The successful treatment of scarring secondary to active acne vulgaris is a major challenge to practitioners of aesthetic medicine. To the patient, acne scarring is as physically and emotionally traumatic as active acne. The number of patients requesting cosmetic improvement of acne scars is rising rapidly, and armed with knowledge about emerging technology, so are their expectations. But even with new therapies, the issue is still a complex one. Many available treatment options do not seem to satisfy patients, and as such, 50% improvement is considered a success.