal fillers such as Juvederm and Restylane. Our office is among the few in the country that specializes in the removal of permanent fillers such as silicone, Bellafill, Artefill, and Artecoll. For this reason, we only use natural body fat through a fat transfer or hyaluronic acid fillers to smooth out deep acne scars. These hyaluronic acid fillers are reversible and rarely cause complications when injected superficially into acne scars.
Subcision to resolve tethered acne scars
Some atrophic and deep acne scars can have skin tethering to the deep dermis as a result of a large pustule that developed during an acne breakout. Subcision is a non-invasive technique that uses a small needle to break the dermal fibrous attachments that weigh the skin down. In doing so, subcision lifts up deep acne scars and provides long-term improvement in complexion and skin tone.
Kare Plastic Surgery offers comprehensive acne scar treatments in Beverly Hills in Santa Monica with board-certified surgeons experienced in plastic surgery and cosmetic dermatology. Dr. Raffy Karamanoukian is world renowned For his expertise in skin health and cosmetic dermatology.
Schedule a consultation today by contacting the office of Dr. Raffy Karamanoukian, serving patients in Beverly Hills, Santa Monica, Hollywood, pacific palisades, Brentwood, Marina del Rey, and Venice.