Rolling scars
Broad, wave-like depressions may involve tissue tethering beneath the surface.
Rolling scarsExplore the difference between rolling, boxcar and ice-pick scars, and why a considered plan often uses more than one approach.

Considered care.
Personal to you.
Acne-scar treatment aims to make lasting changes in skin texture less noticeable. Indented scars differ from flat red or brown marks and from raised scars. At MICHIKO, assessment looks at scar type, depth, tethering, active acne and skin tone before discussing suitable treatment or referral.
Follow the story as you scroll.
Connect what you notice
with the questions that matter.
An educational illustration. Your assessment is individual.
01 / Rolling scars
Broad, wave-like depressions may involve tissue tethering beneath the surface.
Rolling scarsSharply edged or narrow deep scars may need different methods from broad shallow scars.
Boxcar and ice-pick scarsFlat colour changes and new inflamed spots need their own plan.
Marks and active acneMICHIKO · YOUR QUESTIONS, EXPLAINED
It is common to have a mixture of scar types on the same face. The doctor examines depth, edges, distribution and whether the skin is tethered. They also distinguish pigmentation from true contour change. Ongoing acne should be controlled to reduce the risk of new scars while older scars are treated. A realistic goal is improvement; complete removal of every scar should not be promised.
Subcision is a procedure intended to release selected fibrous attachments beneath tethered scars. It may be relevant to some rolling scars, but does not address every scar shape. Bruising, swelling, bleeding, infection and other complications are possible. The decision depends on anatomy, scarring pattern and medical history, and may form one stage of a wider plan.
MICHIKO’s service information includes Dermapen and skin-rejuvenation approaches. Microneedling creates controlled small injuries to support a repair response; the expected effect depends on scar type and protocol. Other resurfacing or focal techniques may be discussed where suitable. More aggressive treatment is not automatically better, particularly in skin prone to post-inflammatory pigmentation.
PRP uses a preparation derived from your own blood and is sometimes discussed alongside other scar treatments. It is not synonymous with stem-cell therapy. Terms such as skin booster, placenta or stem cell do not identify a single standard treatment or prove benefit for acne scars. Ask for the exact product, evidence, permitted use and reason for including any add-on.
Scar remodelling takes time. The number of visits and the interval depend on the method and response. Redness, swelling, bruising, peeling and temporary colour changes can affect work and travel plans. Tell the doctor about isotretinoin, other medicines, herpes, keloids and previous procedures. Follow method-specific aftercare and sun protection; do not perform invasive scar treatments at home.
WHY MICHIKO
MICHIKO plans around the scars you have, rather than a single machine or fixed package. Dr. Gift and our medical team discuss the likely contribution of each step, recovery time and review photographs before extending a course.
Describe what has changed and what you hope to improve. The assessment comes before a programme recommendation.
LISTEN
Compare the approaches that fit your assessment. Understand what each can improve, where its limits lie and whether a simpler first step would suit you.
ASSESS
Discuss the exact method or product, expected benefit, limits, risks and total cost. There is time to decide and room to choose a simpler plan.
PLAN
Know your aftercare, review timing and how to contact the team. Your response helps shape the next step.
CARE
MICHIKO · A CLOSER LOOK
Bring details of previous procedures, current medicines and supplements, allergies and any recent skin reaction. Tell the doctor if you are pregnant or breastfeeding. Mention work, travel and event dates so the plan can account for recovery and follow-up. Do not stop prescribed medicines without advice.
Use gentle cleansing, the recommended moisturiser and consistent sun protection. Do not pick darkened areas or crusts. Ask when to resume active skincare and exercise. Unexpected blistering, worsening pain or signs of infection need clinical advice.
Agree on a review point and the change you are hoping to see. Your response, side effects and priorities should guide the next step. Ask for a clear quote covering the proposed product or method, quantity where relevant, and follow-up.
BEFORE YOU VISIT
Complete removal should not be promised. Many plans aim to reduce how noticeable scars are, with the result varying by scar type and healing response.
Usually it is important to control ongoing acne so that new scars are less likely to develop. Your doctor will advise the sequence.
Tell the doctor before treatment. The method, intensity, preparation and follow-up may need to change, or a procedure may be unsuitable.
Message MICHIKO on LINE and mention the service. Choose EmSphere or Phahonyothin 21, and confirm the relevant clinician and appointment before travelling.
Bring details of previous procedures, current medicines and supplements, allergies and any recent skin reaction. Tell the doctor if you are pregnant or breastfeeding. Mention work, travel and event dates so the plan can account for recovery and follow-up. Do not stop prescribed medicines without advice.

YOUR NEXT STEP
Message us on LINE, choose EmSphere or Phahonyothin 21, and mention Acne Scar Treatment. Dr. Gift and our medical team will assess your concern, explain the options, risks and cost, and leave the decision with you.
Helpful to bring: previous procedures, current medicines and any allergies.
TRUSTED AT MICHIKO
Familiar faces. Personal care.
























MICHIKO · BANGKOK

9/2 Supalai Park Building 1, Phahonyothin 21, Chatuchak, Bangkok 10900
Sat–Mon 10:00–19:00 · Tue–Wed 11:00–20:00 · Thu–Fri 10:00–19:00

EM TOWER, Floor 7, Room 7T 01, EmSphere, 628, 630 Sukhumvit Road, Khlong Toei, Bangkok 10110
Daily 11:00–20:00